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Abdomen Section 4 > Gallgladder Test Review > Flashcards

Gallgladder Test Review Flashcards

1
Q

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

A

Flaciform ligament

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2
Q

Fatty infiltration may be sen in all patients except those with

A

hepatoportal fistula

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3
Q

sonographic findings of acute hepatitis include

A

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

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4
Q

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

A

Hepatic viens

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5
Q

Echinococcal cysyts have the highest incidence in countries in which

A

Sheep grazing is commonn

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6
Q

The most common benign tumor of the liver is

A

cavernous hemangioma

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7
Q

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

A

Cirrhosis

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8
Q

The most common form of neoplastic involvement of the liver is

A

Metastases

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9
Q

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

A

Main lobar fissure

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10
Q

Elevation of alkine phospatase if associated with

A

hepatocellular disease

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11
Q

elevation of bilirubin results in

A

Jaundice

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12
Q

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

A

Decreased white blood count

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13
Q

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?

A

Echinococcal Cyst

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14
Q

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

A

Hemangioma

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15
Q

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

A

Von Gierke’s disease

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16
Q

Normal average measurement of the portal vein is

A

1.3cm

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17
Q

The most common site for echinococcal virus growth is the

A

Liver

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18
Q

The amebic abscess may reach the liver throught the

A

Portal vein

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19
Q

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

A

pancreatic duct

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20
Q

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

A

common hepatic duct

21
Q

The diameter of the common hepatic duct is

A

4mm

22
Q

The hepatic duct is joined by the______ to form the______

A

Cystic duct; common bile duct

23
Q

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

A

6mm

24
Q

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

A

Neck; CBD

25
Q

The function of the gallbladder is

A

Reservoir for bile

26
Q

A phrygian cap of the gallbladder is

A

Folding of the fundus

27
Q

Hartmanns pouch is formed

A

when the gallbladder folds back on itself at the neck

28
Q

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

A

Main lobar fissure

29
Q

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

A

Courvoiser’s sign

30
Q

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

A

Right

31
Q

Classic symptoms of gallbladder disease include all of the following except

A

Hematuria

32
Q

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

A

pancreatitis

33
Q

The most common sign for carcinoma of the gallbladder is

A

Irregular fungating mass that contains low intensity echoes within the gallbladder

34
Q

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

A

Ampulla of vater

35
Q

Inflammation of the gallbladder is

A

Cholecystitis

36
Q

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

A

adenomyomatosis

37
Q

Gallstone appearance on ultrasound examination is

A

Dependent, mobile, echogenic

38
Q

Cholelithiasis is characterized on ultrasound as

A

Clean shadow with distinct margins

39
Q

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

A

Sludge

40
Q

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

A

Negative murphy’s sign

41
Q

The ultrasound appearance of a gallbaldder neoplasm is

A

wall thickening, wall mass

42
Q

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

A

Decrease of bile flow to the liver

43
Q

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

A

A normal duct

44
Q

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

A

Melanoma

45
Q

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

A

Middle hepatic vein

46
Q

Which of the following is true concerning the portal vein

A

portal viens have brighter walls than the hepatic veins

47
Q

Which hepatic mass is closely associated with oral contraceptive use

A

Hepatic adenoma

48
Q

The spiral valves of Heister are found within the

A

Cystic duct

49
Q

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

A

Adenomyomatosis

Abdomen Section 4 (12 decks)

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