BILIARY TRACT

Question 1

A SPIRAL FOLD WHICH CONTROLS BILE FLOW IN THE CYSTIC DUCT

Answer 1

VALVE OF HEISTERS

Question 2

AN ABNORMAL SACCULATION OF THE NECK OF THE GB

Answer 2

HARTMANNS POUCH

Question 3

A FOLD BETWEEN THE BODY AND FUNDUS OF GB

Answer 3

PHYRGIAN CAP

Question 4

GB IS LOCATED AT THE INFERIOR END OF WHAT FISSURE

Answer 4

MAIN LOBAR FISSURE

Question 5

RT AND LT HEPATIC DUCTS JOIN TO FORM THE

Answer 5

COMMON HEPATIC DUCT

Question 6

_____ AND ________ (DUCT OF WIRSUNG) JOIN TO FORM THE

Answer 6

AMPULLA OF VATER

Question 7

BLOOD SUPPLY TO THE GB IS FROM THE

Answer 7

CYSTIC ARTERY

Question 8

A FOLD BETWEEN THE BODY AND THE NECK (INFUNDIBULUM) OF THE GB

Answer 8

JUNCTIONAL FOLD

Question 9

THE CBD PASSES _____ TO THE DUODENUM AND PANCREATIC HED JOINING THE MAIN PANCREATIC DUCT AT THE AMPULLA OF VATER

Answer 9

POSTERIOR

Question 10

NORMAL GB WALL THICKNESS

Answer 10

< 3MM

Question 11

THE MOST COMMON CAUSE OF GB WALL THICKNESS IS

Answer 11

CHOLECYSTITIS

Question 12

CALCIUM BILIRUBINATE GRANULES AND CHOLESTEROL CRYSTALS; ASSOCIATED WITH PROLONGED FASTING

Answer 12

SLUDGE (TUMEFACTIVE SLUDGE IF THICK AND MAY APPEAR AS MASS)

Question 13

CHOLELITHIASIS=

Answer 13

GALLSTONES

Question 14

A GALLBLADDER FILLED WITH STONES MAY BE SEEN AS A STRONG SHADOW IN THE RUQ THIS IS CALLED THE

Answer 14

DOUBLE ARC OR THE WES SIGN

Question 15

-GB WALL INFLAMMATION DUE TO CYSTIC DUCT OBSTRUCTION
-RUQ PAIN, FEVER, LEUKOCYTOSIS
-MURPHYS SIGN

Answer 15

ACUTE CHOLECYSTITIS

Question 16

-MULTIPLE PREVIOUS EPISODES D/T ACUTE CHOLECYSTITIS
-SONOGRAPHICALLY DOES NOT APPEAR DIFFERENT FROM ACUTE CHOLECYSTITIS

Answer 16

CHRONIC CHOLECYTITIS

Question 17

-ACUTE CHOLECYSTITIS D/T GB WALL ISCHEMIA AND INFECTION
-DIABETIC PATIENTS
-GAS IS FOUND IN GB WALL OR BILIARY TREE
-CHAMPAGNE SIGN

Answer 17

EMPHYSEMATOUS CHOLECYSTITIS

Question 18

PROCEDURE FOR CREATING AN ANASTAMOSIS OF THE CBD TO JEJUNUM

Answer 18

CHOLEDOCHOJEJUNOSTOMY

Question 19

-RUQ PAIN, FEVER, LEUKOCYTOSIS
-GB FILLS WITH PURULENT MATERIAL

Answer 19

EMPYEMA OF THE GB

Question 20

THE MOST COMMON SITE OF PERFORATION? LOCALIZED FLUID COLLECTION IS THE GB FOSSA IS COMMONLY SEEN

Answer 20

GB FUNDUS

Question 21

ACUTE CHOLECYSTITIS W/O THE PRESENCE OF GALLSTONES, TYPICALLY SECONDARY TO EVENT IN CRITICALLY ILL PATIENTS IS CALLED

Answer 21

ACALCULOUS CHOLECYSTITIS

Question 22

-ASSOCIATED WITH CHRONIC CHOLECYSTITIS AND OBSTRUCTION
-SLUDGE LIKE MATERIAL WITH HIGH CONCENTRATION OF CALCIUM

Answer 22

MILK OF CALCIUM BILE(LIMY BILE)

