Gallbladder Flashcards

1
Q

Gb fossa is ______ to the right lobe of liver

A

Posterior inferior

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2
Q

Gb arterial supply:

A

Cystic artery

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3
Q

Gb venous drainage:

A

Cystic vein

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4
Q

Cystic artery originates from

A

Right hepatic artery

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5
Q

Inner layer of gb

A

Mucosa

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6
Q

Middle layer of gb

A

Muscle

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7
Q

Outer layer of gb

A

Serosa

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8
Q

Systemic issues that can cause gb wall thickening

A

CHF and AIDS

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9
Q

Increased levels of this are usually first indication of obstruction:

A

ALP

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10
Q

Increased prothrombin time(PT) is associated with :

A

Acute cholecystitis, gb carcinoma, obstruction

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11
Q

Most common congenital anomaly of gb

A

Phrygian cap

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12
Q

Most common type of choledochal cyst

A

Type 1- fusiform

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13
Q

Congenital anomaly of intrahepatic ducts. Multiple cystic structures that converge toward porta hepatis communicating with bile ducts
- central dot

A

Carolis disease

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14
Q

Double duct sign refers to dilation of

A

CBD and wirsung

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15
Q

Patients with PRIMARY BILIARY CHOLANGITIS are screened every 6 months for

A

HCC

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16
Q

Most common cause of malignant neoplasm obstructing biliary tree

A

Pancreatic adenocarcinoma

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17
Q

Carolis disease: type __ intrahepatic

A

Type 5

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18
Q

Most common cause of cholangitis

A

Choledocholithiasis

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19
Q

Suspected when jaundice persists beyond 14 days of age

A

Biliary atresia

20
Q

Triangular cord sign

A

Biliary atresia

21
Q

Kasai portoenterostomy is most successful in treating _____ if performed before _____ days of life

A

Biliary atresia, 90 days

22
Q

Cholangiocarcinoma located at the hepatic hilum

A

Klatskin tumor

23
Q

Most common predisposing condition of cholangiocarcinoma

A

Primary sclerosis cholangitis

24
Q

Biliary disease caused by parasitic roundworm

- south East Asian countries

A

Ascariasis

25
Intrahepatic biliary dilitation without extrahepatic dilitation indicates
Klatskin tumor
26
Most common cause of extrahepatic obstructive jaundice
Choledochalithiasis
27
Most common location for biliary stone
Distal cbd
28
Parallel channel sign or shotgun sign refers to:
Dilated hepatic duct and portal vein
29
Dilated CBD measures
Greater or equal to 8mm
30
Rokitansky-Aschoff sinuses
Adenomyomatosis
31
“Strawberry gallbladder”
Cholesterolosis
32
Polyps measuring ___ are more likely malignant
>10mm
33
Hydrops of gb AKA
Mucocele
34
Hydrops/mucocele is associated with
Kawasaki disease
35
Calcification of gb wall associated with chronic cholecystitis
Porcelain gb
36
Sludge-like material with a high concentration of calcium
Milk of calcium bile
37
Milk of calcium bile is associated with
Chronic cholecystitis and gb obstruction of cystic duct
38
Gb fills with purulent material
Empyema of gb
39
Acute cholecystitis in presence of bacteria containing bile
Empyema of gb
40
Emphysematous cholecystitis occurs more commonly in
Diabetic men
41
“Champagne sign”
Emphysematous cholecystitis
42
Most common cause of acute cholecystitis
Stone in cystic duct
43
Most common cause of gb wall thickening
Cholecystitis
44
Prehepatic cause of jaundice
Excessive RBC breakdown
45
Post hepatic cause of jaundice
Obstruction of biliary tree