Ch. 36 GI - Book/5

Question 1

cholecystitis

Answer 1

inflammation of the gallbladder of cystic duct

Question 2

aggregates of substances in the bile

Answer 2

gallstones

Question 3

large stones may be managed by

Answer 3

lithotripsy

Question 4

gallbladder obstruction is caused by

Answer 4

gallstones

Question 5

disease that can cause gallstones

3

Answer 5

1. gallbladder
2. pancreatic
3. ileal

Question 6

inflammation of the gallbladder of cystic duct is known as

Answer 6

cholecystitis

Question 7

what evaluation test outlines the stones

Answer 7

oral cholecystogram

Question 8

acute attacks of cholecystitis usually require what tx

Answer 8

cholecystectomy

Question 9

gallstones may remain in the gallbladder or be ejected, with bile, into the

Answer 9

cystic duct

Question 10

gallstone formation is called

Answer 10

cholelithiasis

Question 11

gallstone vague sx include

4

Answer 11

1. heartburn
2. flatulence
3. epigastric discomfort
4. food intolerance (fats, and cabbage)

Question 12

what indicates a gallstone is located in the common bile duct

Answer 12

jaundice

Question 13

most sensitive imaging for cholecystitis

Answer 13

cholescintigraphy

Question 14

cardinal manifestations of gallstones

3

Answer 14

1. epigastric pain
2. RUQ pain
3. intolerance to fatty foods

Question 15

black gallstones are associated with

2

Answer 15

1. chronic liver disease

2. hemolytic disease

Question 16

common findings of cholecystitis

4

Answer 16

1. fever
2. leukocytosis
3. rebound tenderness
4. abdominal muscle guarding

Question 17

preferred tx for uncomplicated gallstones causing obstruction in the bile duct
2

Answer 17

1. endoscopic removal by sphincterotomy

2. endoscopic papillary balloon dilation

Question 18

abdominal muscle guarding and rebound tenderness of sx of

Answer 18

cholecystitis

Question 19

rare gallstones

Answer 19

black

Question 20

most common disorders of the gallbladder (general)

2

Answer 20

1. obstruction

2. inflammation

Question 21

brown gallstones are associated with

3

Answer 21

1. biliary stasis
2. bacterial infection
3. biliary parasites

Question 22

when does gallstone pain usually appear

Answer 22

30 min to hours after eating a fatty meal

Question 23

acute and chronic cholecystitis almost always are caused by

Answer 23

stone lodged in cystic duct

Question 24

most common race for cholelithiasis

Answer 24

native americans

Question 25

composed of calcium bilirubinate and mucin glycoproteins

Answer 25

black gallstones

Question 26

cholelithiasis is often ____ (sx)

Answer 26

asymptomatic

Question 27

black gallstones are composed of

2

Answer 27

1. calcium bilirubinate

2. mucin glycoproteins

Question 28

form from calcium bilirubinate and fatty acid soaps that bind with calcium

Answer 28

pigmented brown gallstones

Question 29

cholelithiasis

Answer 29

gallstone formation

Question 30

pigmented brown gallstones form from

Answer 30

calcium bilirubinate and fatty acid soaps that bind with calcium

Question 31

what dx test is used to differentiate gallstones from other causes of obstruction

Answer 31

intravenous cholangiography

Question 32

gallstones are formed from impaired metabolism of

3

Answer 32

1. cholesterol
2. bilirubin
3. bile acids

Question 33

cholelithiasis (gallstone) risk factors

6

Answer 33

1. obesity
2. middle age
3. female
4. oral contraceptives
5. rapid weight loss
6. native american