Chapter 4: The Bile Ducts

The Klatskin tumor is located: a. At the junction of the right and left hepatic ducts b. At the junction of the cystic and common t duct c. At the junction of the common bile duct and common hepatic duct d. Between the pancreatic head and the duodenum

a. At the junction of the right and left hepatic ducts

The presence of an echogenic dot in the independent part of a dilated duct representing small fibrovascular bundles is seen with: a. Caroli disease b. Choledochal cysts c. Biliary atresia d. Mirizzi syndrome

a. Caroli disease

Which of the following is associated with Charcot triad? a. Cholangitis b. Cholesterolosis c. Klatskin tumor d. Choledochal cyst

a. Cholangitis

Which of the following would be the most distal portion of the biliary tree? a. Common bile duct b. Common hepatic duct c. Gallbladder d. Intrahepatic radicles

a. Common bile duct

Which of the following is considered the most proximal portion of the biliary tree? a. Intrahepatic radicles b. Cystic duct c. Common hepatic duct d. Common bile duct

a. Intrahepatic radicles

Air within the biliary tree is referred to as: a. Pneumobilia b. Cholangitis c. Choledocholithiasis d. Cholesterolosis

a. Pneumobilia

The merging point of the pancreatic duct and common bile duct at the level of duodenum is referred to as the: a. Sphincter of Oddi b. Ampulla of Vater c. Common bile duct d. Cystic duc

b. Ampulla of Vater

A gallstone located within the biliary tree is referred to as: a. Cholecystitis b. Choledocholithiasisis c. Cholangitis d. Cholangiocarcinoma

b. Choledocholithiasisis

A patient presents with jaundice, pain, and fever secondary to an impacted stone in the cystic duct. This is referred to as: a. Caroli syndrome b. Mirizzi syndromes c. Choledochal cysts d. Biliary atresia

b. Mirizzi syndromes

Pneumobilia will produce: a. Through transmission b. Ring-down artifact c. Acoustic shadowing d. Edge artifact

b. Ring-down artifact

Which of the following disorders is associated the sonographic triangular cord sign? a. Cholangitis b. Choledocholithiasis c. Biliary atresia* d. Ascariasis

c. Biliary atresia*

Ascariasis is: a. A form of biliary tree carcinoma b. A congenital disorder characterized by segmental dilatation of the intrahepatic ducts c. Caused by a parasitic roundworm d. A type of ringworm that invades the liver

c. Caused by a parasitic roundworm

Primary biliary tree cancer is referred to as: a. Gallbladder carcinoma b. Biloma c. Cholangiocarcinoma d. Lymphangioma

c. Cholangiocarcinoma

If a gallstone, causing obstruction, is located within the distal common hepatic duct, which of following would become dilated? a. Main pancreatic duct b. Gallbladder only c. Intrahepatic ducts d. Distal common bile duct

c. Intrahepatic ducts

The yellowish staining of the whites of the eyes and the skin secondary to a liver disorder or biliary obstruction is referred to as: a. AIDS cholangitis b. Pruritus c. Jaundice d. Bilirubinemia

c. Jaundice

Which of the following is characterized by fibrotic thickening of the bile ducts, found most often in young males, and is associated with inflammatory bowel disease or ulcerative colitis? a. Ulcerative biliary atresia b. Oriental cholangitis c. Sclerosing cholangitis d. AIDS biliary atresia

c. Sclerosing cholangitis

A congenital disease in which there is narrowing or obliteration of the bile ducts is referred to as: a. Caroli disease b. Mirizzi disease c. Choledochal cysts d. Biliary atresia

d. Biliary atresia

Inflammation of the bile ducts is referred to a a. Pneumobilia b. Choledocholithiasis c. Cholelithiasis d. Cholangitis

d. Cholangitis

Which of the following would be the least helpful laboratory value to analyze in patients suspected biliary tract disease? a. ALT b. ALP c. GGT d. Creatinine

d. Creatinine

The spiral valves of Heister are located within the: a. Common bile duct b. Pancreatic duct c. Common hepatic duct d. Cystic duct

d. Cystic duct