Gall Bladder and Biliary Tree

Question 1

L1: Which type of gallstone? Associated with bacterial colonization

Answer 1

Brown

Question 2

L1: Which type of gallstone? Associated with sickle cell anemia

Answer 2

Pigment

Question 3

L1: Which type of gallstone? Consist of calcium bilirubinate

Answer 3

Pigment

Question 4

L1: Which type of gallstone? Soft, greasy, yellow-white

Answer 4

Cholesterol

Question 5

L2: Name the three types of gallstones.

Answer 5

Cholesterol, pigment, brown

Question 6

L2: Which pathologic pattern? Bacterial infection that is usually a complication of choledocholithiasis

Answer 6

Ascending cholangitis

Question 7

L2: Which pathologic pattern? Fibrosis of gall bladder with uncertain etiology, associated with gallstones

Answer 7

Chronic cholecystitis

Question 8

L2: Which pathologic pattern? Fibrotic strictures of the bile duct, associated with ulcerative colitis

Answer 8

Primary Sclerosing cholangitis

Question 9

L2: Which pathologic pattern? Intermittent right upper quadrant pain frequently occurring after meals

Answer 9

Biliary colic

Question 10

L2: Which pathologic pattern? Jaundice, dark urine, abdominal pain

Answer 10

Choledocholithiasis

Question 11

L2: Which pathologic pattern? Right upper quadrant pain, jaundice, fever

Answer 11

Ascending cholangitis

Question 12

L2: Which pathologic pattern? Severe right upper quadrant pain, nausea, fever; due to ischemia of gallbladder

Answer 12

Acalculous cholecystitis

Question 13

L2: Which pathologic pattern? Severe right upper quadrant pain, nausea, fever; due to stone impaction in cystic duct

Answer 13

Acute calculous cholecystitis

Question 14

L3: Name the three pathophysiologic factors involved in gallstone formation.

Answer 14

Lithogenic bile, biliary stasis, nucleation (mucus plugging)

Question 15

L3: What are the components of Charcot’s Triad?

Answer 15

Right upper quadrant pain, jaundice, fever

Question 16

L4: Name 5 risk factors for developing gallstones.

Answer 16

Fat/Obses, Fourty (>30yo), Fertile, family history, rapid weight loss

Question 17

L4: Name 6 complications of gallstones

Answer 17

Acute (calculous) cholecystitis, acalculous cholecystitis, gallstone pancreatitis, choledocholithiasis, biliary colic, ascending cholangitis

Question 18

L4: What are the components of Reynold’s Pentad?

Answer 18

Right upper quadrant pain, jaundice, fever, hypotension, altered mental status