Hepatobiliary System Flashcards

1
Q

Which of the following diagnostic imaging studies provides physiologic function of the liver ?

A

nuclear medicine with contrast

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2
Q

Which diagnostic exam does the ACR recommend for a Pt who presents with RUQ pain that may be attributed to the biliary system ?

A

sonogram

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3
Q

A MRCP is used to visualize which anatomic structures?

A

gallblader & biliary system

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4
Q

A radiograph of the abdomen on a patient with known cirrhosis may be compromised due to what additional pathological condition?

A

ascites

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5
Q

Which form of hepatitis is transmitted from the GI tract in fecal material ?

A

HAV
Hepatitis A
early onset IgM (used in Dx blood test)
later onset IgG (used in Dx blood testing)

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6
Q

Which liver lesion is primary composed of blood vessels?

A

hemangioma

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7
Q

the TIPSS procedure is designed to reduce portal hypertension by uniting which vessels?

A

hepatic artery

portal vein

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8
Q

What is the incidence of gallstones in the United States for persons over 65 years of age?

A

20%

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9
Q

The inflammation of the gallbladder is referred to as :

A

cholecystitis

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10
Q

A fluid collection that develops from the pancreas is termed :

A

pseudocyst

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11
Q

Which of the following imaging studies are highly recommended for the diagnosis of acute pancreatitis?

A

CT & sonography

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12
Q

The impaction of gallstone in the small bowel is referred to as :

A

gallstone ileus

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13
Q

Chronic liver disease has the highest incidence in which age group?

A

45-65

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14
Q

Which imaging procedure is preferred in the evaluation of proximal obstructions involving the hepatic duct bifurcation?

A

Percutaneous transhepatic cholangiogram

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15
Q

What imaging procedure can differentiate between vessels and biliary ducts based on flow characteristics ?

A

doppler sonography

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16
Q

Fatty infiltration of the liver is termed :

A

statosis

17
Q

Cirrhosis of the liver is concidered an end-stage condition resulting from liver damage caused by chronic

A
Alcohol abuse 
hepatitis, chrnic
biliary tract obstruction
Drugs
Autoimmune
Metab and genetic
 disorders
18
Q

How many types of viral hepatitis have been identified?

A

6

19
Q

Which of the following additional imagaing procedures are highly recommended in patients who have gallstones demonstrated with sonography but do not have fever or an elevated white blood cell count?

A
  1. Nuc Med cholescintigraphy
  2. CT of the abdomen (w/ or without contrast)
  3. MRI of the abdomen (w/ or without contrast)
20
Q

Which type of jaundice occurs because of hemolytic disease in which too many red blood cells are destroyed or because of liver damage from cirrhosis or hepatitis?

A

medical jaundice

21
Q

the majority of adenocarcinomas of the pancreas occur in the ____ of the pancreas ?

A

head

22
Q

Ascites is best demonstrated by which of the following imaging procedures ?

A
  1. CT of the abdomen

2. Sonogram of the abdomen

23
Q

(T/F) the right and left hepatic ducts unite to form the common bile duct

A

false

24
Q

(T/F) the liver has a double supply of blood coming from the hepatic artery and the portal vein

A

true

25
Q

(T/F)Hepatitis B (HBV) is transmitted perenterally in infected serum or blood products

A

true

26
Q

(T/F) Although most commonly found in the gallbladder, gallstones can be located anywhere in the biliary tree

A

true

27
Q

(T/F) Chronic pancreatitis resolves without imparing the histological makeup of the pancreas

A

false

28
Q

(T/F) the liver is a common site for the metastasis from other primary sites such as the colon, pancreas, stomach, lung and breast

A

true

29
Q

(T/F) Hepatitis B accounts for 80% of the cases of hepatitis that develop after blood transfusions

A

false

30
Q

(T/F) Approximately 80% of all gallstones are composed of a mixture of cholesterol, bilirubin, and calcium salts

A

true