Gallgladder Test Review

Question 1

The liver is suspended from the diaphragm and anterior abdominal wall by the

Answer 1

Flaciform ligament

Question 2

Fatty infiltration may be sen in all patients except those with

Answer 2

hepatoportal fistula

Question 3

sonographic findings of acute hepatitis include

Answer 3

accentuated brightness of the portal vein radicals, a starry night apperance

Question 4

Budd Chiari syndrome is a rare disorder caused by obstruction of the

Answer 4

Hepatic viens

Question 5

Echinococcal cysyts have the highest incidence in countries in which

Answer 5

Sheep grazing is commonn

Question 6

The most common benign tumor of the liver is

Answer 6

cavernous hemangioma

Question 7

Patients who have hepatocella carcinoma (HCC), are likely to have had

Answer 7

Cirrhosis

Question 8

The most common form of neoplastic involvement of the liver is

Answer 8

Metastases

Question 9

The fossae of the right portal vien (RPV) and gallbladder are found in the

Answer 9

Main lobar fissure

Question 10

Elevation of alkine phospatase if associated with

Answer 10

hepatocellular disease

Question 11

elevation of bilirubin results in

Answer 11

Jaundice

Question 12

typical symptoms a patient may have with an abscess formation include all of the following except

Answer 12

Decreased white blood count

Question 13

Jim Macdonald, a sheep farmer, arrives at the hospital with right upper quadrat pain, fever, and elevated white blood count. He states that 3 months ago, he was kicked in the ribs. An irregular ass showing low level echoes is found on the sonogram. What is your differential diagnosis?

Answer 13

Echinococcal Cyst

Question 14

The vascular tumor composed of blood vessel cells and nonspecific sonographic findings

Answer 14

Hemangioma

Question 15

In glycogen storage disease, Type 1 is the most common. This is also known as

Answer 15

Von Gierke’s disease

Question 16

Normal average measurement of the portal vein is

Answer 16

1.3cm

Question 17

The most common site for echinococcal virus growth is the

Answer 17

Liver

Question 18

The amebic abscess may reach the liver throught the

Answer 18

Portal vein

Question 19

If a patient has chronic choledocholithiasis, all of the following structures are dilated except the

Answer 19

pancreatic duct

Question 20

The right and left hepatic ducts emerge from ther ight love of the liver in the portal hepatis and unite to form the

Answer 20

common hepatic duct

Question 21

The diameter of the common hepatic duct is

Answer 21

4mm

Question 22

The hepatic duct is joined by the______ to form the______

Answer 22

Cystic duct; common bile duct

Question 23

In a 60-year old adult, the normal common bile duct should not measure more than:

Answer 23

6mm

Question 24

the cystic duct connects the ________ of the gallbladder with the common hepatic duct to form the ___________

Answer 24

Neck; CBD

Question 25

The function of the gallbladder is

Answer 25

Reservoir for bile

Question 26

A phrygian cap of the gallbladder is

Answer 26

Folding of the fundus

Question 27

Hartmanns pouch is formed

Answer 27

when the gallbladder folds back on itself at the neck

Question 28

The bight linear echo within the liver connecting the gallbladder and the right portal vein is the

Answer 28

Main lobar fissure

Question 29

An extrahepatic mass compressing the common bile duct can produce an enlarged gallbladder, THis clinical sign is known as

Answer 29

Courvoiser's sign

Question 30

The _______ branch of the hepatic artery can be seen between the common duct and the portal vein as a small circular structure

Answer 30

Right

Question 31

Classic symptoms of gallbladder disease include all of the following except

Answer 31

Hematuria

Question 32

Thickening of the gallbladder wall may be caused by all of the following except

Answer 32

pancreatitis

Question 33

The most common sign for carcinoma of the gallbladder is

Answer 33

Irregular fungating mass that contains low intensity echoes within the gallbladder

Question 34

the common bile duct is joined by the main pancreatic duct. Together they open through the\_\_\_\_\_\_into duodenal wall

Answer 34

Ampulla of vater

Question 35

Inflammation of the gallbladder is

Answer 35

Cholecystitis

Question 36

A condition causing RUQ pain in which small polypoid masses arise from the gallbladder wall is

Answer 36

adenomyomatosis

Question 37

Gallstone appearance on ultrasound examination is

Answer 37

Dependent, mobile, echogenic

Question 38

Cholelithiasis is characterized on ultrasound as

Answer 38

Clean shadow with distinct margins

Question 39

Nonshadowing low-amplitude echoes in a dependent gallbladder is most characteristic of

Answer 39

Sludge

Question 40

Gallbladder perforation may appear in patients with any of the following disease except

Answer 40

Negative murphy's sign

Question 41

The ultrasound appearance of a gallbaldder neoplasm is

Answer 41

wall thickening, wall mass

Question 42

The physiologic effect of a fatty meal includes all of the following except

Answer 42

Decrease of bile flow to the liver

Question 43

Ultrasound findings in a primary neoplasm include all of the following except

Answer 43

A normal duct

Question 44

The most frequent cause of metastic disease to the biliary system is

Answer 44

Melanoma

Question 45

The left lobe of the liver can be separated from the right lobe by:

Answer 45

Middle hepatic vein

Question 46

Which of the following is true concerning the portal vein

Answer 46

portal viens have brighter walls than the hepatic veins

Question 47

Which hepatic mass is closely associated with oral contraceptive use

Answer 47

Hepatic adenoma

Question 48

The spiral valves of Heister are found within the

Answer 48

Cystic duct

Question 49

A 32 year old female patient presents to the sonography department with vague abdominal pain. The sonographic investigation of the gallbladder reveals a focal area of gallbladder wall thickening that produces comept tail artifact. These findings are consistent with

Answer 49

Adenomyomatosis