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SON 130 Mid Term Questions > Biliary (Hagen and Tempkin) > Flashcards

Biliary (Hagen and Tempkin) Flashcards

1
Q

In the transverse view, the order of structures, from midline to right, is

A

portal vein, head of the pancreas, duodenum, liver, and gallbladder

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2
Q

The gastroduodenal artery is a branch of the

A

Common Hepatic Artery

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3
Q

The left and right hepatic ducts form the

A

Common Hepatic Duct

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4
Q

The relationship of the gallbladder and the right kidney can be stated as:

A

The right kidney is posterior to the GB

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5
Q

The relationship of the portal vein, common bile duct. and hepatic artery can be stated as:

A

CBD is lateral to PV and HA is medial to PV

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6
Q

The route of bile secretion directly from the liver to the gallbladder is via the

A

Cystic Duct

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7
Q

A normal gallbladder appears round on the longitudinal view.

TRUE/ FALSE

A

False

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8
Q

__________ (CCK) is a peptide hormone that increases ________ _________of bile, and stimulates the GB to _________

A
  1. Cholecystokinin
  2. hepatic production of bile
  3. contract
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9
Q

Following the main portal vein, the gallbladder is seen just superior to the right portal vein. ____

TRUE/FALSE

A

False

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10
Q

Normally, the gallbladder wall is greater than 3 mm thick.

TRUE/FALSE

A

False

It should be less than 3 mm thick.

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11
Q

The cystic artery passes posterior to the common hepatic duct and anterior to the common duct. ____

TRUE/FALSE

A

False

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12
Q

The common bile duct can be found medial and posterior to the main portal vein. ____

TRUE/FALSE

A

False

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13
Q

The common bile duct enters the duodenum through the hepatopancreatic ampulla. ____

TRUE/FALSE

A

True

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14
Q

The common bile duct is formed by the union of the common hepatic duct and the cystic duct.

TRUE/FALSE

A

True

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15
Q

The common bile duct is routinely seen on ultrasound

TRUE/FALSE

A

True

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16
Q

The common hepatic duct is routinely seen on ultrasound. ____

TRUE/FALSE

A

True

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17
Q

The cystic duct is routinely seen on ultrasound. ____

TRUE/FALSE

A

False

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18
Q

The gallbladder fossa can be identified close to the main lobar fissure

TRUE/FALSE

A

True

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19
Q

The gallbladder is routinely identified with ultrasound

TRUE/FALSE

A

True

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20
Q

The gallbladder remains stationary despite changes in the patient’s position.

TRUE/FALSE

A

False, it is a mobile organ therefore it moves with patient position

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21
Q

The hepatic artery is found slightly medial and anterior to the main portal vein. ____

TRUE/FALSE

A

True

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22
Q

The landmarks that help identify the gallbladder on longitudinal section are the __________, ___________, and ________

A

Portal vein, Main lobar fissure, and right kidney

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23
Q

The right and left hepatic duct is routinely seen on ultrasound.

TRUE/FALSE

A

False

24
Q

The length of the gallbladder is highly variable. ____

TRUE / FALSE

A

True

25
Q

The most inferior portion of the common bile duct is called the infraduodenal portion

TRUE/FALSE

A

False

26
Q

A condition causing RUQ pain in which small polypoid masses arise from the anterior gallbladder wall is _________

A

adenomyomatosis

27
Q

A fusiform dilation of the common bile duct that causes obstruction is known as __________

A

choledochal cyst

28
Q

A gallbladder that folds near the area of the neck is called ________

A

Hartmann Pouch

29
Q

A Phrygian cap of the gallbladder is:

A

folding of the fundus

30
Q

A positive Murphy sign is a clinical finding associated with:

A

cholecystitis

31
Q

A thick calcified gallbladder wall describes which one of the following conditions?

A

Porcelain GB

32
Q

Air within the biliary tree, secondary to common bile duct stents, is called:

A

Pneumobilia

33
Q

All of the following sonographic appearances are found in cases of gallbladder carcinoma except:

a. Sludge
b. Wall thickening
c. Cholelithiasis
d. Intraluminal wall mass

A

sludge

34
Q

Classic symptoms of gallbladder disease include all of the following except:

A

Hematuria

35
Q

Gas-forming bacteria in the gallbladder appear on ultrasound as_____

A

Bright echo with a comet tail artifact

36
Q

In a 60-year-old adult, the normal common bile duct should not measure more than _____ mm.

A

6

Remember the CBD can line up by decades

37
Q

In cases of choledocholithiasis, stones tend to lodge in the:

A

Ampulla of Vator

38
Q

Inflammation of the gallbladder is:

A

Cholecystitis

39
Q

Patients positive for the AIDS are at risk for developing:

A

Cholangitis

40
Q

The bright linear echo within the liver connecting the gallbladder and the right or main portal vein is called the:

A

Main Lobar Fissure

41
Q

The common bile duct is joined by the main pancreatic duct. Together they open through the _____ into the duodenal wall.

A

Ampulla of Vator

42
Q

The cystic duct connects the ___________ of the gallbladder with the common hepatic duct to form the ___________.

A

Neck, CBD

43
Q

The diameter of the common hepatic duct is approximately ________ millimeters (mm).

A

4

44
Q

The distal duct lies ___________ with the anterior wall of the inferior vena cava (IVC)

A

Parallel

45
Q

The hepatic duct is joined by the ___________ to form the ___________ .

A

cystic duct

CBD

46
Q

The most common cause of biliary ductal obstruction is the presence of a ductal:

A

Tumor

47
Q

The most common tumor sites that can spread carcinoma to the biliary tree include all of the following except the:

a. Colon
b. Breast
c. Melanoma
d. Kidney

A

kidneys

48
Q

The physiologic effect of a fatty meal includes all of the following except:

a. Stimulation of cholecystokinin (CCK)
b. Contraction of the gallbladder
c. Decrease bile flow to the liver
d. Relaxation of the sphincter of Oddi

A

Decrease bile flow to the liver

49
Q

The right and left hepatic ducts emerge from the right lobe of the liver in the porta hepatis and unite to form the:

A

Common Hepatic Duct

50
Q

The sonographic appearance of cholelithiasis is best described as:

A

Mobile, hyperechoic focus demonstrating posterior shadowing

51
Q

The valves of Heister are tiny valves found within the

A

Cystic duct

52
Q

Thickening of the gallbladder wall may be caused by all of the following except:

A

Acute Pancreatitits

53
Q

Which one of the following describes the most common sonographic appearance of gallbladder carcinoma?

A

Irregular echogenic mass projecting from the gallbladder wall

54
Q

Which one of the following is a function of the gallbladder?

A

storage of bile

55
Q

Which one of the following is most characteristic of nonshadowing, low-amplitude echoes in a dependent gallbladder?

A

Sludge

SON 130 Mid Term Questions (10 decks)

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