Gallbladder and Biliary Tract Conditions Quiz
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Questions and Answers

Which of the following is the most common form of liver cancer?

  • Metastatic liver disease
  • Adenocarcinoma
  • Hepatoblastoma
  • Hepatocellular carcinoma (correct)

Clinical findings of hepatitis include all of the following except:

  • Chills
  • Pericholecystic fluid (correct)
  • Fever
  • Jaundice

The gallbladder wall should measure no more than:

  • 6 mm
  • 4 mm
  • 3 mm
  • 5 mm (correct)

What is/are cholelithiasis?

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

The diameter of the gallbladder should not exceed:

<p>8 cm (B)</p> Signup and view all the answers

Acute cholecystitis that leads to necrosis and abscess development within the gallbladder wall describes:

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

All of the following structures are located in the retroperitoneum except the:

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

The most common cause of abdominal aneurysms is:

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

What is the term for inflammation of the bile ducts?

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

Which pigment is found in bile and is produced by the breakdown of old red blood cells?

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

What is the most common location for adenocarcinoma of the pancreas?

<p>Head of the pancreas (C)</p> Signup and view all the answers

What is a gallstone located within the biliary tree called?

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

Which muscle controls the emptying of bile and pancreatic juices into the duodenum?

<p>Sphincter of Oddi (A)</p> Signup and view all the answers

What is the early sonographic appearance of acute pancreatitis?

<p>Hyperechoic glandular echotexture (D)</p> Signup and view all the answers

Which of the following describes the most common echogenicity of an acutely inflamed pancreas?

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

Which process refers to the making of red blood cells?

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

Flashcards

Inflammation of the bile ducts

Cholangitis is the inflammation of the bile ducts.

Bile Pigment

Bilirubin is the yellow pigment produced by the liver from the breakdown of old red blood cells.

Common Pancreatic Adenocarcinoma Location

Adenocarcinoma of the pancreas most commonly occurs in the head of the pancreas.

Gallstone in Biliary Tree

Choledocholithiasis is a gallstone located within the biliary tree.

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Muscle Controlling Bile/Pancreatic Juice

The Sphincter of Oddi controls the emptying of bile and pancreatic juices into the duodenum.

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Early Acute Pancreatitis Sonographic Appearance

A hyperechoic glandular echotexture is a common early sonographic finding of acute pancreatitis.

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Splenic Hemangioma appearance

A splenic hemangioma typically appears as an echogenic (bright) mass on ultrasound that doesn't produce a shadow.

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Red Blood Cell Production

Erythropoiesis is the process of making red blood cells.

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Most common liver cancer type

Hepatocellular carcinoma is the most common type of liver cancer.

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Gallbladder wall thickness limit

The gallbladder wall should not exceed 4mm in thickness for health.

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Gallbladder's blood supply

The cystic artery supplies the gallbladder with blood.

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Cholelithiasis

Cholelithiasis is the presence of gallstones.

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Gallbladder-Biliary Tree connection

The cystic duct connects the gallbladder to the biliary tree.

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Gallbladder diameter limit

The healthy gallbladder diameter generally should not exceed 8 cm.

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Gangrenous cholecystitis

Describes acute cholecystitis leading to gallbladder wall necrosis and abscess formation.

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Retroperitoneal structures

Structures in the retroperitoneum include aorta, kidney, psoas muscle. NOT the spleen.

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Study Notes

Gallbladder and Biliary Tract Conditions

  • Cholangitis: Inflammation of the bile ducts.
  • Choledocholithiasis: Gallstones within the biliary tree.
  • Cholelithiasis: Gallstones.
  • Bile Composition: Bilirubin, a yellow pigment, is a breakdown product of old red blood cells by the liver.
  • Sphincter of Oddi: Muscle controlling the emptying of bile and pancreatic juices into the duodenum.
  • Sphincter of Vater: Also controls the emptying of bile and pancreatic juices into the duodenum.
  • Cystic Duct: Connects the gallbladder to the biliary tree.
  • Common Bile Duct: Part of the biliary tree.
  • Gallbladder Size: Normal gallbladder diameter should not exceed 8 cm.
  • Gallbladder Wall Thickness: Normal wall thickness is typically less than 5mm.
  • Cholecystitis: inflammation of the gallbladder.
  • Gangrenous Cholecystitis: Acute cholecystitis leading to necrosis and abscess formation.
  • Emphysematous Cholecystitis: A form of acute cholecystitis characterized by gas within the gallbladder wall.
  • Gallbladder Blood Supply: The cystic artery provides direct blood supply.
  • Common Hepatic Duct: Part of the biliary duct system.
  • Right hepatic Duct: Part of the biliary duct system.

Pancreas Conditions

  • Pancreatic Adenocarcinoma Location: Most commonly found in the head of the pancreas.
  • Acute Pancreatitis Sonographic Appearance: Early appearance is often normal, but inflamed pancreas can be hyperechoic.

Liver Conditions

  • Fatty Liver Disease: Sonographic appearance is difficult penetration and a diffusely echogenic liver.
  • Cirrhosis Causes: The most common cause is alcoholism. Hepatitis is another possibility.
  • Liver Cancer Types: Hepatocellular carcinoma is the most common type. Metastatic liver disease is also common.
  • Hepatitis Clinical Findings: Jaundice, fever, and chills are common.
  • Portal Veins: Carry deoxygenated blood toward the liver.
  • Portal Vein Thrombosis: Can cause a difficult-to-penetrate, echogenic liver.

Spleen Conditions

  • Splenic Hemangioma: Sonographic appearance is typically hypoechoic and rounded.
  • Splenomegaly Causes: Portal hypertension is a frequent cause.

Other Abdominal Structures

  • Aorta: Normal diameter in men is less than 3 cm.
  • Aortic Aneurysms Most Common Cause: Atheroma or arteriosclerosis.

Red Blood Cell Production

  • Erythropoiesis: The process of producing red blood cells.

Additional Clinical Points

  • Acute Pancreatitis Early Sonographic Appearance: Often normal or a hyperechoic glandular pattern.
  • Lipoma: Echogenic mass that does not produce acoustic shadowing.
  • Blood supply to the gallbladder: The cystic artery.
  • Retroperitoneal Structures: The aorta, psoas muscle, and kidneys are retroperitoneal. The spleen is not.

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Description

Test your knowledge on various gallbladder and biliary tract conditions including cholangitis, choledocholithiasis, and cholecystitis. This quiz covers anatomy, bile composition, and specific medical terminologies related to the gallbladder. Challenge yourself to understand the intricacies of these important physiological systems.

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