The Biliary System Review Packet
the cystic duct connects the GB to the ___ to form the CBD a. chd b. rt. hepatic vein c. lt. hepatic vein d. gastroduodenal bulb
a. chd
the distal portion of the biliary duct is the a. common bile duct b. common hepatic duct c. cystic duct d. main portal vein
a. common bile duct
the common hepatic duct is formed by the a. right and left hepatic ducts b. CBD and cystic duct c. lt. and rt. portal veins d. cystic duct and rt. hepatic duct
a. right and left hepatic ducts
spiral valves of Heister prevent the cystic duct from overdistending or collapsing a. true b. false
a. true
the sphincter of Oddi helps in regulating bile flow into the duodenum a. true b. false
a. true
the proximal portion of the biliary duct is the: a. common hepatic duct b. cystic duct c. common bile duct d. supraduodenal portion of the common bile duct
b. cystic duct
the gb's venous drainage is by means of the cystic veins draining through tributaries of the hepatic/portal vein system a. true b. false
b. false
when closed, the sphincter of Oddi allows bile flow into the duodenum a. true b. false
b. false
the most common variation in gb shape is a a. bilobed gb b. hartmann's pouch c. phrygian cap d. true septated gb
b. hartmann's pouch
the gallbladder may be divided into three major sections a. head, neck, body b. neck, body, fundus c. left, right, middle d. superior, medial, inferior
b. neck, body, fundus
the portal triad "Mickey's sign" consists of the a. portal vein, hepatic vein, cbd b. portal vein, hepatic artery, and cbd c. portal vein, cystic vein, and cbd d. portal vein, common hepatic duct, and cystic duct
b. portal vein, hepatic artery, and cbd
the portal triad consists of the a. portal vein, hepatic vein, and common bile duct b. portal vein, hepatic artery, and common bile duct c. portal vein, GDA, and CBD d. portal vein, hepatic vein, and CHD
b. portal vein, hepatic artery, and common bile duct
the porta hepatis is: a. a normal variant of the liver b. the hilum or doorway to the liver c. the area of the liver that the inferior vena cava passes through d. the name of the liver fossa in the right upper quadrant
b. the hilum or doorway to the liver
the range of normal diameter size of the common hepatic and common bile ducts is a. 1-5 mm b. 5-10 mm c. 1-7 mm d. 1 mm or less
c. 1-7 mm
The basic function of the biliary system is to a. secrete mucus into and absorb water from the stomach b. make bile and transport it to the liver c. drain bile from the liver and store it until needed d. produce hormones that regulate stomach acids
c. drain bile from the liver and store it until needed
The Gallbladder is located ___ and ___ to the liver. a. anterior/medial b.anterior/right lateral c. posterior/inferior d. posterior/superior
c. posterior/inferior
the gb is perfused by the a. gda b. lt. gastric artery c. proper hepatic artery d. cystic artery
c. proper hepatic artery
In most patients the fundus of the gb is located ___ to the superior pole of the rt. kid. a. rt. lateral b. posterior c. medial d. anterior
d. anterior
the cbd is formed by the joining of the a. left hepatic duct and right portal vein b. CBD and lt. portal vein c. ampulla of Vater and rt. hepatic duct d. cystic duct and common hepatic duct
d. cystic duct and common hepatic duct
to help locate the gb, the sonographer can use the rt. kid, which is ___ to the gb a. anterior b. caudal c. coronal d. posterior
d. posterior
the intrahepatic ducts are the: a. common hepatic and cystic duct b. common hepatic and common bile duct c. cystic and common bile duct d. right and left hepatic duct
d. right and left hepatic duct
the normal thickness of the GB wall is a. 0.5 mm b. 3 mm or less c. 6 mm d. 1 mm or less
b. 3 mm or less
The bile-filled biliary system can be described sonographically as a. hyperechoic b. anechoic w. echogenic walls c. hypoechoic d. having medium to low levels w. reflective walls
b. anechoic w. echogenic walls