Gall Bladder

Question 1

Gall bladder lacks ……

Answer 1

Submucosa

Question 2

1st LN to be enlarged in GB cancer !?

Answer 2

Cystic lymph node of LUND

Question 3

Most common anatomical variation of GB

Answer 3

Phrygian cap

Question 4

Moynihan’s hum

Answer 4

Tortuous course of right hepatic artery in the hepatocystic triangle

Question 5

Most common type of gall bladder stone in asia / india

Answer 5

Pigment stones

Question 6

Black pigment gall stone causes

Answer 6

Hemolytic disease

G6PD deficiency
Hereditary spherocytosis
Sickle cell anemia

Question 7

Composition of black pigment!!?

Answer 7

Insoluble bilirubin pigment polymer of ca phosphate & ca bicarbonate

Question 8

Cause of brown gall stone pigment !?

Answer 8

Infected bile

Question 9

Composition of brown pigment

Answer 9

Ca palmitate
Ca stearate
Ca bilirubinate

Question 10

Mc common Overall gall stone

Answer 10

Mixed stone

Question 11

Most important process in formation of gall stone !?

Answer 11

Nucleation

Question 12

IOC for the Gall stone

Answer 12

Usg ( post acoustic shadow)

Question 13

90% stone are ……. And 10 % are ………

Answer 13

90% are - radiolucent

10% - radioopaque

Question 14

Radio opaque gallstone sign !?

Answer 14

Seagull sign & mercedes benz sign

Question 15

Porcelain Gb with stone is

Answer 15

Pre malignant condition

Question 16

Murphy sign

Answer 16

On deep breath we press RUQ and patient holds his breath

Question 17

Boa sign

Answer 17

Hyperastheia of 12 rib region

Question 18

Murphy and boa sign are feature of …….

Answer 18

Achte cholecystitis

Question 19

HIDA Scan used

Answer 19

Dd b/w acute & acalculous

Question 20

Mx for the acute cholecysitis!?

Answer 20

Laparoscopic cholecystectomy

Question 21

M.x of acalculous cholecysitis!?

Answer 21

Cholecystectomy

Question 22

HpE feature of chronic cholecystitis??

Answer 22

Rokitansky aschoff nodule if it rupture than xanthogranulomatous cholecysitis

Question 23

Causative organism in case of emphysematous cholecysitis!?

Answer 23

Clostridium

Question 24

Empyema of Gb

Answer 24

Mucocele get infected

Question 25

Mirizzi syndrome

Answer 25

GB becomes adherent to CBD due to inflammation than stone in GB presses on CBD leads to feature of - cholecystitis + jaundice

Question 26

IOC for mirizzi syndrome !?

Answer 26

MRCP ( magnetic resonance cholangiopancreatography

Question 27

Gall stone ileus

Answer 27

2 to cholecysto- duodenal fistula

Question 28

Mc site of gallstone ileus !?

Answer 28

Terminal 2 feet of ileum

Question 29

Bouveret syndrome

Answer 29

Gall stone leads to obstruction of gastric outlet

Question 30

Rigler triad on xray abdomen !?

Answer 30

1-Pneumobilia 2-Feature of small intestine obstruction 3-Radio- opaque shadow on right iliac fossa

Question 31

Mcc cause of choledocholithiasis!?

Answer 31

Slipping of GB stone

Question 32

Charcot’s triad !?

Answer 32

Intermittent pain Intermittent jaundice Intermittent fever

Question 33

Reynolds pentard

Answer 33

Charcot triad + shock + Altered mental status

Question 34

IOC for CBD stone !?

Answer 34

MRCP

Question 35

IOC FOR CBD MICROLITHS !?

Answer 35

Endoscopic ultrasound

Question 36

Incision made in open cholecystectomy!?

Answer 36

Kocher incision - right sub-coastal incisors

Question 37

MCC cause of gall bladder cancer !?

Answer 37

Gall stone

Question 38

Most common & worst type of Gall bladder cancer !?

Answer 38

Infiltering type

Question 39

Best prognosis’s of type of gall bladder cancer!?

Answer 39

Papillary

Question 40

Monitoring of gall bladder cancer !?

Answer 40

CA 19-9

Question 41

Starwberry/ cholesterolosis

Answer 41

Deposition of cholesterol crystal | In tje wall of gallbladder

Question 42

MCC cause of liver transplant in children!?

Answer 42

Extrahepatic billary atresia

Question 43

Choledochal cyst is dilatation of

Answer 43

CBD

Question 44

Caroli disease/type 5 is a dilatation of ……

Answer 44

Intrahepatic bile ducts

Question 45

Mx of choledochal cyst !?

Answer 45

Excision