A & P

Question 0

The first part of the CBD course lies in the right free edge of the __________.

Answer 0

Lesser omentum

Question 1

What is the size of the common hepatic duct?

Answer 1

Approximately 4 mm

Question 2

The second part of the CBD is situated posterior to the first part of the __________.

Answer 2

Duodenum

Question 3

The ends of both ducts and the ampulla are surrounded by circular muscle fibers known as the __________.

Answer 3

Sphincter of Oddi

Question 4

The GB is a …

Answer 4

Pear shaped sac in the anterior aspect of the RUQ, closely related to the visceral surface of the liver with fossa

Question 5

The __________ of the GB projects below the inferior margin of the liver and comes into contact with the anterior __________.

Answer 5

Fundus

ABD wall

Question 6

The __________ of the GB lies in contact with the visceral surface of the liver.

Answer 6

Body

Question 7

The __________ of the GB becomes continuous with the __________, which turns to join the right side of the __________ to form the __________.

Answer 7

Neck

Cystic duct

CHD

CBD

Question 8

List 2 names for the outer layer of the GB wall…

Answer 8

Outer serosal

Rokitanksy-Aschoff sinus

Question 9

What are the 4 layers of the GB wall?

Answer 9

Outer serosal
Subserous
Muscular
Inner mucosal

Question 10

The cystic vein drains directly into the __________.

Answer 10

Portal vein

Question 11

What tends to collect in Hartmann’s Pouch?

Answer 11

Gallstones

Question 12

Where do junctional folds normally appear?

Answer 12

Between the neck and body of the GB

Question 13

Along with Phrygian’s cap and junctional folds, what are 2 other variants that can occur?

Answer 13

Partial septations

Complete septations or double GB

Question 14

The primary functions of the extrahepatic biliary tract is the __________ from the liver to the intestine and __________ of its flow.

Answer 14

Transportation of bile

Regulation

Question 15

Concentration of bile in the GB occurs during a state of __________.

Answer 15

Fasting

Question 16

Stimulation produced by the influence of food causes the GB to __________, resulting in an outpouring of __________ into the __________.

Answer 16

Contract

Bile

Duodenum

Question 17

Dilation of the extrahepatic bile ducts, which is usually __________, occurs after a cholecystectomy.

Answer 17

Less than 1 cm

Question 18

Patients older than __________ can have ducts that are up to __________ and still be considered normal.

Answer 18

60

10 mm

Question 19

When scanning, begin with patient __________, then roll the patient into a steep __________ or __________ to separate small stones from the GB wall or cystic duct.

Answer 19

Supine

Decubitus

Upright position

Question 20

Indications for GB exam…

Answer 20

RUQ pain
\+ Murphy's sign
Pain radiating to shoulder (mimics a heart attack)
Nausea & vomiting
Loss of appetite
Jaundice

Question 21

What is the size of the GB?

Answer 21

5 cm x 10 cm

Question 22

The lumen of the GB is __________.

Answer 22

Anechoic

Question 23

The location of the GB is the RUQ, more specifically between the __________.

Answer 23

Right and left lobes of the liver

Question 24

The CBD lies anterior and to the right of the __________ in the region of the __________.

Answer 24

Portal vein Porta hepatis

Question 25

Within the portal triad, the HA lies __________ and __________ to the PV.

Answer 25

Anterior and medial

Question 26

Within the portal triad, the CBD lies __________ and __________ to the PV.

Answer 26

Anterior and lateral

Question 27

The parenchyma cells of the liver excrete this bile pigment into the ___________.

Answer 27

Bile canaliculi

Question 28

After food is consumed, three functions occur:

Answer 28

Bile enters the small bowel GB contracts Increase in liver secretions

Question 29

Bile is made of what 3 things?

Answer 29

Water Bile salts Other organic substances

Question 30

Bile has 2 major functions in the body:

Answer 30

Break down the fats you eat so that your body can utilize them Acts as a very powerful antioxidant

Question 31

With cholecystitis, what lab value is increased?

Answer 31

WBC count

Question 32

What are the 2 types of serum bilirubin?

Answer 32

Unconjugated/indirect - pre hepatic or hepatic abnormality, elevate for hematologic disease Conjugated/direct - post hepatic abnormality, elevate hepatocellular disease, elevate for biliary obstruction

Question 33

What lab value is elevated if there is an obstruction?

Answer 33

Alk Phos

Question 34

What lab values indicate liver problems?

Answer 34

AST and ALT

Question 35

What is PT?

Answer 35

Clotting time