Quiz 5

Question 1

Cause of acquired biliary atresia

Answer 1

autoimmune

Question 2

Organisms that cause secondary infx in acute cholecystitis

Answer 2

E coli and Bacteroides

Question 3

1/4 to 1/3 of chronic cholecystitis cases involve ____ in gall bladder fluid

Answer 3

bacteria

Question 4

Strawberry gallbladder

Answer 4

cholesterolosis

Question 5

Calcification within gall bladder wall

Answer 5

porcelain g.b.

Question 6

MC pancreatic CA

Answer 6

pancreatic adenocarcinoma

Question 7

MC cystic tumor of pancreas

Answer 7

Mucinous cystadenomas

Question 8

2nd MC cystic tumor

Answer 8

serous cystadenoma

Question 9

Prescription drug assoc with hepatic adenoma

Answer 9

OCP

Question 10

MC primary liver CA

Answer 10

hepatocellular carcinoma

Question 11

related to exposure to arsenic and PVC

Answer 11

hepatic angiosarcoma

Question 12

may occur in CAD, immunocomp, trauma patients without cholelithiasis

Answer 12

acute acalculous cholecystitis

Question 13

mucosal lining loses velvety granular appearance. replaced by shaggy roughened mucosal surface

Answer 13

chronic cholecystitis

Question 14

stones that are light yellow to dark green to brown with a tiny central dark spot

Answer 14

cholesterol

Question 15

stones that are small and dark

Answer 15

pigment

Question 16

onion skin peri-ductal fibrosis

Answer 16

ascending cholangitis

Question 17

Obstruction of bile duct can lead to acute infection, called ______

Answer 17

ascending cholangitis

Question 18

condition where g.b. wall becomes inflamed, can spread to outer covering, retention of bile in g.b.

Answer 18

acute cholecystitis

Question 19

In acute cholecystitis, pain localizes to ____

Answer 19

RUQ

Question 20

In acute pancreatitis, this cause affects females more than males

Answer 20

gallstone related (acute)

Question 21

In acute pancreatitis, this cause affects males more than females

Answer 21

alcohol related (chronic)

Question 22

T or F

A pseudocyst is an encapsulation of pancreatic enzymes and fluid within a fibrous capsule and has NO epithelial lining.

Answer 22

T

Question 23

Pancreatic abscesses are most commonly associated with _______

Answer 23

pancreatic pseudocysts that have become infected

Question 24

MC liver tumor

Answer 24

hepatic hemangioma

Question 25

cells resemble normal hepatocytes but the neoplastic liver tissue is disorganized w/o normal lobular architecture. less cytoplasm and less eosinophilic

Answer 25

hepatic adenoma

Question 26

Causes of hepatocellular carcinoma

Answer 26

Hep B or cirrhosis

Question 27

associated with elevated CA 19-9 and CA 50

Answer 27

cholangiocarcinoma

Question 28

Cholesterol stones are mostly ____ in shape, ____ in size, and formation depends on elevated ______ and infrequent _______

Answer 28

oval mms to 2-6 mm cholesterol emptying of gall bladder

Question 29

associated with elevated serum alpha-fetoprotein (AFP) and ALP, CA 125, and CEA

Answer 29

hepatocellular carcinoma

Question 30

pigment stones are made of ____ and ____

Answer 30

bilirubin and calcium salts found in bile

Question 31

cholesterol content of pigment stones

Answer 31

less than 20%

Question 32

cholesterol content of mixed stones

Answer 32

20-80%

Question 33

Rokitansky-Aschoff sinuses are associated with

Answer 33

chronic cholecystitis

Question 34

The majority of g.b. carcinomas are well differentiated _____

Answer 34

adenocarcinomas

Question 35

A late complication of acute necrotizing pancreatitis

Answer 35

pancreatic abscess

Question 36

Organisms associated with pancreatic abscess

Answer 36

e coli, klebsiella pneum, enterococcus faecalis, staph aureus, pseudomonas aeruginosa, proteus mirabilis, diff spp of strep

Question 37

sheets of cells which usually have uniform nuclei and eosinophilic or clear cytoplasm w PAS positive eosinophilic cytoplasmic inclusions

Answer 37

solid pseudopapillary adenomas

Question 38

empty appearing cells - mucin containing

Answer 38

mucinous cystadenoma

Question 39

honeycombed appearance

Answer 39

serous cystadenoma

Question 40

pancreatic adenocarcinoma arises from _____ (exo/endocrine) pancreas

Answer 40

exocrine

Question 41

hepatic adenoma -- benign or malignant? gross path?

Answer 41

benign, smooth round, same color as tissue of origin

Question 42

Associated with von Hipple-Lindau syndrome

Answer 42

serous cystadenoma

Question 43

MC visceral tumor globally

Answer 43

hepatocellular carcinoma

Question 44

café auf lait spots

Answer 44

von Hipple-Lindau syndrome

Question 45

mixed stones are made of

Answer 45

cholesterol, calcium carbonate, bilirubin, and other bile pigments

Question 46

intestinal type has tubular glands similar to colonic adenocarcinoma, goblet cells

Answer 46

gall bladder carcinoma

Question 47

T or F | Mucinous cystadenomas can transform into malignant tumors

Answer 47

T

Question 48

T or F | serous cystadenomas usually progress to CA

Answer 48

F - progression unlikely

Question 49

Marker for gall bladder CA

Answer 49

FUMK1