Gall Bladder

Question 1

Billary apparatus of liver include the passage through?

Answer 1

Which hepatic bile and gall bladder bile is conveyed to 2nd part of duodenum

Question 2

What are the parts of the billary apparatus?

Answer 2

Extra hepatic and intra hepatic

Question 3

What are the parts of intra hepatic ?

Answer 3

Bile canaliculi
Canals of hering
Bike ductile
Right and left hepatic ducts

Question 4

The extra hepatic part consists of?

Answer 4

Common bile duct
Cystic duct
Common Hepatic duct
Gall bladder

Question 6

The common hepatic duct is formed by?

Answer 6

Joining of the right and left hepatic ducts at the right end of porta hepatis

Question 7

The common hepatic duct passes?

Answer 7

Along the free margin of lesser omentum

Question 8

The gall bladder extends from?

Answer 8

The right end of porta hepatis to the inferior border of liver

Question 9

The fundus of the g.b meets the abdominal wall at?

Answer 9

30 degree

Question 10

What lies infront and behind the gall bladder?

Answer 10

Infront? Anterior abdominal wall just below the top of the 9th costal cartilage
Behind?Transverse colon

Question 11

The upper surface of the body is covered by peritoneum, true or false

Answer 11

False

Question 12

The pouch that extends downwards towards the duodenum is?

Answer 12

Hartmann’s pouch

Question 13

The isthmus of the gall bladder is

Answer 13

the part of the neck that gives attachment to the pouch

Question 14

The gall what happens when the fatty food enters the duodenum

Answer 14

The duodenum contracts and and the sphincters of oddi relaxed allowing bile to flow

Question 15

What are the functions of the gall bladder?

Answer 15

Store and concentrate bike 10x more than liver
Reduces the alkalinity of hepatic bile
Equalizes the ductal billary pressure

Question 16

The contraction of the gall bladder is stimulated by what hormone secreted from the duodenal mucosa?

Answer 16

Cholecystokinin

Question 17

How many valves are in the cystic duct what is the name given to them?

Answer 17

5-12 Spiral valves of heister or crescentic valve

Question 18

What structure is found behind medically and above/laterally to the cystic duct?

Answer 18

Behind- portal vein
Medically- common hepatic duct
Laterally/above- cystic artery

Question 19

The clot triangle is

Answer 19

One that contains cystic artery with its variable disposition, cystic veins and lymph nodes

It is marked by the boundaries of

Inferior lateral surface: cystic duct
Superior lateral- inferior surface of the liver
Medically- common hepatic duct

Question 20

The valor triangle is often utilized in what type of surgery?

Answer 20

Cholecystectomy

Question 21

What sphincter is around the pre ampullary part of the bile duct?

Answer 21

Sphincter choledochus

Question 22

What structure is around the ore ampullary part of the pancreatic duct?

Answer 22

Sphincter pancreaticus

Question 23

The cystic artery is a branch of?

Answer 23

Hepatic artery

Question 24

The cystic artery differentiates into ?

Answer 24

Superficial and deep branches

Question 25

The superficial branches supply the?

Answer 25

Lower surface

Question 26

The deep branch supplies the?

Answer 26

Upper surface

Question 27

The cystic vein pierces the liver through the… for g.b and drains into…

Answer 27

Fossa Intra hepatic part of the portal vein

Question 28

What are the anomalies that can occur in the gallbladder?

Answer 28

-Angenesis of gall bladder -Double gall bladder with single cystic duct or separate cystic duct -Septate gall bladder -Intra hepatic gall bladder -mobile or floating gall bladder -Phryngian cap

Question 29

What is cholelothiasis

Answer 29

These are gallstones Common in women They don’t often cause problems u less they are stuch in billary tract or block bile flow

Question 30

Gallstones are caused by?

Answer 30

An imabalan e in the chemical composition of the bile High bilbirubin or cholesterol

Question 31

Why does high cholesterol cause gallstone?

Answer 31

Because bike usually contains enough chemicals to dissolve cholesterol secreted by the liver but if the liver secretes alot then it a lot more for it to dissolve and the excess cholesterol forms crystal or stones

Question 32

High bilirubin

Answer 32

This is produced when red blood cells are broken down some liver disease like cirrhosis or billary tract infection or blood disorders can cause the liver to produce too much bilirubin and the gall bladder cannot empty as it shirks or often the bile becomes concentrated and causes gall stone

Question 33

What factors increased the risk of developing gall stones ?

Answer 33

Bone marrow or organ transplant Pregnancy Diabetes Rapid weight loss Birth control Receiving nutrition through a vein for a long period

Question 34

Sys tons of gall stones includes

Answer 34

Billary colic, fever, nausea,clay-coloured stool, yellowing of skin and white of eyes back pain and pain in right shoulder

Question 35

What is Murphy’s sign

Answer 35

An exam used to diagnose gall bladder inflammation

Question 36

What are the steps taken during murphy’s sign

Answer 36

Pressing on the upper right abdomen just below the rib cage while the patient inhales deeply lying on their back

Question 37

The Moynihan sign is?

Answer 37

By resting the hand on the rib cage and having the thumb rest along the rib margin as the patient takes a deep breath the surgeon presses their thumb upwards

Question 38

What is ursodiol used for

Answer 38

Dissolving gall stones

Question 39

The procedural breaks up stones with shock waves so that they can pass through the duct is?

Answer 39

Extracorporel shockwave lithotripsy

Question 40

Cholecystytitis is ?

Answer 40

Inflammation of the gall bladder caused by bile gets trapped Redness and swelling HIV can cause it as well with diabetes

Question 41

Gallbladder sludge often builds up in leipek who?

Answer 41

Have most weigh recently or is pregnant