HIGH YIELDS

Question 1

intra abdominal pathology in the RUQ affects what organs?

Answer 1

liver
biliary tract
pancreas
GI

Question 2

intra abdominal pathology in the midline affects what organs?

Answer 2

esophagus
stomach
duodenum

Question 3

non digestive tract organs in the RUQ?

Answer 3

kidney

ovarian

Question 4

extra abdominal organs RUQ?

Answer 4

lung

heart

Question 5

what are the gallstone related outcomes?

Answer 5

biliary colic
acute cholecystitis
choledocholithiasis
acute cholangitis

Question 6

pain caused by GB is due to obstructed?

what results?***

Answer 6

cystic duct leading to increased intra GB prssure, either biliary colic or ACC

inflammation (acute calculous cholecystitis)

Question 7

bile is excreted into what?

Answer 7

intercellular canalicoli, hepatic ducts, the common hepatic duct that goes into gall bladder through cyst duct

Question 8

most common stones?

Answer 8

cholesterol stones and majority are asymptomatic

Question 9

abdominal pain
N/V, anorexia
fever, leukocytosis
history of fatty food ingestion

*appears ill, febrile, tachycardia, lying still, Murphy sign

Answer 9

acute calculous cholecystitis

Question 10

liver tests for liver function?

Answer 10

aspartate transaminase
alanine aspartate
albumin and prothrombin time
ALP
bilirubin

Question 11

mild elevations of AST and ALT seen in?

high values?

Answer 11

acute illness and biliary obstruction

ischemic hepatitis

Question 12

bilirubin in conjugated where?

excreted into what?

Answer 12

liver

bile

Question 13

Ddx of ACC?

Answer 13

biliary colic
choledocholithiasis
acute cholangitis
acute pancreatitis
esophageal disease, PUD

Question 14

hospital admission for ACC management requires?

Answer 14

IV hydration
correction of electrolyte abnormalities
NPO

Question 15

mainstay tx for ACC?

Answer 15

cholecystectomy

Question 16

ACC complications?q

Answer 16

emphysematous cholecystitis
gangrenous cholecystitis
perforation
gallstone ileus
mirizzi syndrome
pancreatitis