Ch. 11 Hagen Test

Question 1

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

Answer 1

adenomyomatosis

Question 2

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

Answer 2

choledochal cyst

Question 3

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

Answer 3

Hartmann pouch

Question 4

A Phrygian cap of the gallbladder is:

Answer 4

folding of the fundus

Question 5

A positive Murphy sign is a clinical finding associated with:

Answer 5

cholecystitis

Question 6

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

Answer 6

porcelain gallbladder

Question 7

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

Answer 7

pneumobilia

Question 8

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

Answer 8

sludge

Question 9

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

Answer 9

hematuria

Question 10

Gas-forming bacteria in the gallbladder appear on ultrasound as:

Answer 10

bright echo with a comet tail artifact

Question 11

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

Answer 11

6

Question 12

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

Answer 12

ampulla of vater

Question 13

Inflammation of the gallbladder is:

Answer 13

cholecystitis

Question 14

Patients positive for the AIDS are at risk for developing:

Answer 14

cholangitis

Question 15

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

Answer 15

main lobar fissure

Question 16

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

Answer 16

ampulla of vater

Question 17

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

Answer 17

neck ; CBD

Question 18

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

Answer 18

4

Question 19

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

Answer 19

parallel

Question 20

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

Answer 20

cystic duct ; common bile duct

Question 21

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

Answer 21

tumor

Question 22

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

Answer 22

kidney

Question 23

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

Answer 23

decrease bile flow to the liver

Question 24

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

Answer 24

common hepatic duct

Question 25

The sonographic appearance of cholelithiasis is best described as:

Answer 25

Mobile, hyperechoic focus demonstrating posterior shadowing

Question 26

The valves of Heister are tiny valves found within the:

Answer 26

cystic duct

Question 27

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

Answer 27

acute pancreatitis

Question 28

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

Answer 28

Irregular echogenic mass projecting from the gallbladder wall

Question 29

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

Answer 29

reservoir for bile

Question 30

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

Answer 30

sludge