Question 23

CALCIFICATION OF THE GB WALL ASSOCIATED WITH CHRONIC CHOLECYSTITIS AND GB CANCER

Answer 23

PORCELIN GB

Question 24

-ASSOCIATED WITH KAWASAKI DISEASE
-COMMONLY CAUSED BE AN IMPACTED STONE IN THE NECK OF THE GB OR IN THE CYSTIC DUCT

Answer 24

HYDROPS, ALSO KNOWN AS MUCOCELE OF THE GB

Question 25

POLYPS THAT ARE LESS THAN ___MM IN DIAMETER ARE UNLIKELY TO BE CANCEROUS.

Answer 25

10, SIZE IS THE MOST IMPORTANT INDICATOR OF MALIGNANCY

Question 26

-STRAWBERRY GB -LIPIDS (TRIGLYCERIDES AND CHOLESTEROL) ARE DEPOSITED IN THE GB WALL

Answer 26

CHOLESTEROLISIS ALSO KNOWN AS HYPERPLASTIC CHOLECYSTOSIS

Question 27

S/S ARE NONSPECIFIC AND MIMIC CHOLECYTITIS

Answer 27

GB CARCINOMA

Question 28

-HYPERPLASTIC CHANGES INVOLVING THE GB WALL CAUSING OVERGROWTH OF THE MUCOSA, THICKENING, AND FORMATION OF DIVERTICULA -ASSOCIATED WITH COMET TAIL ARTIFACT (REVERBERATION)

Answer 28

ADENOMYOMATOSIS

Question 29

BILIARY OBSTRUCTION IS MOST LIKELY DUE TO PATHOLOGY IN THE

Answer 29

DISTAL CBD

Question 30

TWO MOST COMMON LESIONS OF BILIARY OBSTRUCTION

Answer 30

GALLSTONES AND CARCINOMA OF THE HEAD OF THE PANCREAS

Question 31

BILIARY OBSTRUCTION ELEVATED LAS INCLUDE

Answer 31

ALP,GGT, CONJUGATED BILIRUBIN

Question 32

OBSTRUCTION OF THE DISTAL CBD RESULTS IN PROGRESSIVE DILATION OF THE

Answer 32

EXTRAHEPATIC AND INTRAHEPATIC BILIARY TREE

Question 33

NORMAL CBD MEASUREMENT

Answer 33

LESS THAN OR EQUAL TO 5MM

Question 34

CBD INCREASES WITH AGE WITH ___MM BEING UPPER LIMITS FOR THE ELDERLY

Answer 34

10

Question 35

THESE SIGNS REFER TO THE DILATED HEPATIC DUCT ADJACENT TO THE PORTAL VEIN

Answer 35

PARALLEL CHANNEL SIGN OR SHOTGUN SIGN

Question 36

A HORMONE THAT IS RELEASED INTO THE BLOOD BY THE INGESTION OF FATTY FOODS, CAUSES GB CONTRACTION

Answer 36

CHOLECYSTOKININ

Question 37

POSTIVE RESULT OF FATTY MEAL=

Answer 37

DUCT INCREASES IN SIZE

Question 38

MOST COMMON CAUSE OF EXTRAHEPATIC OBSTRUCTIVE JAUNDICE; FORMATION OR PRESENCE OF CALCULI IN THE BILE DUCTS

Answer 38

CHOLEDOCHOLITHIASIS

Question 39

CHOLEDOCHOLITHIASIS LABS THAT INCREASE ARE

Answer 39

ALP,GGT, CONJUGATED BILIRUBIN

Question 40

EXTRAHEPATIC BILIARY OBSTRUCTION DUE TO AN IMPACTED STONE IN THE CYSTIC DUCT CAUSING EXTRINSIC MECHANICAL COMPRESSION OF THE COMMON HEPATIC DUCT

Answer 40

MIRIZZI SYNDROME; ASSOCIATED FINDINGS INCLUDE CYSTIC DUCT STONE AND INTRAHEPATIC DILATION

Question 41

A CHOLANGIOCARCINOMA LOCATED AT THE HEPATIC HILUM (JUNCTION OF THE RIGHT AND LEFT HEPATIC DUCT) RESULTING IN INTRAHEPATIC BUT NOT EXTRAHEPATIC DILATION

