Penny Abdomen - Ch. 3 Gallbladder Quiz
Which of the following would not be a lab finding typically analyzed w/ suspected GB dx: -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 cystic artery is the most direct branch of the
right hepatic artery
The outermost layer of the GB wall is the
serosal layer
The GB wall should measure not more than
3 mm
The diameter of the GB should not exceed:
5 cm
A 71 year old pt presents to the ED w/ painless jaundice and an enlarged, palpable GB. These findings are highly suspicious for:
Courvoisier GB
Tumefactive sludge can resemble the sonographic appearance of:
GB carcinoma
WES sign denotes
GB filled w/ cholelithiasis
Empyema of the GB denotes
GB filled w/ pus
A nonmobile, non shadowing focus is seen within the GB lumen. This is most likely a:
GB polyp
All of the following are sources of diffuse GB wall thickening except: -acute cholecystitis -AIDS -hepatitis -GB polyp
GB polyp
Which statement is not true of cholelithiasis? -Men have an increased likelihood of developing cholelithiasis. -Pts who have been or are pregnant have an increased risk for cholelithiasis. -A rapid weight loss may increase the likelihood of developing cholelithiasis. -Pts who have hemolytic disorders have an increased occurrence of cholelithiasis.
Men have an increased likelihood of developing cholelithiasis.
The most common variant of GB shape is the
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
A 32-year old female pt presents to the sono department w/ vague abdominal pain. The exam reveals a focal area of GB wall thickening that produces a comet tail artifact. These findings are consistent w/:
adenomyomatosis
Cholesterol crystals w/in Rokitansky-Aschoff sinuses are found w/
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 -pericholecystic fluid -cholelithiasis -+ 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
The direct blood supply to the GB is the
cystic artery
The GB is connected to the biliary tree by the
cystic duct
The spiral valves of Heister are found w/in the
cystic duct
Diabetic pts suffering from acute cholecystitis have an increased risk for developing
emphysematous cholecystitis
The "champagne sign" is associated w/:
emphysematous cholecystitis
The sequela of acute cholecystitis that is complicated by gas w/in the GB wall is
emphysematous cholecystitis
The middle layer of the GB wall is the
fibromuscular layer
Hepatization of the GB occurs when the GB
fills with sludge
What is/are cholelithiasis?
gallstones
Acute cholecystitis that leads to necrosis and abscess development w/in the GB wall describes
gangrenous cholecystitis
Which structure is a useful landmark for IDing the GB?
main lobar fissure
The innermost layer of the GB wall is the
mucosal layer
At which level of the GB is the junctional fold found?
neck
Which part of the GB is involved in Hartmann pouch?
neck
Which of the following is Courvoisier GB associated? -pancreatic head mass -stone in the cystic duct -cholecystitis -chronic diverticulitis
pancreatic head mass
Calcification of the GB wall is termed
porcelain GB
Associated w/ cholelithiasis and is characteristically found in Africans/people of African descent
sickle cell disease
Focal tenderness over the GB w/ probe pressure describes:
Murphy sign
