Ch. 3 Gallbladder ( Red Penny Review book)

At which level of the GB is the junctional fold found? A) Neck B) Fundus C) Body D) Phrygian capC

A

Diabetic pts suffering from acute cholecystitis have an increased risk of developing: A) Emphysematous cholecystitis B) Gangrenous cholecystitis C) Chronic cholecystitis D) GB torsion

A

Focal tenderness over the GB with probe pressure describes: A) Murphy sign B) Strawberry sign C) Courvoisier sign D) Hydrops sign

A

The diffuse polypoid appearance of the GB referred to as strawberry gallbladder is seen with: A) Cholesterolosis B) Adenomyomatosis C) Cholangitis D) Kawasaki disease

A

The middle layer of the GB wall is the: A) Fibromuscular layer B) Mucosal layer C) Serosal layer D) Muscularis layer

A

The most common variant of GB shape is the: A) Phrygian cap B) Hartmann pouch C) Septated GB D) Junctional fold

A

The sequela of acute cholecystitis that is complicated by gas within the GB wall is: A) Emphysematous cholecystitis B) Membranous cholecystitis C) Chronic cholecystitis D) Gallbladder perforation

A

Which of the following is associated w/ cholelithiasis and is characteristically found in Africans or people of African descent? A) Sickle cell disease B) Gallbladder torsion C) Cholesterolosis D) Arland-Berlin syndrome

A

Which of the following is not a risk factor for the development of gallstones? A) Phrygian cap B) Pregnancy C) Total parenteral nutrition D) Oral contraceptive use

A

Which part of the GB is involved in Hartmann pouch? A) Neck B) Fundus C) Body D) Phrygian cap

A

Which statement is not true of cholelithiasis? A) Men have an increased likelihood of developing cholelithiasis B) Pts who have been or are pregnant have an increased occurrence of cholelithiasis C) A rapid weight loss may increase the likelihood of developing cholelithiasis D) Pts who have hemolytic disorders have an increased occurrence of cholelithiasis

A

Which structure is a useful landmark for identifying the GB? A) Main lobar fissure B) Hepatoduodenal ligament C) Falciform ligament D) Ligamentum venosum

A

With which of the following is Courvoisier gb associated? A) A pancreatic head mass B) A stone in the cystic duct C) Cholecystitis D) Chronic diverticulitis

A

Acute cholecystitis that leads to necrosis and abscess development within the GB wall describes: A) Emphysematous cholecystitis B) Gangrenous cholecystitis C) Chronic cholecystitis D) GB perforation

B

Empyema of the GB denotes: A) Gallbladder hydrops B) Gallbladder filled with pus C) Gallbladder completely filled with air D) Gallbladder completely filled with polyps

B

The diameter of the GB should not exceed: A) 8cm B) 5cm C) 7mm D) 3cm

B

The innermost layer of the GB wall is the: A) Fibromuscular layer B) Mucosal layer C) Serosal layer D) Muscularis layer

B

The spiral valves of Heister are found within the: A) GB neck B) Cystic duct C) GB fundus D) GB wall

B

Tumefactive sludge can resemble the sonographic appearance of: A) Cholelithiasis B) GB carcinoma C) Cholecystitis D) Adenomyomatosis

B

What hormone causes the GB to contract? A) Estrogen B) Cholecystokinin C) Bilirubin D) Biliverdin

B

What is/are cholelithiasis? A) Inflammation of the GB B) Gallstones C) Hyperplasia of the GB wall D) Polyps within the biliary tree

B

A non-mobile, non-shadowing focus is seen within the gb lumen. This most likely represents a: A) Gallstone B) Gallbladder carcinoma C) Gallbladder polyp D) Sludge ball

C

Calcification of the gb wall is termed: A) Concrete gallbladder B) Heister syndrome C) Porcelain gallbladder D) Hyperplastic cholecystosis

C

Cholesterol crystals within the Rokitansky-Aschoff sinuses are found with: A) Acute cholecystitis B) Acalculous cholecystitis C) Adenomyomatosis D) GB perforation

C

Hepatization of the GB occurs when the GB: A) Perforates B) Becomes hydropic C) Fills with sludge D) Undergoes torsion

C

Intermittent obstruction of the cystic duct by a gallstone results in: A) Emphysematous cholecystitis B) Gangrenous cholecystitis C) Chronic cholecystitis D) Acute cholecystitis

C

The GB is connected to the biliary tree by the: A) Common hepatic duct B) Common bile duct C) Cystic duct D) Right hepatic duct

C

The champagne sign is associated w/ A) Adenomyomatosis B) Cholangiocarcinoma C) Emphysematous cholecystitis D) Acalculous cholecystitis

C

The cystic artery is most often a direct branch of the: A) Main pancreatic artery B) Celiac artery C) Right hepatic artery D) Left hepatic artery

C

The outermost layer of the GB wall is: A) Fibromuscular layer B) Mucosal layer C) Serosal layer D) Muscularis layer

C

WES sign denotes: A) The presence of a gallstone lodged in the cystic duct B) Multiple biliary stones and biliary dilatation C) A gallbladder filled with cholelithiasis D) The sonographic sign of a porcelain gallbladder

C

Which of the following would be least likely to cause focal GB wall thickening? A) GB polyp B) Adenomyomatosis C) Ascites D) Adhered gallstone

C

Which of the following would be the least likely finding of acalculous cholecystitis? A) Gallbladder wall thickening B) Pericholecystic fluid C) Cholelithiasis D) Positive Murphy sign

C

a 71-year old patient presents to the emergency department with painless jaundice and an enlarged, palpable gallbladder. These findings are highly suspicious for: A) Acute cholecystitis B) Chronic cholecystitis C) Courvoisier gallbladder D) Porcelain gallbladder

C

A 32-year old female presents to the sonography department w/ vague abdominal pain. The sonographic investigation of the GB reveals a focal area of GB wall thickening that produces comet tail artifact. These findings are consistent with: A) Gangrenous cholecystitis B) Gallbladder perforation C) Acalculous cholecystitis D) Adenomyomatosis

D

All of the following are sources of diffuse GB wall thickening except: A) Acute cholecystitis B) AIDS C) Hepatitis D) GB polyp

D

The GB wall should measure not more than: A) 5mm B) 6mm C) 4mm D) 3mm

D

The direct blood supply to the GB is the: A) Cholecystic artery B) Common hepatic artery C) Main portal vein D) Cystic artery

D

Which of the following is the most clinical finding of adenomyomatosis? A) Murphy sign B) Hepatitis C) Congestive heart failure D) Asymptomatic

D

Which of the following would not be a laboratory finding typically analyzed w/ suspected GB disease? A) ALP B) ALT C) Bilirubin D) Alpha-Fetoprotein

D