Gallbladder

Multiple Choice

Which of the following substances stimulate the gallbladder secretion?

• Somatostatine

• CCK

• Gastrin

• Pepsin

Multiple Choice

The main type of gallstones in the US are:

• Cholesterol

• Bilirubin calcium salts

• Bile salts

• MSU

Multiple Choice

Usually cholelithiasis is symptomatic:

• True

• False

Multiple Choice

The evaluation of gallstones usually starts with:

• Transabdominal ultrasound

• Abdominal MRI

• Abdominal CT scan

• Abdominal x-ray

Multiple Choice

Which of the following is the most common complication of gallstones?

• Chronic cholecystitis

• Cholangitis

• Acute cholecystitis

• Choledocholitiasis

Multiple Choice

In this sign deep inspiration causes the gallbladder to descend toward and press against the examining fingers, which in patients with acute cholecystitis commonly leads to increased discomfort and the patient catching his or her breath.

• Murphy's sign

• Rovsign's sign

• Dafny's sign

• Rebound's sign

Open Ended

What do you expect to see in labs of acute cholecystitis?

Multiple Choice

It consists of the impaction of calculi in the neck of the gallbladder or cystic duct that compresses the common hepatic duct:

• Mirizzi syndrome

• Martus syndrome

• Morteus syndome

• Messi syndrome

Multiple Choice

Is the result of hyperplasia and herniation of epithelial cells through the fibromuscular layer.

• Rokitansky-aschoff sinuses

• Transky sinuses

• Terous sinuses

• Mirizzi-astoch sinuses

Multiple Choice

Gallbladder cancer is an uncommon but highly fatal malignancy. The following oncoportein is overexpressed in a third to two-thirds of cases.

• Her-2/neu

• RAS

• ERBB4

• MYC

Multiple Choice

Most carcinomas of the gallbladders are:

• Adenocarcinoma

• Papillary

• Mucinous

• Adenosquamous