chapter 44 part 1 vidlec

Question 1

located at the right part of the abdomen just between the liver; stores the bile

Answer 1

gallbladder

Question 2

responsible for digestion of fats; fat soluble vitamins (ADEK)

Answer 2

bile

Question 3

responsible for excretion of bilirubin through the stool for it to have color brownish color

Answer 3

bile

Question 4

exocrine or endocrine

amylase, trypsin, lipase, secretin (digestive enzymes)

Answer 4

exocrine

Question 5

exocrine or endocrine

insulin, glucagon, somatostatin

Answer 5

endocrine

Question 6

these hormones stabilizes the glucose

Answer 6

insulin and glucagon

Question 7

prevents/inhibits the release of pancreatic hormones

Answer 7

somatostatin

Question 8

inflammation of the gallbladder

Answer 8

cholecystitis

Question 9

Calculi, or gallstones, usually form in the gallbladder from the solid constituents of bile

Answer 9

cholelithiasis

Question 10

blockage to the flow of bile

Answer 10

cholestasis

Question 11

there is a gallstone in the bile duct

Answer 11

choledocholithiasis

Question 12

intermittent right upper quadrant ‘pain caused by gallstones’ irritating the bile duct

Answer 12

biliary pain/colic pain

Question 13

inflammation of the bile duct

Answer 13

cholangitis

Question 14

there is a pus in the gallbladder

Answer 14

gallbladder empyema

Question 15

surgery: there is a pus in the gallbladder

Answer 15

cholecystectomy

Question 16

inserting a drain in the gallbladder

Answer 16

cholecystostomy

Question 17

this stones is formed in sterile bile

Answer 17

black stones

Question 18

this stones is formed in infected intrahepatic or extrahepatic ducts

Answer 18

brown stones

Question 19

Form when increased levels of unconjugated bilirubin binds with calcium.

Answer 19

pigment stones

Question 20

is pigment stones can be dissolved or should be done in surgery?

Answer 20

surgery

Question 21

a normal constituent of bile, is insoluble in water

Answer 21

cholesterol

Question 22

indicates pain in the gallbladder when the gallbladder is palpated during a breath

Answer 22

murphy’s sign

Question 23

complications of gallbladder stones

Answer 23

necrosis
abscess
perforation
peritonitis

Question 24

diagnostic procedure of choice; detects calculi in the gallbladder or a dilated common bile duct with 95% accuracy

Answer 24

ultrasonography

Question 25

what drug is contraindicated in gallstones?

Answer 25

morphine sulfate

Question 26

what are the bile acids used to dissolve small cholesterol stones?

Answer 26

ursodeoxycholic acid
chenodeoxycholic acid

Question 27

Used in some centers for a small percentage of suitable patients (those with common bile duct stones who may not be surgical candidates), sometimes in combination with dissolution therapy

Answer 27

extracorporeal shockwave lithotripsy

Question 28

It involves making an incision in the common duct, usually for removal of stones

Answer 28

choledochostomy