chapter 3 GB
which of the following would not be a laboratory finding typically analyzed with suspected GB disease? -ALP -ALT -bilirubin -alpha-fetoprotein
alpha-fetoprotein
which of the following would be least likely to cause focal GB wall thickening? -GB polyp -adenomyomatosis -ascites -adhered gallstone
ascites
the GB is connected to the biliary tree by the
cystic duct
which structure is a useful landmark for identifying the GB?
main lobar fissure
the cystic artery is most often a direct branch of the
right hepatic artery
the GB wall should measure not more than?
3mm
the diameter of the Gb should not exceed?
5 cm
Tumefactive sludge can resemble the sonographic appearance of:
GB carcinoma
empyema of the GB denotes
GB filled with pus
a nonmobile, nonshadowing focus is seen within the GB lumen. This most likely represents a?
GB polyp
all of the following are sources of diffuse Gb wall thickening except? -acute cholecystitis -AIDS -Hepatitis -GB polyp
GB polyp
with which of the following is courvoisier GB associated? -a pancreatic head mass -a stone in the cystic duct -cholecystitis -chronic diverticulitis
a pancreatic head mass
Cholesterol crystals within the Rokitansky-Aschoff sinuses are found with:
adenomyomatosis
a 32 year old female patient presents to the sonography department with vague abdominal pain. the sonographic investigation of the GB reveals a focal area of the GB wall thickening that produces comet tail artifact. what is it?
adenomyomatosis
which of the following is the most likely clinical finding of adenomyomatosis? -murphy sign -hepatitis -congestive heart failure -asymptomatic
asymptomatic
what hormone causes the GB to contract?
cholecystokinin
which of the following would not be the least likely finding of acalculous cholecystitis? -GB wall thickening -pericholecystitic fluid -cholelithiasis -positive Murphy sign
cholelithiasis
the diffuse polypoid appearance of the GB referred to as strawberry GB is seen with?
cholesterolosis
Intermittent obstruction of the cystic duct by a gallstone results in
chronic cholecystitis
a 71 year old patient presents to the emergency department with painless jaundice and an enlarged, palpable GB. these findings are highly suspicious for?
courvoisier GB
the direct blood supply to the GB is?
cystic artery
The spiral valves of Heister are found within the:
cystic duct
diabetic patients suffering from acute cholecystitis have an increased risk for developing
emphysematous cholecystitis
the champagne sign is associated with
emphysematous cholecystitis
the sequela of acute cholecystitis that is complicated by gas within the GB wall is
emphysematous cholecystitis
the middle layer of the GB wall is the
fibromuscular layer
heptization of the GB occurs when the GB?
fills w/ sludge
What is/are cholelithiasis?
gallstones
acute cholecystitis that leads to necrosis and abscess development within the GB wall describes?
gangrenous cholecystitis
which statement is not true of cholelithiasis? -men have an increased likelihood of developing cholelithiasis -patients who have been or are pregnant have increased occurrence of cholelithiasis -a rapid weight loss may increase the likelihood of developing cholelithiasis -patients who have hemolytic disorders have an increased occurrence of cholelithiasis
men have an increased likelihood of developing cholelithiasis
the innermost layer of the GB wall is the
mucosal layer
Focal tenderness over the gallbladder with probe pressure describes:
murphy sign
at which level of the Gb is the junctional fold found?
neck
which part of the GB is involved in hartmann pouch?
neck
the most common variant of Gb shape is?
phrygian cap
which of the following is not a risk factor for the development of gallstones? -phrygian cap -pregnancy -total parenteral nutrition -oral contraceptive use
phrygian cap
calcification of the GB wall is termed
porcelain GB
the outermost layer of the GB wall is the?
serosal layer
which of the following is associated with cholelithiasis and is characteristically found in africans or people of African descent? -sickle cell disease -GB torison -cholesterolosis -arland-berlin syndrome
sickle cell disease
WES sign denotes
a gb filled with cholelithiasis
