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Abdomen and small parts > Biliary Anatomy > Flashcards

Biliary Anatomy Flashcards

(47 cards)

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1
Q

Which of the following is an example of an extrahepatic duct?

CBD
Left hepatic duct
all ducts
Right hepatic duct

A

CBD

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2
Q

How does the GB lie in relationship to the liver?

anterior/inferior
posterior/superior
posterior/anterior
posterior/inferior

A

posterior/inferior

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3
Q

If Courvoisier’s sign is found, then the kidney should be evaluated next.

True
False

A

False
the pancreas area should be evaluated with Courvoisier’s sign

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4
Q

Intrahepatic ducts are found where?

in the liver
outside of the liver

A

in the liver

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5
Q

The CBD lies how in relationship to the portal vein?

anterior and to the left
posterior and to the left
anterior and to the right
posterior and to the right

A

anterior and to the right

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6
Q

True or False: The GDA lies posterior and lateral in relationship to the pancreatic head?

True
False

A

False

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7
Q

The hepatic artery lies how to the MPV?
anterior and to the left
posterior and to the right
posterior and to the left
anterior and to the right

A

anterior and to the left

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8
Q

What 4 anatomic landmarks are used to locate the GB?

pancreas
duodenum
portal vein
right kidney
main lobar fissure
left kidney

A

duodenum
portal vein
right kidney
main lobar fissure

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9
Q

What are the 2 main or normal positions you will use when scanning a GB? (You put the patient in these positions)
RLD
supine
prone
LLD

A

supine
LLD

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10
Q

What are the 3 layers of the GB from outer to inner?

serosa, fibromuscular, mucosa
fibromuscular, serosa, mucosa
mucosa, fibromuscular, serosa
fibromuscular, mucosa, serosa

A

serosa, fibromuscular, mucosa

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11
Q

What are the Valves of Heister’s?

Folds in the cystic duct that control flow and support it
A way to turn the GB off and on
Where the bile is stored in the GB

A

Folds in the cystic duct that control flow and support it

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12
Q

Which ducts are in the right and left liver?

common bile ducts
cystic ducts
right and left hepatic ducts

A

right and left hepatic ducts

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13
Q

What ducts create the common hepatic duct?

Cystic and hepatic ducts
CBD and pancreatic duct
Rt and Lt hepatic ducts

A

Rt and Lt hepatic ducts

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14
Q

What is the “sign” for the portal triad?

A

Mickey Mouse sign

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15
Q

What is the function of cholecystokinin?

To make the GB produce bile
Does not pertain to the GB
To make the GB release bile
To make the GB store bile

A

To make the GB release bile

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16
Q

The gb fossa is an indentation in the liver where the gb lies.

True
False

A

True

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17
Q

The phrygian cap affects which part of the gallbladder?

corpus
neck
body
fundus

A

fundus

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18
Q

Which of the following is the prep for a GB scan?

NPO 6-8 hours prior to the test
start a liquid diet 6-8 hours prior to the test
eat a fatty meal 6-8 hours prior to the test

A

NPO 6-8 hours prior to the test

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19
Q

Complete failure of the gallbladder to form is:

agenesis
Phrygian cap
Hypoplasia
Junctional fold

20
Q

All of the following are clinical symptoms of GB disease except….
Chest Pain/Shoulder Pain

Migraine
Nausea
Diarrhea

21
Q

All of the following are true of the GB except…
Reservoir for bile
Has a fundus, body, and neck
The Fundus is where the GB is attached to the liver
Pear shaped sac in the RUQ

Study These Flashcards
A

The Fundus is where the GB is attached to the liver

the neck is where the GB is attached to the liver

22
Q

This normal variant of the gallbladder will give it an hourglass shape.

Bilobed
Double GB
Septated
Hypoplasia

23
Q

Courvoisier’s Sign is what?