Answer 41

KLATSKIN TUMOR

Question 42

BILE DUCT ADENOMCARCINOMAS TYPICALLY ORIGINATE WITHIN THE

Answer 42

CHD OR CBD

Question 43

CHOLANGIOCARCINOMA MOST COMMON FINDING IS

Answer 43

INTRAHEPATIC BILE DUCT DILATION AND WEIGHTLOSS

Question 44

IS A DISEASE CAUSE BY THE PARASITIC ROUNDWORM ASCARIS LUMBRICOIDES; COMMONLY FOUND IN SOUTHEAST ASIAN COUNTRIES

Answer 44

ASCARIASIS

Question 45

INFLAMATION OF THE BILIARY TREE

Answer 45

CHOLANGITIS

Question 46

CHOLANGITIS AS ASSOCIATED WITH THE CHARCOT TRAID WHICH CONSIST OF

Answer 46

RUQ PAIN,FEVER, AND JAUNDICE

Question 47

MOST COMMON CAUSE OF CHOLANGITIS

Answer 47

CHOLEDOCHOLITHIASIS

Question 48

ELEVATED LABS OF CHOLANGITIS ARE

Answer 48

CONJUGATED BILIRUBIN, ALP,GGT,AMYLASE AND LIPASE AND LEUKOCYTOSIS

Question 49

BILIARY ATRESIA IS ASSOCIATED WITH THE

Answer 49

TRIANGULAR CORD SIGN AND POLYSPLENIA SYNDROME

Question 50

IS THE MOST SUCCESSFUL IN THE TREATMENT OF BILIARY ATRESIA IF PERFORMED BEFORE 90 DAYS OF LIFE

Answer 50

KASAI PORTOENTEROSTOMY

Question 51

PNEUMOBILIA IS AIR IN THE BILIARY REACT AND COMMONLY ASSOCIATED WITH AN

Answer 51

ERCP (ENDOSCOPIC RETROGRADE. CHOLANGIOPANCREATOGRAM)

Question 52

CHOLEDOCHAL CYSTS ARE MORE PREVALENT IN

Answer 52

ASIA

Question 53

A CONGENITAL ANOMALY OF THE BILIARY TRACT CHARACTERIZED BY MULTIFOCAL SEGMENTAL DILATION OF THE INTRAHEPATIC BILE DUCTS

Answer 53

CAROLI DISEASE

Question 54

"CENTRAL DOT SIGN"

Answer 54

CAROLI DISEASE

Question 55

MOST COMMON CAUSE OF MALIGNANT NEOPLASM OBSTRUCTING THE BILIARY TREE

Answer 55

PANCREATIC ADENOCARCINOMA

Question 56

PANCREATIC ADENOCARCINOMA TYPICALLY CASUES

Answer 56

CORVOISIER GB

Question 57

REFERS TO THE DILATION OF THE CBD AND THE DUCT OF WIRSUNG

Answer 57

DOUBLE DUCT SIGN

Question 58

AN INFLAMMATION AND FIBROSIS OF THE INTRAHEPATIC AND EXTRAHEPATIC BILE DUCTS

Answer 58

PRIMARY SCLEROSING CHOLANGITIS

Question 59

PRIMARY SCLEROSING CHOLANGITIS ELEVATED LABS VALUES ARE

Answer 59

ALP, BILIRUBIN,GGT,ALT/AST

Question 60

AN AUTOIMMUNE DISORDER RESULTING IN CHOLESTATIS DUE TO DESTRUCTION OF HTE SMALL INTAHEPATIC BILE DUCTS LEADING TO CIRRHOSIS

Answer 60

PRIMARY BILIARY CHOLANGITIS

Question 61

THIS LAB VALUE INCREASES WITH ANY BILE DUCT OBSTRUCTION

Answer 61

ALP

Question 62

THE _____ DO NOT FILTER UNCONJUGATED BILIRUBIN AS THEY ARE BOUND TO ALBUMIN.

Answer 62

KIDNEYS

Question 63

THE PRESENCE OF BILIRUBIN IN THE URINE INDICATES

Answer 63

CONJUGATED HYPERBILIRUBINEMIA

Question 64

THE END PRODUCT OF HEMOGLOBIN BREAKDOWN

Answer 64

BILIRUBIN