Gallbladder UTZ

Question 1

is a pear shaped, anechoic structure indenting the inferomedial aspect of the right lobe of liver

Answer 1

gallbladder

Question 2

its primary function is to store and concentrate bile

Answer 2

gallbladder

Question 3

a yellow brown enzyme

Answer 3

bile

Question 4

a yellow brown enzyme

Answer 4

bile

Question 5

indications of gb utz

Answer 5

to determine gb size
to detect congenital anomalies
pain in the right upper abdomen
suspected gallstones
palpable right abdominal mass
recurrent symptoms of peptic ulcer
to determine presence of ascaris

Question 6

the patient should not take anything by mouth for

- hours for adult
- hours for children

Answer 6

6-8 hours for adult
3-4 hours for children

Question 7

. mHz transducer for adults
_ mHz transducer for children

Answer 7

3.5 mHz transducer for adults
5 mHz transducer for children

Question 8

4 anatomical variants

Answer 8

phrygian cap
junctional folds
bilobed hourglass gb
septated

Question 9

most common congenital anatomic variant of the gallbladder

Answer 9

phrygian cap

Question 10

it denotes folding of the fundus toward the body that result in cap lie appearance at fundus

Answer 10

phrygian cap

Question 11

fold seen at the body and neck

Answer 11

junctional folds

Question 12

is a small sac like diverticulum of the gallbladder neck common area for stone formation due to bile stasis

Answer 12

hartmann’s pouch

Question 13

abnormal narrowing at the mid portion of the gallbladder body

Answer 13

bilobed hourglass gallbladder

Question 14

is a rare congenital malformation in which the gb is divided into multiple intercommunicating compartments by thin septa

Answer 14

multi septated gb

Question 15

the gb is best viewed in _______ _______ decubitus position

Answer 15

the gb is best viewed in left lateral decubitus position

Question 16

demonstrates the portal triad as a part of biliary scan

Answer 16

mickey mouse view

Question 17

a fissure that helps to form the bed in which the gb lies and serves as useful landmark to help locate the gb

Answer 17

main lobar fissure

Question 18

its size is predictor of biliary obstruction and its measurement is therefore an important component in the evaluation of biliary system

Answer 18

common bile duct

Question 19

mean diameter of cbd

Answer 19

3mm upper limit 6mm

Question 20

gallbladder wall size

Answer 20

3 mm

Question 21

gallbladder wall size typically has a ________ appearance

Answer 21

gallbladder wall size typically has a LAYERED appearance

Question 22

6 pathologies of gallbladder

Answer 22

cholelithiasis
gallbladder polyps
gallbladder sludge
cholecystitis
parasites in gb
adenomyomatosis

Question 23

presence of gallstones within the gb

Answer 23

cholelithiasis

Question 24

concrements are visible as hyperechogenic objects emitting classic hypoechogenic shadow

Answer 24

cholelithiasis

Question 25

this is pathology also known as acoustic shadowing or negative shadowing

Answer 25

cholelithiasis

Question 26

non shadowing polypoid ingrowth into gallbladder lumen which is usually immobile

Answer 26

gallbladder polyps

Question 27

formation of bilirubin and cholesterol crystals that results in stone formation

Answer 27

gallbladder sludge

Question 28

pathology that appears as a low amplitude homogenous echoes, layering on the posterior wall that moves slowly with changes in px position

Answer 28

gallbladder sludge

Question 29

inflammation of the gb and is characterized by thickened wall

Answer 29

cholecystitis

Question 30

pathology that appears as linear echo densities, highly mobile and either short or long in size

Answer 30

parasites in the gb

Question 31

a ____ _______ ascaris is not uncommon as the acidity of the bile may kill the parasite

Answer 31

non mobile

Question 32

also known as adenomyomatous hyperplasia

Answer 32

adenomyomatosis

Question 33

pathology characterized by epithelial proliferation, muscular hypertrophia and intramural diverticula

Answer 33

adenomyomatosis