Pathology Of Gallbladder! Trivia Quiz! Test

30 Questions | Total Attempts: 602

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Pathology Of Gallbladder! Trivia Quiz! Test - Quiz

What do you know about the pathology of the gallbladder? Do you think you could pass this quiz? Gallbladder disease is common, and it has to be considered as a differential diagnosis of upper abdominal pain and jaundice. The most common disorder in the gallbladder is the existence of calculi. Inflammation causes most of the gallbladder disease. See how much you know about the pathology of the gallbladder by trying this quiz.


Questions and Answers
  • 1. 
    Check all that apply to Sonographic Non-Visualization of the GB:
    • A. 

      Porcelain GB

    • B. 

      Overlying bowel gas

    • C. 

      Chronic cholecystitis

    • D. 

      Not NPO

    • E. 

      S/p chole

    • F. 

      Congenitally absent

    • G. 

      Contracted GB with stones

    • H. 

      Hepatitis and cirrhosis

    • I. 

      Courvoiser's GB

    • J. 

      Sludge filled GB

    • K. 

      Ectopic GB

    • L. 

      IV hyperalimentation

    • M. 

      GB neoplasms that completely fill lumen

  • 2. 
    Hepatitis and Cirrhosis increase GB volume due to decreased bile production due to hepatocyte injury.
    • A. 

      True

    • B. 

      False

  • 3. 
    Check all that apply to having a small GB:
    • A. 

      Not NPO

    • B. 

      Congenital hypoplasia

    • C. 

      Courvoisiers GB

    • D. 

      Hepatitis and cirrhosis

    • E. 

      Cystic duct obstruction

    • F. 

      Prolonged fasting

    • G. 

      Chronic cholecystitis

  • 4. 
    Check all that apply to an enlarged GB:
    • A. 

      IV hyperalimentation

    • B. 

      Prolonged fasting

    • C. 

      Adenomyomatosis

    • D. 

      Acute cholecystitis

    • E. 

      Cystic duct obstruction

    • F. 

      Courvoisers GB

    • G. 

      Diabetes

    • H. 

      AIDS

    • I. 

      Post vagotomy

  • 5. 
    GB wall thickness is considered normal if it is less than ____mm.
  • 6. 
    A physiologic cause of GB wall thickening is a contracted GB after eating.
    • A. 

      True

    • B. 

      False

  • 7. 
    Check all the extrinsic causes of GB wall thickness:
    • A. 

      Chronic hepatitis

    • B. 

      CHF (right sided heart failure)

    • C. 

      Renal failure

    • D. 

      Acute hepatitis

    • E. 

      AIDS

    • F. 

      Chronic cholecystitis

    • G. 

      Sepsis

    • H. 

      Adenomyomatosis

    • I. 

      Polyp

    • J. 

      Ascites due to hypoalbumenia

  • 8. 
    Check all the intrinsic causes that apply to GB wall thickening:
    • A. 

      Acute cholecystitis

    • B. 

      Polyp

    • C. 

      GB cancer (primary or metastatic)

    • D. 

      Chronic cholecystitis

    • E. 

      Sludge

    • F. 

      Hepatitis

    • G. 

      Adenomyomatosis

    • H. 

      Cirrhosis

    • I. 

      Emphysematous cholecystitis

    • J. 

      Gangrenous cholecystitis

  • 9. 
    This is the classification of calcium-bilirubin granules and cholesterol crystals.  
  • 10. 
    Patients with sludge may be asymptomatic or present with symptoms similar to gallstone pain.
    • A. 

      True

    • B. 

      False

  • 11. 
    Organization of sludge into round, mobile, echogenic, non-shadowing balls is referred to as ________  _______.
  • 12. 
    Longstanding obstruction that results in sludge that does not move, in which resembles a pseudo-tumor or GB neoplasm, is known as __________  _______.
  • 13. 
    Sludge can be caused by: 
    • A. 

      Cystic duct obstruction

    • B. 

      Gangrenous cholecystitis

    • C. 

      Hyperalimentation

    • D. 

      Contracted GB

    • E. 

      Overlying bowel gas

    • F. 

      Acute or chronic cholecystitis

    • G. 

      Biliary stasis secondary to prolonged fasting

  • 14. 
    Artifacts that mimic sludge will move.
    • A. 

      True

    • B. 

      False

  • 15. 
    Sonographic appearance of sludge can be characterized as , non- __________, mobile, low level _______ within the GB lumen.
  • 16. 
    Gallstones are composed of __________, calcium __________, and calcium ____________.  
  • 17. 
    Approximately 75% of gallstones in the USA are primarily cholesterol.
    • A. 

      True

    • B. 

      False

  • 18. 
    One of the risk factors of cholelithiasis is the 6 F's. List all of the 6 F's (alphabetically)
  • 19. 
    Check all the risk factors that apply to cholelithiasis:
    • A. 

      Parity

    • B. 

      Pregnancy

    • C. 

      Hypertension

    • D. 

      Estrogen therapy

    • E. 

      Bowel gas

    • F. 

      Diet

    • G. 

      Gestational diabetes

    • H. 

      Oral contraceptives

    • I. 

      6 F's

  • 20. 
    With non-obstructive gallstones, lab values are usually abnormal.
    • A. 

      True

    • B. 

      False

  • 21. 
    ALT may be elevated if CD or CBD are obstructed.
    • A. 

      True

    • B. 

      False

  • 22. 
    What are the 3 characteristics of gallstones that MUST BE present in order to diagnose gallstones:
  • 23. 
    Gallstones may be solitary or multiple.
    • A. 

      True

    • B. 

      False

  • 24. 
    Check all that apply to symptoms of Gallstones:
    • A. 

      Asymptomatic

    • B. 

      May have RUQ pain that radiates to right shoulder

    • C. 

      Pain mimics chest pain

    • D. 

      Diarrhea

    • E. 

      Nausea and vomiting

    • F. 

      Bowel gas

  • 25. 
    There is a high incidence of gallstones associated with ___________ of the GB.
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