Ultrasound of the Biliary tree quiz Flashcards
Ultrasound is the usual first line investigation in suspected gallbladder and biliary duct disease because it is ….
Select one or more:
a.
Not very specific
b.
Relatively cheap
c.
Accurate
d.
Not very accurate
e.
Sensitive
Relatively cheap, Accurate, Sensitive
What percentage of the population has gallstones?
Select one:
a.
10%
b.
20%
c.
30%
d.
40%
e.
50%
10%
What percentage of people with gallstones require surgical intervention?
Select one:
a.
23%
b.
42%
c.
78%
d.
35%
e.
15%
35%
Gallstones occur when the normal ratio of components making up bile is altered, most commonly when there is an increased secretion of cholesterol in the bile. Conditions associated with an increase in the excretion of cholesterol include…
Select one or more:
a.
thromboembolic disease
b.
obesity
c.
May-Thurner syndrome
d.
Oestrogen therapy
e.
Diabetes
f.
Dementia
g.
Pregnancy
obesity, Oestrogen therapy, Diabetes, Pregnancy
What are common presenting clinical features of cholecystitis (inflammation of the gallbladder)?
Select one or more:
a.
Often asymptomatic
b.
pain when hungry
c.
RUQ pain
d.
Fatty intolerance
e.
Headache
f.
Urinary symptoms
g.
jaundice
h.
fever
Often asymptomatic, RUQ pain, Fatty intolerance, jaundice, fever
How would you describe the typical ultrasound appearances of gallstones?
Select one or more:
a.
Mobile
b.
high reflectivity
c.
smooth
d.
low reflectivity
e.
have a distal acoustic shadow
f.
have a posterior cystic enhancement
Mobile, high reflectivity, have a distal acoustic shadow
It is normal to see air in the biliary tree following endoscopic retrograde cholangiopancreatography (ERCP).
Select one:
True
False
True
What anatomical structures are assessed during an ultrasound examination of the biliary tree?
Select one or more:
a.
Liver
b.
Kidneys
c.
Gallbladder
d.
Common duct
e.
Spleen
f.
Pancreas
g.
Biliary tree
Liver, Gallbladder, Common duct, Pancreas, Biliary tree
