Gallbladder and Bile System Overview

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Where is the gallbladder located in the body?

Inside the abdominal cavity
Next to the small intestine
Underneath the liver (correct)
On top of the liver

What is the primary function of the gallbladder?

To break down fats
To aid in digestion directly
To store and concentrate bile (correct)
To produce bile

What is the primary pigment in bile?

Bile salt
Bile acid
Cholesterol
Bilirubin (correct)

What is the term for the inflammation of the gallbladder?

Cholecystitis (A) Signup and view all the answers

What type of cholecystitis is characterized by the presence of gallstones?

Calculous Cholecystitis (A) Signup and view all the answers

What is the term for the obstruction of the cystic duct, gallbladder neck, or common bile duct by gallstones?

Calculous Cholecystitis (C) Signup and view all the answers

What is the purpose of asking a patient about the color of their urine and stool?

To evaluate the patient's liver function (A) Signup and view all the answers

What is the result of tissue death due to a form of interrupted blood supply?

Gangrene (C) Signup and view all the answers

What is the primary cause of oily, smelly stools in patients with chronic cholecystitis?

Increased fat excretion (D) Signup and view all the answers

What is the term for the inflammation of the peritoneum?

Peritonitis (B) Signup and view all the answers

What is the result of the buildup of bile salts in the skin?

Itching and burning (D) Signup and view all the answers

What is the term for the process of irreversible cell death?

Necrosis (C) Signup and view all the answers

What is the primary goal of management in chronic cholecystitis?

Emphasis on weight loss and avoidance of fatty foods (B) Signup and view all the answers

What is the term for the yellowing of the skin and eyes due to bilirubin buildup?

Jaundice (D) Signup and view all the answers

What is a characteristic of steatorrhea?

Oily, smelly stools that often float (B) Signup and view all the answers

Which of the following is a risk factor for cholecystitis?

Rapid weight loss (B) Signup and view all the answers

What is Blumberg sign?

Pain that occurs upon removal of pressure from the abdomen (B) Signup and view all the answers

Which of the following is NOT a risk factor for gallstones?

Regular exercise (D) Signup and view all the answers

What is the best initial diagnostic test for cholecystitis?

Ultrasound (C) Signup and view all the answers

What is the purpose of obtaining a CBC in a patient with suspected cholecystitis?

To look for an increase in WBCs (D) Signup and view all the answers

What is the significance of an elevated ESR (Sed Rate) in a patient with suspected cholecystitis?

It measures the level of inflammation (D) Signup and view all the answers

What is the indication of an ESR of 20 mm/hr?

Inflammation (B) Signup and view all the answers

Which liver enzyme is elevated in cholecystitis?

All of the above (D) Signup and view all the answers

What is the purpose of Ursodiol in the treatment of gallstones?

To dissolve gallstones when they cannot be removed by surgery (D) Signup and view all the answers

What is the advantage of Extracorporeal Shock Wave Lithotripsy (ESWL)?

It can treat patients with normal weight and good gallbladder function (D) Signup and view all the answers

What is the purpose of periodic surveillance in patients undergoing non-surgical treatment for gallstones?

To monitor the patient's response to Ursodiol (B) Signup and view all the answers

What is the indication for Percutaneous Transhepatic Biliary Catheter?

Biliary obstruction (C) Signup and view all the answers

What is the purpose of Ketorolac in the treatment of gallstones?

To relieve pain in acute biliary pain (C) Signup and view all the answers

What is the purpose of positioning the external drainage bag below the catheter insertion site?

To facilitate drainage by gravity (B) Signup and view all the answers

What is an advantage of laparoscopic cholecystectomy over traditional open cholecystectomy?

Faster patient recovery (B) Signup and view all the answers

What is a potential complication of laparoscopic cholecystectomy?

Discomfort from CO2 retention (D) Signup and view all the answers

What is the primary difference between internal and external drainage?

All bile enters the duodenum in internal drainage, while some bile empties into a drainage bag in external drainage (B) Signup and view all the answers

What does a reduction in bile drainage indicate?

The drain is not working properly (C) Signup and view all the answers

How many incisions are typically made in laparoscopic cholecystectomy?

Several (B) Signup and view all the answers

What is the primary advantage of traditional open cholecystectomy over laparoscopic cholecystectomy?

There is no primary advantage of traditional open cholecystectomy (C) Signup and view all the answers

What is the purpose of using a tiny video camera in laparoscopic cholecystectomy?

To enable the surgeon to visualize the inside of the abdomen (D) Signup and view all the answers

What is the typical duration of stay in the hospital for laparoscopic cholecystectomy?

The same day (B) Signup and view all the answers

Where is the incision typically made in traditional open cholecystectomy?

Below the ribs on the right side (B) Signup and view all the answers