Gallbladder and Bile System Overview
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Questions and Answers

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?

<p>Cholecystitis (A)</p> Signup and view all the answers

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

<p>Calculous Cholecystitis (A)</p> 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?

<p>Calculous Cholecystitis (C)</p> Signup and view all the answers

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

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

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

<p>Gangrene (C)</p> Signup and view all the answers

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

<p>Increased fat excretion (D)</p> Signup and view all the answers

What is the term for the inflammation of the peritoneum?

<p>Peritonitis (B)</p> Signup and view all the answers

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

<p>Itching and burning (D)</p> Signup and view all the answers

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

<p>Necrosis (C)</p> Signup and view all the answers

What is the primary goal of management in chronic cholecystitis?

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

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

<p>Jaundice (D)</p> Signup and view all the answers

What is a characteristic of steatorrhea?

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

Which of the following is a risk factor for cholecystitis?

<p>Rapid weight loss (B)</p> Signup and view all the answers

What is Blumberg sign?

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

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

<p>Regular exercise (D)</p> Signup and view all the answers

What is the best initial diagnostic test for cholecystitis?

<p>Ultrasound (C)</p> Signup and view all the answers

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

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

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

<p>It measures the level of inflammation (D)</p> Signup and view all the answers

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

<p>Inflammation (B)</p> Signup and view all the answers

Which liver enzyme is elevated in cholecystitis?

<p>All of the above (D)</p> Signup and view all the answers

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

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

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

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

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

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

What is the indication for Percutaneous Transhepatic Biliary Catheter?

<p>Biliary obstruction (C)</p> Signup and view all the answers

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

<p>To relieve pain in acute biliary pain (C)</p> Signup and view all the answers

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

<p>To facilitate drainage by gravity (B)</p> Signup and view all the answers

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

<p>Faster patient recovery (B)</p> Signup and view all the answers

What is a potential complication of laparoscopic cholecystectomy?

<p>Discomfort from CO2 retention (D)</p> Signup and view all the answers

What is the primary difference between internal and external drainage?

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

What does a reduction in bile drainage indicate?

<p>The drain is not working properly (C)</p> Signup and view all the answers

How many incisions are typically made in laparoscopic cholecystectomy?

<p>Several (B)</p> Signup and view all the answers

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

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

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

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

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

<p>The same day (B)</p> Signup and view all the answers

Where is the incision typically made in traditional open cholecystectomy?

<p>Below the ribs on the right side (B)</p> Signup and view all the answers

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