GB test review Flashcards
The liver is suspended from the diaphragm and anterior abdominal wall by the
Flaciform ligament
Fatty infiltration may be sen in all patients except those with
hepatoportal fistula
sonographic findings of acute hepatitis include
accentuated brightness of the portal vein radicals, a starry night apperance
Budd Chiari syndrome is a rare disorder caused by obstruction of the
Hepatic viens
Echinococcal cysyts have the highest incidence in countries in which
Sheep grazing is commonn
The most common benign tumor of the liver is
cavernous hemangioma
Patients who have hepatocella carcinoma (HCC), are likely to have had
Cirrhosis
The most common form of neoplastic involvement of the liver is
Metastases
The fossae of the right portal vien (RPV) and gallbladder are found in the
Main lobar fissure
Elevation of alkine phospatase if associated with
hepatocellular disease
elevation of bilirubin results in
Jaundice
typical symptoms a patient may have with an abscess formation include all of the following except
Decreased white blood count
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?
Echinococcal Cyst
The vascular tumor composed of blood vessel cells and nonspecific sonographic findings
Hemangioma
In glycogen storage disease, Type 1 is the most common. This is also known as
Von Gierke’s disease
Normal average measurement of the portal vein is
1.3cm
The most common site for echinococcal virus growth is the
Liver
The amebic abscess may reach the liver throught the
hepatic vein
If a patient has chronic choledocholithiasis, all of the following structures are dilated except the
pancreatic duct
The right and left hepatic ducts emerge from ther ight love of the liver in the portal hepatis and unite to form the
common hepatic duct
The diameter of the common hepatic duct is
4mm
The hepatic duct is joined by the______ to form the______
Cystic duct; common bile duct
In a 60-year old adult, the normal common bile duct should not measure more than:
6mm
the cystic duct connects the ________ of the gallbladder with the common hepatic duct to form the ___________
Neck; CBD
The function of the gallbladder is
Reservoir for bile
A phrygian cap of the gallbladder is
Folding of the fundus
Hartmanns pouch is formed
when the gallbladder folds back on itself at the neck
The bight linear echo within the liver connecting the gallbladder and the right portal vein is the
Main lobar fissure
An extrahepatic mass compressing the common bile duct can produce an enlarged gallbladder, THis clinical sign is known as
Courvoiser’s sign
The _______ branch of the hepatic artery can be seen between the common duct and the portal vein as a small circular structure
Right
Classic symptoms of gallbladder disease include all of the following except
Hematuria
Thickening of the gallbladder wall may be caused by all of the following except
Adenomyomatosis
The most common sign for carcinoma of the gallbladder is
Irregular fungating mass that contains low intensity echoes within the gallbladder
the common bile duct is joined by the main pancreatic duct. Together they open through the______into duodenal wall
Ampulla of vater
Inflammation of the gallbladder is
Cholecystitis
A condition causing RUQ pain in which small polypoid masses arise from the gallbladder wall is
adenomyomatosis
Gallstone appearance on ultrasound examination is
Dependent, mobile, echogenic
Cholelithiasis is characterized on ultrasound as
Clean shadow with distinct margins
Nonshadowing low-amplitude echoes in a dependent gallbladder is most characteristic of
Sludge
Gallbladder perforation may appear in patients with any of the following disease except
Negative murphy’s sign
The ultrasound appearance of a gallbaldder neoplasm is
wall thickening, wall mass
The physiologic effect of a fatty meal includes all of the following except
Decrease of bile flow to the liver
Ultrasound findings in a primary neoplasm include all of the following except
A normal duct
The most frequent cause of metastic disease to the biliary system is
Melanoma
The left lobe of the liver can be separated from the right lobe by:
Middle hepatic vein
Which of the following is true concerning the portal vein
portal viens have brighter walls than the hepatic veins
Which hepatic mass is closely associated with oral contraceptive use
Hepatic adenoma
The spiral valves of Heister are found within the
Cystic duct
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
Adenomyomatosis
