Ch. 1 RUQ Pain

Question 1

Risk factords for cholelithiasis formation:

Answer 1

family hx, sedentary lifestyle, absence of alcohol use, inflammatory bowel disease, diet-induced weight loss, pregnancy, diabetes, estrogen use, white/hispanic

Question 2

Acalculous cholecystitis more common in patients with:

Answer 2

TPN, postoperative, trauma, and burn patients

Question 3

Emphysematous cholecystitis more common in patients with:

Answer 3

diabetes and peripheral atherosclerotic disease

Question 4

Complications of emphysematous cholecystitis

Answer 4

Gangrene and rupture

Question 5

How can you differentiate between emphysematous cholecystitis and hyperplastic cholecystosis?

Answer 5

W/ emphysematous cholecystitis, comet tail artifact will also be in GB lumen

Question 6

Two types of hyperplastic cholecystosis:

Answer 6

adenomyomatosis and cholesterolosis

Question 7

Multiple small cholesterol polyps arising from GB wall describes:

Answer 7

Cholesterolosis

Question 8

Most gallbladder carcinomas are found in the:

Answer 8

fundus

Question 9

Risk factors for GB carcinoma

Answer 9

stones, chronic cholecystitis, porcelain GB

Question 10

There is an increased incidence of cholangiocarcinoma in:

Answer 10

Cambodia, Laos, and Thailand

Question 11

Risk factors for cholangiocarcinoma:

Answer 11

sclerosing cholangitis and choledochal cyst

Question 12

Pyogenic abscess are most commonly result of:

Answer 12

Biliary tract disease (also spread of infection thourhg portals/hepatics, trauma, and Sx)

Question 13

Predisposes patients to pyogenic abscess formation:

Answer 13

sickle cell, cirrhosis, neoplasm

Question 14

Amebic abscess is endemic to:

Answer 14

South/Central America, Mexio, India, Asia, Africa

Question 15

Hematomas may result from:

Answer 15

hemorrhage in neoplasm, pregnancy complication (preeclampsia, hemolysis)