Billiary System

Question 1

At the level of the ________ ________, the
right and left hepatic ducts join to form the
________.

Answer 1

Porta hepatis

CHD

Question 2

The CHD runs ___________ to the portal vein
and ____________ and ____________ to the
right hepatic artery.

Answer 2

Anterior

Anterior - lateral

Question 3

The CHD unites with the cystic duct from the

____________ to form the _______.

Answer 3

Gallbladder - CBD

Question 4

The Common Bile Duct enters the ________ part of the duodenum

Answer 4

Second

Question 5

The CBD Inserts into the ___________________.

Answer 5

Ampulla of Vater

Question 6

The _____________________ regulates the

flow of bile in the CBD.

Answer 6

Sphincter of Oddi

Question 7

This CBD insertion point is the ______________

part of the biliary tract.

Answer 7

Narrowest

Question 8

What is the normal
measurement for
the GB wall in the
fasting state?

Answer 8

<3mm

Question 9

What are the
multiple folds along
the inner layer of
the GB wall called?

Answer 9

Rokitansky-Aschoff

Sinuses

Question 10

What are the 2 main functions of the

gallbladder?

Answer 10

To concentrate and store bile

Question 11

Bile secretion is controlled by _____________.

Answer 11

Hormones

Question 12

___________ stimulates the GB to contract

and the __________________ to relax.

Answer 12

Cholecystokinin

sphincter of Oddi

Question 13

Hartmann’s pouch is an example of a

gallbladder _____________.

Answer 13

variant

Question 14

Which enzyme is most likely to be elevated in

extrahepatic biliary obstruction?

Answer 14

ALP (Alk. Phos.)

Question 15

What type of imaging is the HIDA scan and

what does it test?

Answer 15

Nuclear medicine, GB function

Question 16

The bile duct should be measured from _________________.

Answer 16

inner wall to inner wall

Question 17

In a post-cholecystectomy patient, the CBD

can measure up to ______ mm.

Answer 17

10