Gallbladder Diseases Flashcards
(35 cards)
All are differential diagnosis for RUQ pain EXCEPT:
A. Acute cholangitis B. Acute pancreatitis C. Chronic pancreatitis D. Hepatitis E. Nephrolithiasis
E. Nephrolithiasis
It is the most common and most characteristic symptom of liver disease.
A. Nausea B. Poor appetite C. Fatigue D. Lethargy E. Diarrhea
C. Fatigue
Liver pain is due to stretching or irritation of which of the following?
A. Quadrate lobe B. Caudate lobe C. Glisson's capsule D. Falciform ligament E. Porta hepatitis
C. Glisson’s capsule
Which of the following is the most reliable marker of severity of liver disease?
A. Fatigue B. Jaundice C. Weight loss D. Poor appetite E. Pruritus
B. Jaundice
Jaundice without dark urine usually indicates which of the following?
A. Direct hyperbilirubinemia B. Indirect hyperbilirubinemia C. Cystic duct obstruction by gallstones D. Hemolytic anemia E. Two of the options F. All of the options
E. Two of the options
This is the most reliable physical finding in examining the liver.
A. Palpable B. Tenderness C. Color D. Enlargement E. All of the options
B. Tenderness
Which of the following enzymes is considered the most specific indicator of liver injury?
A. AST B. ALT C. ALP D. Serum amylase E. Two of the options F. All of the options
B. ALT
All of the following clotting factors are synthesized in the liver EXCEPT
A. Factor III B. Factor V C. Factor VIII D. Factor IX E. Factor X
C. Factor VIII
First line imaging technique if the initial blood tests suggest cholestasis
A. Ultrasound B. CT C. MRI D. MRCP E. ERCP
A. Ultrasound
Considered as single best acute measure of hepatic synthetic function
A. gamma-glutamyl transpeptidase B. serum globulins C. coagulation factors D. serum bilirubin E. alkaline phosphatase
C. coagulation factors
Scleral icterus manifests if the serum bilirubin is at least which of the following levels?
A. 2.0 mg/dL B. 3.0 mg/dL C. 2.0 g/dL D. 3.0 g/dL E. 5.0 g/dL
B. 3.0 mg/dL
This provides the estimate levels of serum unconjugated bilirubin
A. Direct fraction B. Indirect fraction C. Total fraction D. Partial fraction E. None of the above
B. Indirect fraction
Patients with Gilbert syndrome has which of the following?
A. Almost 100% unconjugated bilirubin in serum B. 70% unconjugated bilirubin in serum C. 85% conjugated bilirubin in serum D. 55% conjugated bilirubin in serum E. Any of the options
A. Almost 100% unconjugated bilirubin in serum
Suppose the laboratory results shown a proportion of ALP > ALT/AST, which of the following does this indicate?
A. Direct hyperbilirubinemia
B. Indirect hyperbilirubinemia
C. Cholestatic condition
D. Hepatocellular condition
C. Cholestatic condition
This is the most common cause of extrahepatic cholestasis.
A. Cholelithiasis B. Cholecystitis C. Choledocholithiasis D. Cholangitis E. Primary sclerosing cholangitis
C. Choledocholithiasis
This is characterized by the destruction and fibrosis of larger bile ducts.
A. Cholelithiasis B. Cholecystitis C. Choledocholithiasis D. Cholangitis E. Primary sclerosing cholangitis
E. Primary sclerosing cholangitis
This is the “gold standard” for identifying choledocholithiasis.
A. US B. CT C. MRI D. MRCP E. ERCP
E. ERCP
Which of the following clinical manifestations is present on patient with severe cholangitis?
A. Charcot's triad B. Reynold's pentad C. Colicky pain w/ leukocytosis D. Postprandial pain w/ fever and leukocytosis E. Two of the options F. All of the options
B. Reynold’s pentad
A normal AST:ALT ratio is ______
A. equal to 1 B. equal to 1.5 C. less than 1 D. greater than 1 E. greater than 2
C. less than 1
Which of the following is mostly present in patients with conditions that have bacterial/parasitic cause?
A. Cholesterol stone B. Black stone C. Brown stone D. Pigmented stone E. Any of the options
C. Brown stone
A biliary colic that is present for more than 5 hours would be highly suggestive of which of the following?
A. Cholelithiasis B. Acute cholecystitis C. Chronic cholecystitis D. Choledocholithiasis E. Acute cholangitis
B. Acute cholecystitis
Which of the following is 95% specific for detecting gallstones?
A. US B. CT C. MRI D. MRCP E. ERCP
A. US
All of the following are TRUE about acalculous cholecystitis EXCEPT
A. Less common that calculous cholecystitis
B. Develops as a complication of a serious illness or infection of the gallbladder
C. Increased risk associated with prolonged fasting, serious trauma or burns
D. Gallstones are absent
E. Usually present in immunocompetent patients
E. Usually present in immunocompetent patients
Which of the following complications of cholecystitis results from ischemia of the wall and patchy or complete tissue necrosis?
A. Empyema B. Gangrene C. Perforation D. Gallstone ileus E. Fistula
B. Gangrene
