Hepatobiliary System

Question 1

Which of the following diagnostic imaging studies provides physiologic function of the liver ?

Answer 1

nuclear medicine with contrast

Question 2

Which diagnostic exam does the ACR recommend for a Pt who presents with RUQ pain that may be attributed to the biliary system ?

Answer 2

sonogram

Question 3

A MRCP is used to visualize which anatomic structures?

Answer 3

gallblader & biliary system

Question 4

A radiograph of the abdomen on a patient with known cirrhosis may be compromised due to what additional pathological condition?

Answer 4

ascites

Question 5

Which form of hepatitis is transmitted from the GI tract in fecal material ?

Answer 5

HAV
Hepatitis A
early onset IgM (used in Dx blood test)
later onset IgG (used in Dx blood testing)

Question 6

Which liver lesion is primary composed of blood vessels?

Answer 6

hemangioma

Question 7

the TIPSS procedure is designed to reduce portal hypertension by uniting which vessels?

Answer 7

hepatic artery

portal vein

Question 8

What is the incidence of gallstones in the United States for persons over 65 years of age?

Answer 8

20%

Question 9

The inflammation of the gallbladder is referred to as :

Answer 9

cholecystitis

Question 10

A fluid collection that develops from the pancreas is termed :

Answer 10

pseudocyst

Question 11

Which of the following imaging studies are highly recommended for the diagnosis of acute pancreatitis?

Answer 11

CT & sonography

Question 12

The impaction of gallstone in the small bowel is referred to as :

Answer 12

gallstone ileus

Question 13

Chronic liver disease has the highest incidence in which age group?

Answer 13

45-65

Question 14

Which imaging procedure is preferred in the evaluation of proximal obstructions involving the hepatic duct bifurcation?

Answer 14

Percutaneous transhepatic cholangiogram

Question 15

What imaging procedure can differentiate between vessels and biliary ducts based on flow characteristics ?

Answer 15

doppler sonography

Question 16

Fatty infiltration of the liver is termed :

Answer 16

statosis

Question 17

Cirrhosis of the liver is concidered an end-stage condition resulting from liver damage caused by chronic

Answer 17

Alcohol abuse 
hepatitis, chrnic
biliary tract obstruction
Drugs
Autoimmune
Metab and genetic
 disorders

Question 18

How many types of viral hepatitis have been identified?

Answer 18

6

Question 19

Which of the following additional imagaing procedures are highly recommended in patients who have gallstones demonstrated with sonography but do not have fever or an elevated white blood cell count?

Answer 19

1. Nuc Med cholescintigraphy
2. CT of the abdomen (w/ or without contrast)
3. MRI of the abdomen (w/ or without contrast)

Question 20

Which type of jaundice occurs because of hemolytic disease in which too many red blood cells are destroyed or because of liver damage from cirrhosis or hepatitis?

Answer 20

medical jaundice

Question 21

the majority of adenocarcinomas of the pancreas occur in the ____ of the pancreas ?

Answer 21

head

Question 22

Ascites is best demonstrated by which of the following imaging procedures ?

Answer 22

1. CT of the abdomen

2. Sonogram of the abdomen

Question 23

(T/F) the right and left hepatic ducts unite to form the common bile duct

Answer 23

false

Question 24

(T/F) the liver has a double supply of blood coming from the hepatic artery and the portal vein

Answer 24

true

Question 25

(T/F)Hepatitis B (HBV) is transmitted perenterally in infected serum or blood products

Answer 25

true

Question 26

(T/F) Although most commonly found in the gallbladder, gallstones can be located anywhere in the biliary tree

Answer 26

true

Question 27

(T/F) Chronic pancreatitis resolves without imparing the histological makeup of the pancreas

Answer 27

false

Question 28

(T/F) the liver is a common site for the metastasis from other primary sites such as the colon, pancreas, stomach, lung and breast

Answer 28

true

Question 29

(T/F) Hepatitis B accounts for 80% of the cases of hepatitis that develop after blood transfusions

Answer 29

false

Question 30

(T/F) Approximately 80% of all gallstones are composed of a mixture of cholesterol, bilirubin, and calcium salts

Answer 30

true