Chapter 3 The Gallbladder
The gallbladder wall should not measure more than?
3mm
The diameter of the gallbladder should not exceed?
5 cm
Which of the following would not be a lab finding typically analyzed with suspected gallbladder disease?
Alpha fetoprotein (AFP)
Which of the following is the most likely clinical finding of adenomyomatosis?
Asymptomatic
What hormone causes the gallbladder to contract?
Cholecystokinin
A 71 year old patient presents to the emergency department with painless jaundice and an enlarged palpable gallbladder. These findings are highly suspish for?
Courvoisier gallbladder
Focal tenerness over the gallbladder with probe pressure describes?
Courvoisier sign
The direct blood supply to the gallbladder is the?
Cystic artery
Intermittent obstruction of the cystic duct by a gallstone results i?
Emphysematous cholecystitis
The sequela of acute cholecystitis that is complicated by gas within the gallbladder wall is?
Emphysematous cholecystitis
Hepatization of the gallbladder occurs when the gallbladder?
Fills with sludge
tumefactive sludge can resemble the sonographic appearance of?
Gallbladder Carcinoma
a nonmobile non shadowing focus is seen within the gallbladder lumen. This most likely represents a?
Gallbladder carcinoma
Empyema of the gallbladder denotes?
Gallbladder completely filled with pus.
Diabetic patients suffering from acute cholecystitis have an increase risk for developing?
Gallbladder torsion
A 32 year old female patient presents to the sonography department with vague abdominal pain. The sonographic investigation of the gallbladder reveals a focal area of gallbladder wall thickening that produces a comet tail artifact?
Gangrenous cholecystitis
Acute cholecystitis that leads to necrosis and abcess development within the gallbladder wall describes?
Gangrenous cholecystitis
Which structure is a useful landmark for identifying the gallbladder?
Main lobar fissure
What statement is not true of cholelithiasis?
Men have an increase likely hood of developing cholelithiasis.
The innermost layer of the gallbladder wall is?
Mucosal layer
At which level of the gallbladder is the junctional fold found?
Neck
Which part of the gallbladder is involved in Hartmann pouch?
Neck
With which of the following is couvoursier gallbladder associated?
Pancreatic head mass
Which of the following would be the least likely finding of acalculous cholecystitis?
Pericholecystic fluid
The most common variant of gallbladder shape is?
Phrygian cap
The cystic artery is most often a direct branch of the?
Right hepatic artery
Which of the following is associated with cholelithiasis and is characteristically found in africans or people of African descent?
Sickle cell disease
Which of the following is not a risk factor for development of gallstones?
Total parenteral nutrition
The spiral valves of heister are found within the?
gallbladder wall
WES sign denotes?
A gallbladder filled with cholelithiasis
Cholesterol crystals within the Rokitansky Aschoff sinuses are found in?
Acalculous cholecystitis
Which of the following would be least likely to cause focal gallbladder wall thickening?
Ascites
The diffuse polypoid appearance of the gallbladder referred to as strawberry gallbladder is seen with?
Cholestorlosis
The gallbladder is connected to the billiary tree by the?
Cystic duct
The champagne sign is associated with?
Emphysematous Cholecystitis
The middle layer of the gallbladder wall is the?
Fibromuscularis layer
All of the following are sources of diffuse gallbladder wall thickening except?
Gallbladder polyps
What is are cholelithiasis?
Gallstones
Calcification of the gallbladder wall is termed?
Hpyerplastic Cholecystosis
The outermost layer of the gallbladder wall is the?
Serosal Layer