Gallbladder Review Quiz Chapter 10

The physiologic effect of a fatty meal includes all of the following except:

stimulation of cholecystokinin (CCK).

contraction of the gallbladder.

decreased bile flow to the liver.

relaxation of the sphincter of Oddi.

decreased bile flow to the liver.

The normal diameter of the common hepatic duct is approximately ________ millimeters (mm).

4

2

5

3

4

The most common cause of biliary ductal obstruction is the presence of a ductal:

stone.

stricture.

tumor.

cyst.

tumor.

The common bile duct is joined by the main pancreatic duct. Together they open through the _____________________ into the duodenal wall.

ampulla of Oddi

ampulla of Santorini

ampulla of Vater

ampulla of Water

ampulla of Vater

A thick calcified gallbladder wall describes which one of the following conditions?

Gangrenous gallbladder

Emphysematous gallbladder

Wall-echo-shadow (WES) sign

Porcelain gallbladder

Porcelain gallbladder

Which one of the following describes the most common sonographic appearance of gallbladder carcinoma?

Shadowing posterior to mobile echogenic mass

Irregular echogenic mass projecting from the gallbladder wall

"Comet tail" shadowing posterior to a hypoechoic focus

Comet tail shadowing posterior to a hyperechoic focus

Irregular echogenic mass projecting from the gallbladder wall

A Phrygian cap of the gallbladder is:

calcification of the gallbladder wall.

partial septation.

septations within the organ.

folding of the gallblabber fundus.

folding of the gallblabber

The sonographic appearance of cholelithiasis is best described as:

mobile, hyperechoic focus demonstrating posterior shadowing.

immobile, echogenic focus demonstrating a comet-tail artifact.

nonshadowing, mobile, hyperechoic focus.

mobile, hypoechoic focus demonstrating posterior shadowing.

mobile, hyperechoic focus demonstrating posterior shadowing.

Air within the biliary tree, secondary to common bile duct stents, is called:

cholangitis.

hemobilia.

pneumothorax.

pneumobilia.

pneumobilia.

The bright linear echo within the liver connecting the neck of the gallbladder and the right or main portal vein is called the:

ligamentum teres.

left lobar fissure.

main lobar fissure.

right lobar fissure.

main lobar fissure.

Patients positive for AIDS are at risk for developing:

pancreatitis.

cholangitis.

hepatitis.

nephritis.

cholangitis.

Which one of the following best describes nonshadowing, low-amplitude echoes in a dependent gallbladder?

Cholelithiasis

Porcelain gallbladder

Cholecystitis

Sludge

Sludge

A positive Murphy sign is a clinical finding associated with:

adenomyomatosis.

cholelithiasis.

cholecystitis.

porcelain gallbladder.

cholecystitis.

All of the following sonographic appearances are found in cases of gallbladder carcinoma except:

wall thickening.

cholelithiasis.

pericholecystic fluid.

intraluminal wall mass.

pericholecystic fluid.

The hepatic duct is joined by the ______________ to form the ________________.

common bile duct; cystic duct

cystic duct; common bile duct

pancreatic duct; cystic duct

right hepatic duct; common bile duct

cystic duct; common bile duct

The right and left hepatic ducts emerge from the right lobe of the liver in the porta hepatis and unite to form the:

cystic duct.

common hepatic duct.

common bile duct.

common pancreatic duct.

common hepatic duct.

The valves of Heister are tiny valves found within the:

common bile duct.

cystic duct.

pancreatic duct.

common hepatic duct.

cystic duct.

A fusiform dilation of the common bile duct is known as:

cholangitis.

adenomyomatosis.

a Phrygian cap.

a choledochal cyst.

a choledochal cyst.

Which one of the following is a function of the gallbladder?

Storage for enzymes

Reservoir for bile

Storage for extra cholesterol

Reservoir for biliary salts

Reservoir for bile

The cystic duct connects the _________ of the gallbladder with the common hepatic duct to form the ___________.

neck; CBD

body; CHD

fundus; common hepatic duct (CHD)

fundus; common bile duct (CBD)

neck; CBD

Gas-forming bacteria in the gallbladder appear on ultrasound as a:

nonshadowing echogenic mass.

dilated round shape.

localized dilation.

bright echo with a ring down or comet-tail artifact.

bright echo with a ring down or comet-tail artifact.

In a 50-year-old adult, the normal common bile duct should not measure more than _____ mm.

5

6

10

8

6

Classic symptoms of gallbladder disease include all of the following except:

right upper quadrant pain.

nausea and vomiting.

right shoulder pain.

hematuria.

hematuria.

The most common tumor sites that can spread carcinoma to the biliary tree include all of the following except:

colon.

kidney.

melanoma.

breast.

kidney.

The distal duct lies ___________ with the anterior wall of the inferior vena cava (IVC).

perpendicular

parallel

horizontal

lateral

parallel

In cases of choledocholithiasis, stones tend to lodge in the:

common hepatic duct.

ampulla of Vater.

common bile duct.

pancreatic duct.

common bile duct.

Inflammation of the gallbladder is known as:

cholesterosis.

cholecystitis.

adenomyomatosis.

choledocholithiasis.

cholecystitis.

A gallbladder with a small outpuch at the neck is called a:

Murphy pouch.

Hartmann pouch.

Murphy sign.

Phyrgian cap.

Hartmann pouch.

Thickening of the gallbladder wall may be caused by all of the following except:

pancreatitis.

adenomyomatosis.

hepatitis.

cholecystitis.

pancreatitis.

A condition causing RUQ pain in which small polypoid masses arise from the gallbladder wall demonstrating "comet tail" artifact is:

cholesterosis.

choledocholithiasis.

pruritus.

adenomyomatosis.

adenomyomatosis.