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

Biliary (Hagen and Tempkin) Flashcards

(55 cards)

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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

24
Q

The length of the gallbladder is highly variable. ____

TRUE / FALSE

25
The most inferior portion of the common bile duct is called the infraduodenal portion TRUE/FALSE
False
26
A condition causing RUQ pain in which small polypoid masses arise from the anterior gallbladder wall is _________
adenomyomatosis
27
A fusiform dilation of the common bile duct that causes obstruction is known as __________
choledochal cyst
28
A gallbladder that folds near the area of the neck is called ________
Hartmann Pouch
29
A Phrygian cap of the gallbladder is:
folding of the fundus
30
A positive Murphy sign is a clinical finding associated with:
cholecystitis
31
A thick calcified gallbladder wall describes which one of the following conditions?
Porcelain GB
32
Air within the biliary tree, secondary to common bile duct stents, is called:
Pneumobilia
33
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
sludge
34
Classic symptoms of gallbladder disease include all of the following except:
Hematuria
35
Gas-forming bacteria in the gallbladder appear on ultrasound as_____
Bright echo with a comet tail artifact
36
In a 60-year-old adult, the normal common bile duct should not measure more than _____ mm.
6 Remember the CBD can line up by decades
37
In cases of choledocholithiasis, stones tend to lodge in the:
Ampulla of Vator
38
Inflammation of the gallbladder is:
Cholecystitis
39
Patients positive for the AIDS are at risk for developing:
Cholangitis
40
The bright linear echo within the liver connecting the gallbladder and the right or main portal vein is called the:
Main Lobar Fissure
41
The common bile duct is joined by the main pancreatic duct. Together they open through the _____ into the duodenal wall.
Ampulla of Vator
42
The cystic duct connects the ___________ of the gallbladder with the common hepatic duct to form the ___________.
Neck, CBD
43
The diameter of the common hepatic duct is approximately ________ millimeters (mm).
4
44
The distal duct lies ___________ with the anterior wall of the inferior vena cava (IVC)
Parallel
45
The hepatic duct is joined by the ___________ to form the ___________ .
cystic duct CBD
46
The most common cause of biliary ductal obstruction is the presence of a ductal:
Tumor
47
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
kidneys
48
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
Decrease bile flow to the liver
49
The right and left hepatic ducts emerge from the right lobe of the liver in the porta hepatis and unite to form the:
Common Hepatic Duct
50
The sonographic appearance of cholelithiasis is best described as:
Mobile, hyperechoic focus demonstrating posterior shadowing
51
The valves of Heister are tiny valves found within the
Cystic duct
52
Thickening of the gallbladder wall may be caused by all of the following except:
Acute Pancreatitits
53
Which one of the following describes the most common sonographic appearance of gallbladder carcinoma?
Irregular echogenic mass projecting from the gallbladder wall
54
Which one of the following is a function of the gallbladder?
storage of bile
55
Which one of the following is most characteristic of nonshadowing, low-amplitude echoes in a dependent gallbladder?
Sludge

SON 130 Mid Term Questions (10 decks)

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