Gb Pathology Part 3

55 Questions | Total Attempts: 40

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Pathology Quizzes & Trivia

Part 3 of pathology


Questions and Answers
  • 1. 
    This is an actual rupture of the GB wall seen in 5-10% of acute cholecystitis cases and can occur at any stage of acute cholecystitis.
  • 2. 
    GB perforation should be suspected if a localized fluid collection is seen within the GB bed.
    • A. 

      True

    • B. 

      False

  • 3. 
    What are the 3 typed of GB perforation:
  • 4. 
    ________ perforation is a free perforation that results in generalized peritonitis. It is a very irritating substance that results in _______ of peritoneal membrane.
  • 5. 
    This is the MOST COMMON form of perforation and is characterized by a localized rupture that results in the formation of a pericholecystic abscess.
  • 6. 
    This type of perforation results in an internal abnormal fistula formation or perforation into an adjacent hollow viscous. It is seen with Bouveret's syndrome
  • 7. 
    ___________ Syndrome is an obstruction of the stomach or duodenum caused by a gallstone that has migrated through a fistula.
  • 8. 
    In the sonographic appearance of GB perforation, it is common to see an abscess adjacent to the GB with subacute involvement.
    • A. 

      True

    • B. 

      False

  • 9. 
    Clinical and lab data of GB perforation:
    • A. 

      Leukocytosis

    • B. 

      Similar to calculous cholecystitis

    • C. 

      Fever

    • D. 

      Similar to acalculous cholecystitis

  • 10. 
    What are the 2 treatments involved with GB perforation:
  • 11. 
    _________ cholecystitis is the MOST COMMON form of symptomatic GB disease almost always associated with stones.
  • 12. 
    Patients with chronic cholecystitis complain of recurrent biliary ______ that lasts for several hours and is caused by transient ___________ of the GB neck or by a stone in the cystic duct.
  • 13. 
    What are the 3 complications of chronic cholecystitis:
  • 14. 
    "WES" stands for _____  ______  _________.
  • 15. 
    The "WES" triad is also known as the "_______  _____  _________" sign.
  • 16. 
    With chronic cholecystitis, an enlarged GB is seen with thickened walls.
    • A. 

      True

    • B. 

      False

  • 17. 
    A positive "WES" sign may be identified with chronic cholecystitis.
    • A. 

      True

    • B. 

      False

  • 18. 
    Clinical and lab data of chronic cholecystitis:
    • A. 

      Nausea and/or vomiting

    • B. 

      Jaundice

    • C. 

      RUQ pain

    • D. 

      History of fatty food intolerance

    • E. 

      Increased ALP, bilirubin, ALT and AST

  • 19. 
    This is a calcification of the GB wall and is associated with gallstones and chronic cholecystitis.
  • 20. 
    There is an increased risk of gallbladder cancer with a porcelain GB.
    • A. 

      True

    • B. 

      False

  • 21. 
    Bouveret's syndrome is also known as _________  ______.
  • 22. 
    This is an obstruction of the stomach or duodenum caused by a gallstone that has migrated through a fistula.
  • 23. 
    Sonographic appearance of porcelain GB:
    • A. 

      Curvilinear echogenic structures within the GB fossa with posterior acoustic enhancement

    • B. 

      Irregular wall with areas of echo densities and shadowing

    • C. 

      Pneumobilia

  • 24. 
    Bouveret's syndrome occurs with longstanding untreated acute cholecystitis.
    • A. 

      True

    • B. 

      False

  • 25. 
    Sono appearance of gallstone ileus:
    • A. 

      Empty GB

    • B. 

      Small contracted GB with gas

    • C. 

      Pneumobilia

    • D. 

      GB with stones and sludge

    • E. 

      Stones may be visible in bowel with dilatation of the proximal bowel

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