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