gallbladder

Question 1

most common gb variant

Answer 1

phrygian cap

Question 2

normal gb length x width

Answer 2

7-10cm
<4cm

Question 3

normal gb wall

Answer 3

3 mm

Question 4

gb blood supply

Answer 4

cystic artery

Question 5

the cystic artery is a branch of the

Answer 5

right hepatic artery

Question 6

what makes the gb contract

Answer 6

cck or cholecystokinin

Question 7

murphys sign

Answer 7

pain while palpating

Question 8

where are the valves of heister located

Answer 8

cystic duct

Question 9

valve that open and closed at the ampulla of vater

Answer 9

sphincter of oddi

Question 10

cbd general rule for normal measurement

Answer 10

should not measure more than 7mm
or 40 yrs old 4 mm

Question 11

how do gall stones form

Answer 11

biliary stasis

Question 12

5 f’s for risk of gallstones

Answer 12

fat
female
forty
fertile
family history

Question 13

gallstone symptoms

Answer 13

ruq pain it can radiate to shoulder/back
fatty food intolerance

n & v

Question 14

gb sludge causes

Answer 14

tpn
fasting
blockage

Question 15

wes traid

Answer 15

walll
echo
shadow

Question 16

most common complication of gb stones

Answer 16

acute cholecystitis

Question 17

acute cholecystitis lab values

Answer 17

elevated wbc
elevated bilirubin and alk phos

Question 18

acute chole on sono

Answer 18

increased color doppler
hypo walls
thickened walls >3mm
pericholecystic fluid

Question 19

most common disease of gb

Answer 19

gallstones

Question 20

hida scan

Answer 20

nuclear medicine exam for the gb

Question 21

in who is acute a-calculous cholecystitis seen in

Answer 21

critically ill patients
trauma, sepsis, surgery, hiv

Question 22

sono appearance of acute a-calculous cholecystitis

Answer 22

no gallstones
wall thickening

Question 23

who is emphysematous chole most common in

Answer 23

diabetic patients

Question 24

what is emphysematous cholecystitis

Answer 24

rare life threatening
air producing bacteria in the gb wall

Question 25

emphysematous chole on sono

Answer 25

ring down or comet tail artifact

Question 26

what is gangrenous chole

Answer 26

necrosis of tissue gb may rupture

Question 27

gangrenous chole on sono

Answer 27

echogenic membrane floating in gb lumen gb wall thickening

Question 28

gb empyema

Answer 28

pus filled gb

Question 29

causes for gb wall thickening not related to gb disease

Answer 29

acute hepatitis heart failure cirrhosis

Question 30

porcelain gb

Answer 30

calcification of the gb wall increased risk of gb cancer

Question 31

gb hydrops is due to

Answer 31

biliary obstruction

Question 32

gb hydrops sono appearance

Answer 32

rounded distended

Question 33

courvoisiers sign

Answer 33

enlarged palpable non tender gb painless jaundice

Question 34

mirizzi syndrome

Answer 34

stone impacted in the cystic duct compressing the chd

Question 35

gall stone ileus

Answer 35

erosion of gb wall

Question 36

most common type of polyp

Answer 36

cholesterol

Question 37

what is adenomyomatosis

Answer 37

sinuses filled with calcs sludge or bill causing a comet tail artifact on sono

Question 38

gb cancer is more common in

Answer 38

women 7th or 8th decade of life

Question 39

most common missing site in biliary atresia

Answer 39

cbd

Question 40

biliary atresia clinical symptoms

Answer 40

abnormal lft hepatomegaly jaundice

Question 41

biliary atresia sono appearance

Answer 41

hepatic parenchyma hetero

Question 42

choledocal cyst symptoms

Answer 42

failure to thrive palpable mass jaundice abd pain

Question 43

sono findings of choledocal cyst

Answer 43

cyst in ruq bile duct entering cyst no color doppler

Question 44

carolis disease assoc. w/

Answer 44

hepatic fibrosis medullary sponge kidney ARPKD

Question 45

what is carolis disease

Answer 45

intrahepatic dilatation of the bile ducts

Question 46

carolis disease clinical findings

Answer 46

ruq jaundice renal failure PHTN ^ increased of bile duct cancer flu like system

Question 47

carolis disease on sono

Answer 47

beaded appearance central dot sign-bile ducts surrounded by portal vein

Question 48

dilated biliary ducts due to obstruction on sono

Answer 48

double barrel sign no color flow to many tubes sign

Question 49

dilated biliary ducts symptoms

Answer 49

itching jaundice with or w/o pain

Question 50

extrahepatic biliary dilatation

Answer 50

intrapancreatic porta hepatis

Question 51

stone in bile duct or choledocholithiasis symptoms

Answer 51

ruq or epigastric pain jaundice

Question 52

pneumobilia

Answer 52

air in the biliary tree

Question 53

pneumobilia sono appearance

Answer 53

dirty shadow with ring down hyper. linear structures within the biliary tree

Question 54

cholangitis clinical findings

Answer 54

fever ^ lfts , wbcs ruq pain jaundice

Question 55

cholangitis sono appearance

Answer 55

thickened walls focal strictures dilated ducts sludge stones asbcess

Question 56

most common risk factor of cholangiocarcinoma

Answer 56

sclerosing cholangitis

Question 57

klatskin tumor

Answer 57

tumor where the left and right hepatic ducts join

Question 58

clinical findings of cholangiocarcinoma

Answer 58

abd pain weight loss courvoisiers sign jaundice ruq pain

Question 59

most common location of cholangiocarcinoma

Answer 59

cbd

Question 60

Type 1 choledocal cyst

Answer 60

Cystic fusiform dilatation of the cbd MOST COMMON

Question 61

Type 2 choledocal cyst

Answer 61

Diverticulum of the cbd

Question 62

Type 3 choledocal cyst

Answer 62

Found in intraduodenal portion if the duct

Question 63

Carolis disease

Answer 63

Intrahepatic ducts dilatation Type 5

Question 64

Type 4 choledocal cyst

Answer 64

Dilatation if intra and extra ducts

Question 65

Biliary hamartoma

Answer 65

Focal lesions, hetero appearance of liver tissue Echogenic foci with ringdown artifact Twinkle artifact with doppler

Question 66

Acalculous cholecystitis is seen in what type of pt’s

Answer 66

Chronically ill Aids Post surgery Trauna Sepsis Total parental nutrition Congestive heartfailure

Question 67

How is the cbd diameter measured

Answer 67

Inner to inner

Question 68

Polyps measuring greater than … is suspected for cancer

Answer 68

1 cm or 10 mm