Gallbladder- Lab Values, Indications, Technique
16 Questions
| Attempts: 87
Questions and Answers
- 1.______________ _______________ is the end product of natural breakdown of the RBC's.
- 2.Serum bilirubin is the measurement of concentration of bilirubin, which is the predominant pigment in _______.
- 3.Direct bilirubin is increased in
- A.
Extrahepatic Obstruction
- B.
Bile Duct Obstruction
- C.
Intrahepatic Disruption
- 4.Serum bilirubin is elevated in __________ hepatic and ______________ jaundice
- 5.Leukocytosis in cases of infection such as _____________ or _______________.
- 6.PT-The clotting time is ____________ in patients with acute cholecystitis, cancer of the gallbladder, and prolonged CBD obstruction.
- 7.Indications for gallbladder sono-
- A.
Pain, RUQ or right shoulder pain with inflammation
- B.
Positive Murphy's sign
- C.
Numbness in extremities
- D.
Vomiting
- E.
Intolerance to fatty foods and dairy products
- F.
Migraines
- G.
Nausea
- H.
Jaundice
- 8.A ________(#) - ________(#) MHz transducer should be used. A thin patient may require a ______(#) MHz probe for optimal resolution.
- 9.The patient must be NPO for ____(#) - ____(#) hours prior to the exam to decrease gas and assure gallbladder distention.
- 10.It is important to explain the procedure to the patient, this reduces patient anxiety and allows the sonographer to obtain ____________ _____________.
- 11.Check all that apply when performing a gallbladder exam
- A.
Check for lab values
- B.
Look for surgical scars or jaundice
- C.
Pinpoint location of maximum tenderness
- D.
Check for Murphy's sign
- E.
Adjust TGC and overall gains
- F.
Obtain images in longitudinal and transverse planes with patient supine and left lateral decubitus. Also right lateral decubitus or even erect if necessary.
- 12.The gallbladder is not routinely measured, however, if a hydropic gallbladder is of concern, the gallbladder would be measured ______________.
- 13.The gallbladder wall should be measured in the ________________ plane on its __________ wall with the sound beam perpendicular to the wall of the gallbladder.
- 14.Minor angulation may result in ________________ of the gallbladder wall
- 15.A ___________ meal may be administered to assess gallbladder contractility or biliary obstruction. A non-obstructed bile duct should decrease in size after this meal.
- 16.A fatty meal is a liquid, usually ____________, given to a patient to stimulate their gallbladder to contract. Fatty meals are usually done in nuclear medicine with a _________ scan.
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