chapter 3 GB

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which of the following would not be a laboratory finding typically analyzed with suspected GB disease? -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 GB is connected to the biliary tree by the

cystic duct

which structure is a useful landmark for identifying the GB?

main lobar fissure

the cystic artery is most often a direct branch of the

right hepatic artery

the GB wall should measure not more than?

3mm

the diameter of the Gb should not exceed?

5 cm

Tumefactive sludge can resemble the sonographic appearance of:

GB carcinoma

empyema of the GB denotes

GB filled with pus

a nonmobile, nonshadowing focus is seen within the GB lumen. This most likely represents a?

GB polyp

all of the following are sources of diffuse Gb wall thickening except? -acute cholecystitis -AIDS -Hepatitis -GB polyp

GB polyp

with which of the following is courvoisier GB associated? -a pancreatic head mass -a stone in the cystic duct -cholecystitis -chronic diverticulitis

a pancreatic head mass

Cholesterol crystals within the Rokitansky-Aschoff sinuses are found with:

adenomyomatosis

a 32 year old female patient presents to the sonography department with vague abdominal pain. the sonographic investigation of the GB reveals a focal area of the GB wall thickening that produces comet tail artifact. what is it?

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 -pericholecystitic fluid -cholelithiasis -positive 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

a 71 year old patient presents to the emergency department with painless jaundice and an enlarged, palpable GB. these findings are highly suspicious for?

courvoisier GB

the direct blood supply to the GB is?

cystic artery

The spiral valves of Heister are found within the:

cystic duct

diabetic patients suffering from acute cholecystitis have an increased risk for developing

emphysematous cholecystitis

the champagne sign is associated with

emphysematous cholecystitis

the sequela of acute cholecystitis that is complicated by gas within the GB wall is

emphysematous cholecystitis

the middle layer of the GB wall is the

fibromuscular layer

heptization of the GB occurs when the GB?

fills w/ sludge

What is/are cholelithiasis?

gallstones

acute cholecystitis that leads to necrosis and abscess development within the GB wall describes?

gangrenous cholecystitis

which statement is not true of cholelithiasis? -men have an increased likelihood of developing cholelithiasis -patients who have been or are pregnant have increased occurrence of cholelithiasis -a rapid weight loss may increase the likelihood of developing cholelithiasis -patients who have hemolytic disorders have an increased occurrence of cholelithiasis

men have an increased likelihood of developing cholelithiasis

the innermost layer of the GB wall is the

mucosal layer

Focal tenderness over the gallbladder with probe pressure describes:

murphy sign

at which level of the Gb is the junctional fold found?

neck

which part of the GB is involved in hartmann pouch?

neck

the most common variant of Gb shape is?

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

calcification of the GB wall is termed

porcelain GB

the outermost layer of the GB wall is the?

serosal layer

which of the following is associated with cholelithiasis and is characteristically found in africans or people of African descent? -sickle cell disease -GB torison -cholesterolosis -arland-berlin syndrome

sickle cell disease

WES sign denotes

a gb filled with cholelithiasis


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