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abdomen registry > Gallbladder > Flashcards

Gallbladder Flashcards

1
Q

Gb fossa is ______ to the right lobe of liver

A

Posterior inferior

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2
Q

Gb arterial supply:

A

Cystic artery

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3
Q

Gb venous drainage:

A

Cystic vein

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4
Q

Cystic artery originates from

A

Right hepatic artery

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5
Q

Inner layer of gb

A

Mucosa

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6
Q

Middle layer of gb

A

Muscle

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7
Q

Outer layer of gb

A

Serosa

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8
Q

Systemic issues that can cause gb wall thickening

A

CHF and AIDS

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9
Q

Increased levels of this are usually first indication of obstruction:

A

ALP

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10
Q

Increased prothrombin time(PT) is associated with :

A

Acute cholecystitis, gb carcinoma, obstruction

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11
Q

Most common congenital anomaly of gb

A

Phrygian cap

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12
Q

Most common type of choledochal cyst

A

Type 1- fusiform

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13
Q

Congenital anomaly of intrahepatic ducts. Multiple cystic structures that converge toward porta hepatis communicating with bile ducts
- central dot

A

Carolis disease

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14
Q

Double duct sign refers to dilation of

A

CBD and wirsung

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15
Q

Patients with PRIMARY BILIARY CHOLANGITIS are screened every 6 months for

A

HCC

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16
Q

Most common cause of malignant neoplasm obstructing biliary tree

A

Pancreatic adenocarcinoma

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17
Q

Carolis disease: type __ intrahepatic

A

Type 5

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18
Q

Most common cause of cholangitis

A

Choledocholithiasis

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19
Q

Suspected when jaundice persists beyond 14 days of age

A

Biliary atresia

20
Q

Triangular cord sign

A

Biliary atresia

21
Q

Kasai portoenterostomy is most successful in treating _____ if performed before _____ days of life

A

Biliary atresia, 90 days

22
Q

Cholangiocarcinoma located at the hepatic hilum

A

Klatskin tumor

23
Q

Most common predisposing condition of cholangiocarcinoma

A

Primary sclerosis cholangitis

24
Q

Biliary disease caused by parasitic roundworm

- south East Asian countries

A

Ascariasis

25
Q

Intrahepatic biliary dilitation without extrahepatic dilitation indicates

A

Klatskin tumor

26
Q

Most common cause of extrahepatic obstructive jaundice

A

Choledochalithiasis

27
Q

Most common location for biliary stone

A

Distal cbd

28
Q

Parallel channel sign or shotgun sign refers to:

A

Dilated hepatic duct and portal vein

29
Q

Dilated CBD measures

A

Greater or equal to 8mm

30
Q

Rokitansky-Aschoff sinuses

A

Adenomyomatosis

31
Q

“Strawberry gallbladder”

A

Cholesterolosis

32
Q

Polyps measuring ___ are more likely malignant

A

> 10mm

33
Q

Hydrops of gb AKA

A

Mucocele

34
Q

Hydrops/mucocele is associated with

A

Kawasaki disease

35
Q

Calcification of gb wall associated with chronic cholecystitis

A

Porcelain gb

36
Q

Sludge-like material with a high concentration of calcium

A

Milk of calcium bile

37
Q

Milk of calcium bile is associated with

A

Chronic cholecystitis and gb obstruction of cystic duct

38
Q

Gb fills with purulent material

A

Empyema of gb

39
Q

Acute cholecystitis in presence of bacteria containing bile

A

Empyema of gb

40
Q

Emphysematous cholecystitis occurs more commonly in

A

Diabetic men

41
Q

“Champagne sign”

A

Emphysematous cholecystitis

42
Q

Most common cause of acute cholecystitis

A

Stone in cystic duct

43
Q

Most common cause of gb wall thickening

A

Cholecystitis

44
Q

Prehepatic cause of jaundice

A

Excessive RBC breakdown

45
Q

Post hepatic cause of jaundice

A

Obstruction of biliary tree

abdomen registry (21 decks)

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