gallbladder

Question 1

most common location of gallstones

Answer 1

fundus

Question 2

gallstones is aka

Answer 2

cholelithiasis

Question 3

Most common gb variant

Answer 3

phrygian cap

Question 4

Floating gb is rare but can cause

Answer 4

Gb torsion, gb Volvulus

Question 5

Blood supply to the gb is via

Answer 5

Cystic artery

Question 6

Hormone that makes gb contract

Answer 6

Cholecystokinin

Question 7

Bile flows the the gb via the

Answer 7

Cystic duct into cbd

Question 8

To find the gb, scan at the level of the

Answer 8

Main lobar fissure & rt portal vein

Question 9

Normal gb wall measures less than

Answer 9

3 mm

Question 10

Labs that benefit to determine evidence of gb and bile duct disease

Answer 10

ALT, AFP, & bilirubin

Question 11

Folds within the cystic duct

Answer 11

Spiral valves of heister

Question 12

Gb completely filled with stones

Answer 12

Wes sign

Question 13

What can differentiate between gallstone and polyp

Answer 13

Twinkle sign

Question 14

Another name for sludge

Answer 14

Viscid bile

Question 15

Thick and can mimic an intraluminal gb mass

Answer 15

Tumefactive sludge

Question 16

Term for when the gb isoechoic to liver from completely filled with tumefactive sludge

Answer 16

Hepatization of gb

Question 17

Cholelithiasis is made out of

Answer 17

Cholesterol, calcium bilirubinate, and calcium carbonate

Question 18

Pediatric patients are at risk for gallstones if they have

Answer 18

Hemolytic anemia, sickle cell disease, and chrones disease

Question 19

Gallstones can be asymptomatic but other symptoms can include

Answer 19

Abd pain after fatty meals , nausea/vomiting, and pain radiating to shoulders

Question 20

Projection of a tissue from the gb wall that protrudes into the lumen of the gallbladder

Answer 20

Gallbladder polyp

Question 21

The most common types of gallbladder polyps are

Answer 21

Cholesterol polyps

Question 22

The ball on the wall sign indicates

Answer 22

Gallbladder polyp

Question 23

A rapidly growing polyp or large polyp is worrisome for

Answer 23

Gallbladder carcinoma

Question 24

True or false gallbladder polyps are benign non-mobile and non-shadowing

Answer 24

True

Question 25

Gallbladder polyps are often seen with

Answer 25

Cholesterolosis

Question 26

Cholesterolosis is considered a subset of

Answer 26

Hyperplastic cholecystosis

Question 27

A group of proliferative and degenerative gallbladder disorders

Answer 27

Hyperplastic cholecystosis

Question 28

Hyperplastic cholecystosis includes

Answer 28

Adenomyomatosis and Cholesterolosis

Question 29

The dissemination of glands within the muscle

Answer 29

Adenomyomatosis

Question 30

This artifact is associated with Adenomyomatosis

Answer 30

Comet tail artifact

Question 31

The sudden onset of gallbladder inflammation is referred to as

Answer 31

Acute cholecystitis

Question 32

The most common cause of acute cholecystitis is a

Answer 32

Gallstone that has become lodged in cystic duct or neck of the gallbladder

Question 33

Another name for acute cholecystitis

Answer 33

Leukocystosis

Question 34

Focal tenderness over the gallbladder with transducer pressure when the gallbladder is inflamed

Answer 34

Murphy sign

Question 35

The presence of what is a strong indicator of acute cholecystitis

Answer 35

Gallstones and a positive Murphy sign

Question 36

Caused by gas, forming infection and invading the gallbladder lumen or both

Answer 36

Emphysematous cholecystitis

Question 37

The champagne sign is an indication of

Answer 37

Emphysematous cholecystitis

Question 38

Intermittent obstruction of cystic duct by gallstones

Answer 38

Chronic cholecystitis

Question 39

All of the symptoms and findings of cholecystitis, except there are no gallstones

Answer 39

A calculus cholecystitis

Question 40

Normal gallbladder measurement

Answer 40

8 to 10 cm in length and 4 to5 cm and width

Question 41

Enlarged gallbladder Can be caused by blockage of the cystic duct. This may be referred to as.

Answer 41

Hydropic gallbladder

Question 42

Hydropic gallbladder is also known as

Answer 42

Mucocele of gb

Question 43

Enlarged palpable gallbladder caused by a pancreatic kid mass

Answer 43

Courvoisier gb

Question 44

Courvoisier gb pts usually have

Answer 44

Painless jaundice

Question 45

Gallbladder, hydrops, and older infants and children may be associated with

Answer 45

Kawasaki disease

Question 46

Calcification of the gallbladder wall

Answer 46

Porcelain gallbladder

Question 47

To differentiate the wes versus a porcelain gallbladder, the

Answer 47

The posterior wall will often be seen with porcelain gallbladder

Question 48

What is caused by chronic irritation of the gallbladder wall by gallstones?

Answer 48

Gallbladder carcinoma

Question 49

Gallbladder carcinoma may appear sonographical as a

Answer 49

Non-mobile hypoechoic mass

Question 50

The most common metastatic disease of a gallbladder is

Answer 50

Malignant melanoma

Question 51

Cbd diameter abnormal

Answer 51

> 6 mm, 0.6 cm

Question 52

Elevated labs for biliary obstruction

Answer 52

ALT , ALP , GGT , urobilirubin

Question 53

This sign describes the enlargement of the CBD adjacent to MPV

Answer 53

Shot gun sign, parallel tube sign

Question 54

The most common level for an obstruction to occur is the

Answer 54

Distal Cbd

Question 55

The presence of gallstones within the bile duct is called

Answer 55

Choledocholithiasis

Question 56

Clinical condition when a patient presents jaundice, pain, and fever because of a stone lodged in a cystic duct with compression of the Cbd

Answer 56

Mirizzi syndrome

Question 57

Inflammation of the biliary Ducts which is over 5 mm

Answer 57

Choleangitis

Question 58

Air within the biliary tree

Answer 58

Pneumobilia

Question 59

Echogenic liner structures seen within ducts

Answer 59

Pneumobilia

Question 60

Primary biliary tree cancer

Answer 60

Choleangiocarcinoma

Question 61

Most common manifestation of cholangiocarcinoma

Answer 61

Klatskin tumors

Question 62

Klatskin tumors are located

Answer 62

At the junction of the right and left hepatic ducts

Question 63

controls the flow of enzymes into the duodenum.

Answer 63

Sphincter of Oddi

Question 64

CBD joins the main pancreatic duct at the

Answer 64

ampulla of Vater

Question 65

Wall layers inner to outer

Answer 65

: Mucosa > Fibromuscular > Serosa

Question 66

: Dilated CBD similar to size of portal vein

Answer 66

Parallel tube or channel / Shotgun sign

Question 67

CBD and dilated Pancreatic duct

Answer 67

Double-duct sign