Gallbladder Pathology Quiz
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Questions and Answers

What is the most common liver pathology associated with the gallbladder pathology on the image?

  • Hepatoma
  • Focal nodular hyperplasia
  • Sludge
  • Acute hepatitis (correct)
  • What is the most probable diagnosis for a patient presenting with an enlarged gallbladder filled with echogenic material that does not shadow?

  • Tumefactive sludge
  • Sludge (correct)
  • Gallstones
  • Empyema of the GB
  • What change in transducer frequency would improve the detectability of stone shadowing during gallbladder sonography?

  • Decrease transducer focusing
  • Increase output power
  • Increase transducer frequency
  • Decrease transducer frequency (correct)
  • In a patient with low-level echoes within the gallbladder consistent with sludge and no thickening of the gallbladder wall, what statement below is true?

    <p>The patient has sludge most likely due to bile stasis.</p> Signup and view all the answers

    In a patient with sickle cell anemia showing gallstones and gallbladder wall thickening, what should be done to determine if acute cholecystitis is present?

    <p>Look carefully to see if a gallstone is lodged in the gallbladder neck.</p> Signup and view all the answers

    What is the most common disease of the gallbladder according to the text?

    <p>Cholelithiasis</p> Signup and view all the answers

    Which sonographic finding is characteristic of a pericholecystic abscess?

    <p>Hypoechoic mass or area surrounding the gallbladder secondary to debris</p> Signup and view all the answers

    Which term is used to describe a gallbladder that appears enlarged with a thin wall?

    <p>Hydropic gallbladder</p> Signup and view all the answers

    What is the significance of the 'WES sign' in gallbladder imaging?

    <p>It helps differentiate acute from chronic cholecystitis</p> Signup and view all the answers

    Which finding is characteristic of sludge in the gallbladder on ultrasound?

    <p>Clean dark posterior shadowing with distinct margins</p> Signup and view all the answers

    Which laboratory finding is commonly associated with bile flow obstruction?

    <p>Increased risk of stone formation</p> Signup and view all the answers

    Which symptom is NOT associated with gallbladder inflammation?

    <p>Jaundice</p> Signup and view all the answers

    What does an increased direct bilirubin indicate?

    <p>Obstruction of bile flow</p> Signup and view all the answers

    What is the purpose of a HIDA scan?

    <p>To evaluate for biliary obstruction</p> Signup and view all the answers

    What is a characteristic feature of sludge in the gallbladder appearance on ultrasound?

    <p>Moves slowly with patient repositioning</p> Signup and view all the answers

    Which condition can sludge balls in the gallbladder mimic on ultrasound?

    <p>Hemobilia</p> Signup and view all the answers

    What is the appearance of 'Milk of calcium' bile on ultrasound?

    <p>'Limey' thick pasty form</p> Signup and view all the answers

    What is the most common cause of wall inflammation in acute cholecystitis?

    <p>'Stone' obstruction in the cystic duct</p> Signup and view all the answers

    'Emphysematous Cholecystitis' is characterized by which feature on ultrasound?

    <p>'Champagne sign'</p> Signup and view all the answers

    Which condition involves decreased blood supply to the gallbladder resulting in tissue death and abscesses?

    <p>Gangrenous Cholecystitis</p> Signup and view all the answers

    What is a characteristic feature of 'Tumefactive sludge balls' in the gallbladder?

    <p>Non-shadowing appearance</p> Signup and view all the answers

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