Quiz 2 Review

Question 1

6 risk factors of GB disease

Answer 1

Increasing age 
Female 
Fecundity 
Obesity 
Diabetes 
Pregnancy

Question 2

Sonographic signs of gallstone

Answer 2

Echogenic
Shadowing
Mobility

Question 3

WES complex means

Answer 3

Wall- echo - shadow

Question 4

What benign entity does sludge mimic

Answer 4

Poly./neoplasm

Question 5

What can you do to differentiate polyp and sludge ?

Answer 5

Change patient position

Use colour doppler

Question 6

What is most common complaints of patients w GB disease

Answer 6

RUQ pain/ tenderness/ epigastric pain
Nausea/vomiting
Pain radiating to back/shoulder

Question 7

2 sonographic features of adenomyomatosis

Answer 7

Thickened GB wall

Ringdown artifact from rokitansky aschoff sinuses

Question 8

General causes of GB thickening (4)

Answer 8

Congestive heart failure
Renal failure
End stage cirrhosis
Hypoalbuminemia

Question 9

What size should polyps be to be considered benign

Answer 9

10mm

Question 10

What does positive murphy sign imply

Answer 10

Acute cholecystitis

Question 11

Normal GB wall thickness

Answer 11

3mm

Question 12

What is key sonogrpahic sign of emphysematous cholecusytitis

Answer 12

Gass within wall/lumen of GB

Question 13

What is key sonogrpahic sign of gangrenous cholecystitis

Answer 13

Sloughing of the walls into the lumen

Question 14

US signs of impacted stones

Answer 14

Luminal distension

Intra hepatic duct dialation

Question 15

S/S of impacted stone

Answer 15

Necrossi 
Fever 
Leukocytosis
Superinfection 
Ischemia