Chapter 6: Hepatobiliary System

Question 1

Hepatoceular adenoma

Answer 1

A benign tumor of the liver most frequently associated with oral contraceptives

Question 2

The diagnostic imaging modalities of choice for following the progress of liver malignancy are:
1. Computed tomography
2. Radiography 
3. Sonography
A. 1 and 2
B. 1 and 3
C. 2 and 3
D. 1, 2, and 3

Answer 2

B. 1 and 3

Question 3

Pseudocyst

Answer 3

An abnormal or displaced space resembling a cyst.

Question 4

Cirrhosis

Additive/Subtractive/Both/Neither

Answer 4

Both

Question 5

Cholelithiasis

Additive/Subtractive/Both/Neither

Answer 5

Additive

Question 6

Fatty liver disease

Answer 6

A buildup of lipids that are deposited in liver tissue

Question 7

Which types of viral hepatitis may be transmitted via blood or blood products?
A. A
B. B
C. C
D. E
E. Both a and d
F. Both b and c

Answer 7

F. Both b and c

Question 8

Carcinoma of the pancreas

Answer 8

Imaging modalities of choice: CT and sonography

Additive

Question 9

What is ascites, additive/subtractive/both/neither

Answer 9

An accumulation of fluid in the peritoneal cavity.

Additive

Question 10

An excess of fatty acids within the liver leading to fatty infiltration of the liver is-

Answer 10

STEATOSIS

Question 11

An acute or chronic, asymptomatic or symptomatic inflammation of the pancreas caused by auto digestion by pancreatic enzymes

Is it additive/subtractive/both/neither?

Answer 11

PANCREATITIS

Neither

Question 12

Medical Jaundice

Answer 12

Jaundice resulting from hemolytic disease in which excessive amounts of red blood cells are destroyed or when the liver is damaged as a result of cirrhosis or hepatitis.

Question 13

Metastatic liver disease

Answer 13

The spread of another primary cancer to the liver.

Question 14

Ascites

Answer 14

An accumulation of fluid in the peritoneal cavity

Question 15

Bile drains from the liver’s right and left hepatic ducts directly into the:

A. Common bile duct
B. Common hepatic duct
C. Cystic duct
D. Duodenum

Answer 15

Common hepatic duct

Question 16

Hepatoma: additive/subtractive/both/neither

Answer 16

Additive

Question 17

Hepatitis

Answer 17

An inflammation of the liver resulting from a variety of causes

Question 18

8. Gallstone ileus refers to impact of a gallstone in the:

a. Biliary tree
b. Gallbladder
c. Liver
d. Small bowel

Answer 18

d. Small bowel

Question 19

Fatty infiltration: Additive/ subtraactive/both/ Neither

Answer 19

Subtractive due to the decrease in the liver’s ability to metabolize

Question 20

Hemangioma

Answer 20

A benign tumor of dilated blood vessels

Question 21

Arterial and venous renal blood flow in a patient who has received a kidney transplant is best assessed by using 
A. CT
B. Conventional urography
C. Doppler Sonography
D. MRI

Answer 21

C. Doppler sonography

Question 22

Cirrhosis

Answer 22

Liver condition in which fibrous tissue replaces normal tissue

Question 23

4. Patients with liver cirrhosis have a tendency to develop

Answer 23

Ascites, esophageal varices, jaundice

Question 24

Carcinoma of the gallbladder: additive, subtractive, neither

Answer 24

None

Question 25

Gallstone ileus

Answer 25

A condition in which gallstones erode from the gallbladder, creating a fistula to the small bowel that may cause a bowel obstruction.

Question 26

``` Liver conditions commonly associated with alcohol abuse include: A. Biliary obstruction B. Cholelithiasis C. Cirrhosis D. Hemangioma ```

Answer 26

C. Cirrhosis

Question 27

Surgical Jaundice

Answer 27

Jaundice that occurs as a result of biliary system blockage, which prevents bile from entering the duodenum.

Question 28

Hepatitis: Additive/Subtractive/Both/Neither

Answer 28

Neither

Question 29

Hemangioma: Additive/Subtractive/Both/Neither

Answer 29

Neither

Question 30

Hepatocellular carcinoma

Answer 30

A primary malignant tumor of the liver.

Question 31

A malignant tumor is a?

Answer 31

Hepatocellular carcinoma

Question 32

Cholecystitis

Answer 32

An acute inflammation of the gallbladder most frequently caused by obstruction.

Question 33

Hepatomegaly

Answer 33

Enlargement of the liver as might be seen with viral hepatitis

Question 34

Pancreatic cancer

Answer 34

A malignant tumor of the pancreas. usually rapidly fatal. Modality: CT and Sonography Additive because the tumor infiltrated and replace normal tissue.

Question 35

Cholecystitis: Additive/subtractive/both/ Neither

Answer 35

Neither

Question 36

Jaundice

Answer 36

Yellowish discoloration of the skin and whites of the eyes caused by bilirubin accumulation in the body tissues

Question 37

``` Review Question 3. Impairment of normal liver function might result in a. Cirrhosis b. Jaundice c. Milk of calcium d. Viral hepatitis ```

Answer 37

B. Cholelithiasis

Question 38

Hepatocellular Carcinoma: Additive/Subtractive/Both/Neither

Answer 38

Subtractive

Question 39

Carcinoma of the gallbladder

Answer 39

A malignant neoplasm of the gallbladder of glandular

Question 40

Hepatocellular Adenoma (Additive,Subtractive,Both,Neither)

Answer 40

Additive

Question 41

2. The noninvasive modality of choice that does not employ ionizing radiation for visualization of gallbladder disease is

Answer 41

B. Diagnostic medical Sonography