Ch. 11 Hagen Test Flashcards
A condition causing RUQ pain in which small polypoid masses arise from the anterior gallbladder wall is:
adenomyomatosis
A fusiform dilation of the common bile duct that causes obstruction is known as:
choledochal cyst
A gallbladder that folds near the area of the neck is called:
Hartmann pouch
A Phrygian cap of the gallbladder is:
folding of the fundus
A positive Murphy sign is a clinical finding associated with:
cholecystitis
A thick calcified gallbladder wall describes which one of the following conditions?
porcelain gallbladder
Air within the biliary tree, secondary to common bile duct stents, is called:
pneumobilia
All of the following sonographic appearances are found in cases of gallbladder carcinoma except:
sludge
Classic symptoms of gallbladder disease include all of the following except:
hematuria
Gas-forming bacteria in the gallbladder appear on ultrasound as:
bright echo with a comet tail artifact
n a 60-year-old adult, the normal common bile duct should not measure more than _____ mm.
6
In cases of choledocholithiasis, stones tend to lodge in the:
ampulla of vater
Inflammation of the gallbladder is:
cholecystitis
Patients positive for the AIDS are at risk for developing:
cholangitis
The bright linear echo within the liver connecting the gallbladder and the right or main portal vein is called the:
main lobar fissure
The common bile duct is joined by the main pancreatic duct. Together they open through the _____ into the duodenal wall.
ampulla of vater
The cystic duct connects the ___________ of the gallbladder with the common hepatic duct to form the ___________.
neck ; CBD
The diameter of the common hepatic duct is approximately ________ millimeters (mm).
4
The distal duct lies ___________ with the anterior wall of the inferior vena cava (IVC).
parallel
The hepatic duct is joined by the ___________ to form the ___________ .
cystic duct ; common bile duct
The most common cause of biliary ductal obstruction is the presence of a ductal:
tumor
The most common tumor sites that can spread carcinoma to the biliary tree include all of the following except the:
kidney
The physiologic effect of a fatty meal includes all of the following except:
decrease bile flow to the liver
The right and left hepatic ducts emerge from the right lobe of the liver in the porta hepatis and unite to form the:
common hepatic duct
The sonographic appearance of cholelithiasis is best described as:
Mobile, hyperechoic focus demonstrating posterior shadowing
The valves of Heister are tiny valves found within the:
cystic duct
Thickening of the gallbladder wall may be caused by all of the following except:
acute pancreatitis
Which one of the following describes the most common sonographic appearance of gallbladder carcinoma?
Irregular echogenic mass projecting from the gallbladder wall
Which one of the following is a function of the gallbladder?
reservoir for bile
Which one of the following is most characteristic of nonshadowing, low-amplitude echoes in a dependent gallbladder?
sludge
