Gallbladder Quiz: Can You Manage The Attack?

1. What does the term 'acalculous cholecystitis' mean?

Inflammation with multiple stones

Gallbladder inflammation without stones

Chronic inflammation of the bile ducts

Infected gallbladder with stones

2. Which nursing intervention is most important for a patient experiencing biliary colic?

NPO status and pain management

Encourage ambulation

High-fat diet

Apply heat to abdomen

3. A patient with symptomatic gallstones refuses surgery. What is an alternative non-surgical option?

Ursodeoxycholic acid therapy

Extracorporeal shock wave lithotripsy

Both A and B

No alternatives exist

4. What is the relationship between gallstones and gallbladder cancer?

No relationship

Gallstones increase cancer risk

Cancer always causes stones

Stones prevent cancer development

5. Which enzyme elevation is most specific for bile duct obstruction?

Amylase

Alkaline phosphatase and GGT

AST

LDH

6. A patient with acute cholecystitis is treated conservatively and improves. When should elective cholecystectomy be performed?

Immediately during acute phase

Within 72 hours

4-6 weeks after resolution

Only if recurrent symptoms occur

7. Which finding on ultrasound is diagnostic of gallstones?

Hyperechoic foci with acoustic shadowing

Dilated common bile duct

Increased gallbladder wall thickness

Pericholecystic fluid

8. What is the primary complication of choledocholithiasis?

Gallbladder rupture

Acute pancreatitis

Hepatic necrosis

Gastric ulceration

9. A patient presents with jaundice and fever. Ultrasound shows dilated bile ducts and a stone in the common bile duct. What is this condition called?

Cholecystitis

Choledocholithiasis

Biliary colic

Cholangitis

10. Which patient population is at highest risk for acalculous cholecystitis?

Young, healthy adults

Critically ill patients in ICU

Patients with normal BMI

Patients with high cholesterol

11. Which of the following is the most common cause of acute cholecystitis?

Bacterial infection

Gallstone obstruction of the cystic duct

Bile duct stricture

Pancreatic inflammation

12. Which complication is most likely to occur if acute cholecystitis is left untreated?

Pancreatitis

Gallbladder perforation

Hepatic abscess

Splenic infarction

13. A patient develops acute cholecystitis with fever and sepsis. What is the most appropriate initial management?

Oral antibiotics and diet modification

IV fluids, antibiotics, and cholecystostomy or cholecystectomy

Ursodeoxycholic acid

Observation for spontaneous resolution

14. What is the primary indication for cholecystectomy in a patient with symptomatic gallstones?

Presence of stones on imaging

Recurrent biliary colic

Elevated liver enzymes

Positive Murphy's sign alone

15. Which risk factor is most strongly associated with gallstone formation?

Male gender

Young age

Female, fat, forty, fertile

High protein diet

16. A patient is diagnosed with cholelithiasis but is asymptomatic. What is the recommended initial management?

Immediate cholecystectomy

Ursodeoxycholic acid therapy

Observation and monitoring

Antibiotics

17. Which laboratory value is typically elevated in acute cholecystitis?

Albumin

White blood cell count

Hemoglobin

Platelets

18. What is Murphy's sign?

Rebound tenderness in the RUQ

Pain with inspiration when hand is under costal margin

Guarding in the epigastric region

Referred pain to the shoulder

19. Which imaging modality is the gold standard for diagnosing cholecystitis and gallstones?

CT scan

X-ray

Ultrasound

MRI

20. A patient presents with right upper quadrant pain, fever, and positive Murphy's sign. What is the most likely diagnosis?

Peptic ulcer disease

Acute cholecystitis

Hepatitis

Kidney stone

Gallbladder Quiz: Can You Manage the Attack?