Q1

Question 1

Risk factors for GB disease (3)

Answer 1

Obesity
Pregnancy
Fecundity

Question 2

When observing stones what 3 things to note

Answer 2

Mobility
Shadowing
Hyperechogenicity

Question 3

WES

Answer 3

Wall echo shadow

Question 4

4 sono signs of acute cholecystitis

Answer 4

Positive Murphy’s
GB wall thickening
Fb linen >4cm in trans
Pericholecystic fluid collection

Question 5

Gas in GB lumen and wall indicates

Answer 5

Emphysematous cholecystitis

Question 6

3 aspects of chronic cholecystitis

Answer 6

Absence of GB distension
Negative Murphy’s
Lack of hyperemia

Question 7

Cystic spaces exhibiting comet rail artifact within a focal thickened GB wall is consistent with

Answer 7

Adenomyomatosis

Question 8

Obstruction of bile ducts can be caused by (3)

Answer 8

Stones
Infection
Neoplasms

Question 9

Stasis that leads to primary choledocholithiasis may be the result of

Answer 9

Sclerosing cholangitis

Question 10

T/f colour Doppler is helpful in determining an echogenic foci as a gallstone, polyp or sludgeball

Answer 10

False

None have vascularity

Question 11

T/f Direct bilirubin is elevated in steatosis

Answer 11

FALSE - only indirect or conjugated

Question 12

T/ the majority of CBD stones will be found in the distal segment

Answer 12

True

Question 13

T/f A clinical sign of mirizzi syndrome is painful jaundice

Answer 13

True

Question 14

T/f An abnormal connection between an organ vessel or intestine is called an ileus

Answer 14

False it’s a fistula

Question 15

Charcots triad

Answer 15

Jaundice
RUQ pain
Fever

Question 16

T/f

Acute cholangitis is not a medical emergency

Answer 16

False

Question 17

Primary sclerosing cholangitis is associate with (4)

Answer 17

80% pts have IBS
Chronic inflammatory disease of entire biliary tree
Leads to structures and stasis of bile
Males most often affected

Question 18

Klatskins tumour is locates where

Answer 18

Hilar region of liver

Question 19

T/f colour Doppler is useful when a polyploid lesion over 10cm is seen in the GB

Answer 19

True

Question 20

T/f Acalculus checystitis is common in the critically ill

Answer 20

True

Question 21

Other causes of GB wall thickening (3)

Answer 21

Mononucleosis
End stage liver cirrhosis
Diverticulitis

NOT melanoma