Penny Abdomen - Ch. 3 Gallbladder Quiz

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Which of the following would not be a lab finding typically analyzed w/ suspected GB dx: -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 cystic artery is the most direct branch of the

right hepatic artery

The outermost layer of the GB wall is the

serosal layer

The GB wall should measure not more than

3 mm

The diameter of the GB should not exceed:

5 cm

A 71 year old pt presents to the ED w/ painless jaundice and an enlarged, palpable GB. These findings are highly suspicious for:

Courvoisier GB

Tumefactive sludge can resemble the sonographic appearance of:

GB carcinoma

WES sign denotes

GB filled w/ cholelithiasis

Empyema of the GB denotes

GB filled w/ pus

A nonmobile, non shadowing focus is seen within the GB lumen. This is most likely a:

GB polyp

All of the following are sources of diffuse GB wall thickening except: -acute cholecystitis -AIDS -hepatitis -GB polyp

GB polyp

Which statement is not true of cholelithiasis? -Men have an increased likelihood of developing cholelithiasis. -Pts who have been or are pregnant have an increased risk for cholelithiasis. -A rapid weight loss may increase the likelihood of developing cholelithiasis. -Pts who have hemolytic disorders have an increased occurrence of cholelithiasis.

Men have an increased likelihood of developing cholelithiasis.

The most common variant of GB shape is the

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

A 32-year old female pt presents to the sono department w/ vague abdominal pain. The exam reveals a focal area of GB wall thickening that produces a comet tail artifact. These findings are consistent w/:

adenomyomatosis

Cholesterol crystals w/in Rokitansky-Aschoff sinuses are found w/

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 -pericholecystic fluid -cholelithiasis -+ 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

The direct blood supply to the GB is the

cystic artery

The GB is connected to the biliary tree by the

cystic duct

The spiral valves of Heister are found w/in the

cystic duct

Diabetic pts suffering from acute cholecystitis have an increased risk for developing

emphysematous cholecystitis

The "champagne sign" is associated w/:

emphysematous cholecystitis

The sequela of acute cholecystitis that is complicated by gas w/in the GB wall is

emphysematous cholecystitis

The middle layer of the GB wall is the

fibromuscular layer

Hepatization of the GB occurs when the GB

fills with sludge

What is/are cholelithiasis?

gallstones

Acute cholecystitis that leads to necrosis and abscess development w/in the GB wall describes

gangrenous cholecystitis

Which structure is a useful landmark for IDing the GB?

main lobar fissure

The innermost layer of the GB wall is the

mucosal layer

At which level of the GB is the junctional fold found?

neck

Which part of the GB is involved in Hartmann pouch?

neck

Which of the following is Courvoisier GB associated? -pancreatic head mass -stone in the cystic duct -cholecystitis -chronic diverticulitis

pancreatic head mass

Calcification of the GB wall is termed

porcelain GB

Associated w/ cholelithiasis and is characteristically found in Africans/people of African descent

sickle cell disease

Focal tenderness over the GB w/ probe pressure describes:

Murphy sign


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