Gallbladder PRACTICE QUIZ

Tumefactive sludge can resemble the sonographic appearance of: a. cholelithiasis b. gallbladder carcinoma c. cholecystitis d. adenomyomatosis

b

What is/are cholelithiasis? a. inflammation of the gb b. gallstones c. hyperplasia of the gallbladder wall d. polyps within biliary tree

b

acute cholecystitis that leads to necrosis and abscess development within the gallbladder wall describes: a. emphysematous cholecystitis b. gangrenous cholecystitis c. chronic cholecystitis d. gallbladder perforation

b

empyema of the gallbladder 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 gallbladder should not exceed: a. 8 cm b. 5 cm c. 7 mm d. 3 cm

b

the innermost layer of the gallbladder 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. gallbladder neck b. cystic duct c. gallbladder fundus d. gallbladder wall

b

what hormone causes the gallbladder to contract: a. estrogen b. cholecystokinin c. bilirubin d. biliverdin

b

A nonmobile, nonshadowing, focus is seen within the gallbladder lumen. This is most likely, represents a: a. gallstone b. gallbladder carcinoma c. polyp d. sludgeball

c

Cholesterol crystals within the Rokitansky-Aschoff sinuses are found with: a. acute cholecystitis b. acalculous cholecystitis c. adenomyomatosis d. gallbladder perforation

c

Hepatization of the gallbladder occurs when the gallbladder: a. perforates b. becomes hydropic c. fills with sludge d. undergoes torsion

c

WES sign denotes: a. the presence of a gallstone lodged in the cystic duct b. multiple biliary stones and biliary dilation c. a gallbladder filled with cholelithiasis d. the sonographic sign of a procelain gallbladder

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 gallblader

c

calcification of the gallbladder wall is termed: a. concrete gb b. heister syndrome c. procelain gb d. hyperplastic cholecystosis

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 champagne sign is associated with: 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 gallbladder 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 outermost layer of the gallbladder wall is the: a. fibromuscular layer b. mucosal layer c. serosal layer d. muscularis layer

c

which of the following would be least likely to cause focal gallbladder wall thickening: a. gallbladder 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. pericholecystitic fluid c. cholelithiasis d. postive murphys sign

c

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 comet tail artifact. The artifact findings are consistent with: a. gangrenous cholecystitis b. gallbladder perforation c. acalculous cholecystitis d. adenomyomatosis

d

all of the following are sources of diffuse gallbladder wall thickening except: a. acute cholecystitis b. AIDS c. Hepatitis d. gallbladder polyp

d

the direct blood supply to the gallbladder is the: a. cholecystic artery b. common hepatic artery c. main portal vein d. cystic artery

d

the gallbladder wall should measure not more than: a. 5 mm b. 6 mm c. 4 mm d. 3 mm

d

which of the following is the most likely clinical finding of adenomyomatosis: a. murphys sign b. hepatitis c. congestive heart failure d. asymptomatic

d

which of the following would not be a laboratory finding typically analyzed with suspected gallbladder disease: a. ALP b. ALT c. Bilirubin d. AFP

d

Focal tenderness over the gallbladder with probe pressure describes: a. murphys sign b. strawberry sign c. courvoiser sign d. hydrops sign

a

at which level of the gallbladder is the junctional fold found? a. neck b. fundus c. body d. phrygian cap

a

diabetic patients suffering from acute cholecystitis have an increased risk for developing: a. emphysematous cholecystitis b. gangrenous cholecystitis c. chronic cholecystitis d. gallbladder torsion

a

the diffuse polypoid appearance of the gallbladder referred to as strawberry gallbladder is seen with: a. cholesterolosis b. adenomyomatosis c. cholangitis d. kawasaki disease

a

the middle layer of the gallbladder wall is the: a. fibromuscular layer b. mucosal layer c. serosal layer d. muscularis layer

a

the most common variant of gallbladder shape is the: a. phrygian cap b. hartmann pouch c. septated gallbladder d. junctional fold

a

the sequela of acute cholecystitis that is complicated by gas within the gallbladder wall is: a. emphysematous cholecystitis b. membranous cholecystitis c. chronic cholecystitis d. gallbladder perforation

a

the structure that is a useful landmark for identifying the gallbladder: a. main lobar fissure b. hepatoduodenal ligament c. falciform ligament d. ligamentum venosum

a

which of the following is associated with 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. px c. total parenteral nutrition d. oral contraceptive use

a

which part of the gallbladder 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. patients 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. patients who have hemolytic disorders have an increased occurrence of cholelithiasis

a

with which of the following is courvoisier gallbladder assoc. a. a panc head mass b. a stone in the cystic duct c. cholecystitis d. chronic diverticulitits

a