27 Questions
What is the primary constituent in bile responsible for predisposing to gallstone formation?
Cholesterol
What is the most common type of gallstone?
Mixed, predominantly cholesterol
What is the term for pain arising from the gallbladder without established inflammation or infection?
Biliary colic
What percentage of acute calculous cholecystitis cases report a previous attack of biliary pain?
70%
Which condition involves infection of the gallbladder wall with gas-forming bacteria, usually anaerobes?
Emphysematous cholecystitis
What is the prognosis for gallbladder cancer in untreated patients?
5-year survival rates of less than 5%
Which cancer accounts for only 2%–3% of malignancies and is divided into intrahepatic or extrahepatic types?
Bile duct cancer (cholangiocarcinoma)
Which type of cholangiocarcinoma arises in the perihilar region and has a reported 5-year survival of 10%–20%?
Extrahepatic cholangiocarcinoma
Which factors are associated with increased incidence of gallbladder cancer?
Liver flukes and chronic Salmonella typhi infection
What is the term for pain arising from inflammation of the gallbladder wall?
Acute calculous cholecystitis
What percentage of the general population is found to have cholelithiasis?
12%
Which group has a higher risk of developing cholelithiasis?
Women compared to men
Which medical condition is NOT listed as a predisposing factor for cholelithiasis?
Hypertension
Which ethnic group is mentioned as having a predisposition to cholelithiasis?
Scandinavians
Which factor is described as most critical to stone formation in cholelithiasis?
Cholesterol supersaturation
What percentage of the general population with cholelithiasis are symptomatic?
80%
Which age group has the highest percentage of adults with cholelithiasis?
>50 years
Which medical condition is NOT listed as a predisposing factor for cholelithiasis?
Hypertension
What is the approximate overall mortality for acute pancreatitis (AP)?
10-15%
Which of the following is a known etiology of gallstone pancreatitis?
Cardiopulmonary bypass
What is a defining characteristic of pancreatic pseudocysts?
They have a discrete epithelial lining.
In what percentage of patients who suffer an attack of acute pancreatitis do pseudocysts develop as a complication?
10%
What is the definition of pancreatic necrosis?
Associated with peripancreatic fat necrosis.
What can result from inflammation and disruption of the pancreatic duct?
Fluid tracking into the left pleural cavity.
What is a characteristic feature of chronic pancreatitis?
Marked by the gradual destruction of pancreatic exocrine and endocrine tissues.
What are the most common malignant pancreatic neoplasms?
Ductal adenocarcinomas
What are some common risk factors for malignant pancreatic cancers?
Peutz-Jeghers syndrome
Explore the pathophysiology of diseases related to the gallbladder, biliary tree, and pancreas in this comprehensive quiz. Topics include benign conditions, cholelithiasis, and other related conditions. Prepared by medical students under the supervision of experienced professionals.
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