When the GB remains extremely large after a fatty meal
Pain when you push down on the patient’s RUQ
There is no such thing
When the GB contracts normally after a fatty meal

Study These Flashcards
A

When the GB remains extremely large after a fatty meal

24
Q

In this variation of the GB 2 are present and only one is functioning:

Duplicated
Bilobed
Doubled
Hypoplastic

25
A gallbladder that is low in position in the abdomen is termed: septated hypoplasia agenesis floating gallbladder
floating gallbladder
26
True of False: The term 'Hartman's Pouch' is a condition when the GB is diseased. True False
False
27
Normal CBD measurement can be all of the following EXCEPT.... 10 mm in a person who has had a cholecystectomy 6 mm 7 mm in a person age 70 10 mm in a person age 30
10 mm in a person age 30
28
The Ampulla of Vater is which of the following? where the Portal Vein enters the liver Where the CBD and Pancreatic duct meet enter the duodenal wall Where the CBD starts
Where the CBD and Pancreatic duct meet enter the duodenal wall
29
The CBD lies how in relationship to the pancreatic head? posterior/lateral anterior/lateral anterior/medial posterior/medial
posterior/lateral
30
The Common Bile Duct is formed from the uniting of which 2 ducts? Cystic Duct and Right Hepatic Duct Common Hepatic Duct and Cystic Duct Right and Left Hepatic Ducts
Common Hepatic Duct and Cystic Duct
31
The Proper Hepatic Artery supplies what structures? GB Spleen Liver Pancreas
GB Liver
32
The normal wall thickness of the GB is : > 3 mm < 6 mm < 3 cm < 3 mm
< 3 mm
33
What 3 things comprise the Portal Triad? Hepatic Artery, Cystic Duct, Portal Vein CBD, Hepatic Artery, Portal Vein GB, CBD, Hepatic Artery CBD, Hepatic Vein, Portal Vein
CBD, Hepatic Artery, Portal Vein
34
What is cholecystokinin? A blood particle A man made chemical A hormone A part of bile
A hormone
35
What is the name of the muscle that is at the level of the head of the pancreas in the region called the Ampulla of Vater? sphincter of vater Pyloric sphincter Cystic sphincter sphincter of Oddi
sphincter of Oddi
36
Which duct contains the Valves of Heister's? Hepatic Duct Right Hepatic Duct Cystic Duct CBD
Cystic Duct
37
Which duct drains the liver bile into the CBD? The Left Hepatic Duct The Common Hepatic Duct The Right Hepatic Duct The Cystic Duct
The Common Hepatic Duct
38
Is the Gallbladder anechoic, echogenic, or hypoechoic normally on ultrasound? hypoechoic anechoic echogenic
anechoic
39
The gallbladder may be hard to see regardless of technique most often due to? all of the above rarely agenesis a contracted gallbladder bowel gas shadowing
all of the above
40
Which of the following is a protein the liver produces? ammonium phospholipid albumin urea
albumin
41
The combination of Direct Bilirubin and Indirect Bilirubin on lab work = ______. Correct Bilirubin Main Bilirubin Abnormal Bilirubin Total Bilirubin
Total Bilirubin
42
The Ligamentum Teres is a remnant of the ______. ductus arteriosis ductus venosus umbilical vein foramen ovale
umbilical vein
43
Which regions does the liver lie in: CHECK ALL RIGHT ANSWERS! Umbilicus Rt hypochondrium Lt hypochondrium epigastriu
Rt hypochondrium Lt hypochondrium epigastrium
44
What structure is located between the portal vein and the gallbladder? main lobar fissure falciform ligament ligamentum teres ligamentum venosu
main lobar fissure
45
The liver is _____ to the IVC and Aorta Anterior Lateral Posterior Medial
Anterior
46
Which lobe is the smallest? Left Right Caudate
Caudate
47
The liver is covered by a thin connective tissue layer called Glisson's capsule. True False
True

Abdomen and small parts (12 decks)

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