Ch. 6 Hepatobiliary System Flashcards

(47 cards)

1
Q

What two biliary ducts unite to form the common bile duct?

A

The right and left hepatic ducts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which hormone stimulates the release of bile into the duodenum?

A

Cholecystokinin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the specialized cells found in the endocrine portion of the pancreas?

A

Islets of Langerhans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which radiographic procedure involves the insertion of a needle into the biliary tree by puncture through the abdominal wall?

A

PTC

-Percutaneous Transhepatic Cholangiography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which imaging modality has almost 100% accuracy for the detection of cholelithiasis?

A

Diagnostic Medical Sonography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The radiographic appearance of a porcelain gallbladder is often an indication of:

A

Carcinoma of the gallbladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hepatitis B is caused by a ____.

A

Transmitted parenterally through infected serum or blood products

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The presence of bilirubin in the bloodstream causes:

A

Jaundice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which enzyme begins to autodigest the pancreas with pancreatitis?

A

Trypsin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are statistical information regarding cholelithiasis?

A
  • 20% of all persons in U.S. developing them by age 65

- Women more likely to get them than men

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

A malignant liver tumor is an:

A

Hepatoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The noninvasive modality of choice for visualization of gallbladder diseases that does not use ionizing radiation is:

A

Diagnostic Medical Sonography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The condition in which a gallstone erodes from the gallbladder and creates a fistula to the small bowel is:

A

Gallstone ileus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Repeated attacks of acute cholecystisis cause:

A
  • Damage to gallbladder
  • Thickening of the walls
  • Decreased function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the function of beta cells found in the pancreas?

A

Produce insulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are reasons for the presence of gas in the biliary tree?

A

Result of a spontaneous fistula, as might be seen in gallstone ileus, or postoperative biliary anastomosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What pathologic condition is caused by hepatocellular dysfunction?

A

Medical jaundice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What imaging procedure visualizes the biliary tree and main pancreatic duct with a fiberoptic endoscope passed through the duodenum?

A

ERCP

-Endoscopic Retrograde Cholangiopancreatogram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What imaging modality provides a noninvasive method of evaluating hepatic function as well as hepatic and splenic perfusion?

A

SPECT

-Single Photon Emission Computed Tomography

20
Q

What is a chronic liver condition in which the liver parenchyma is destroyed, fibrous tissue is deposited, and regenerative nodules are formed?

21
Q

What may be caused by cirrhosis?

A

Impaired liver function

22
Q

Individuals with cirrhosis have an increased risk of developing:

A

Esophageal varices.

Collateral venous connections to the vena cava

23
Q

What term describes a fluid collection within the pancreas as a result of pancreatitis?

24
Q

Which palliative procedure involves placement of a shunt to divert the pressure caused by portal hypertension?

25
What is the most contagious form of hepatitis and is located in excreted fecal material?
Hepatitis A
26
How is viral hepatitis usually diagnosed?
Lab tests (carried in blood)
27
What are major sonographic criterion when imaging gallstones?
- Echogenic focus - Acoustic shadowing below the stone - Gravitational dependence
28
What type of benign liver tumor is linked to the usage of oral contraceptives?
Hepatocellular adenomas
29
What is the most commonly occurring liver tumor?
Hemangioma
30
Signs or symptoms associated with hepatocellular carcinoma include:
- Increased jaudice - Abdominal pain - Weight loss - RUQ mass - Ascites - Rapid increase in liver size
31
Metastatic lesions are much more common than ________ lesions due to the liver function of blood filtration, and pathogens and cancer cells can be transported through blood.
Primary carcinoma
32
A porcelain gallbladder can be a precursor to gallbladder ______.
Carcinoma
33
What is the fifth most common cause of cancer death in the U.S. and has a 5-year survival rate of 2%?
Pancreatic cancer
34
Fatty infiltration:
Subtractive | -CT and sonography
35
Cirrhosis:
Both additive and subtractive | -CT
36
Ascites:
Additive | -CT and sonography
37
Hepatitis:
No technical change | -CT, MRI, nuclear medicine, and sonography
38
Cholecystitis:
No technical change | -Sonography and CT
39
Cholelithiasis:
Additive, calcified stones | -Sonography and CT
40
Pancreatitis:
No technical change | -CT, ERCP, and sonography
41
Hemangioma:
No technical change | -CT, nuclear medicine, angiography, and sonography
42
Hepatoma:
Additive | -CT and nuclear medicine
43
Hepatocellular adenoma:
Additive | -CT and sonography
44
Hepatocellular carcinoma:
Subtractive | -CT, MRI, and sonography
45
Metastatic disease of the liver:
Subtractive | -CT, MRI, and sonography
46
Carcinoma of the gallbladder:
No technical change | -CT and sonography
47
Carcinoma of the pancreas:
Additive | -CT and sonography