Gallbladder- Lab Values, Indications, Technique

16 Questions | Total Attempts: 56

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Gallbladder Quizzes & Trivia

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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