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Comic-Based Liver and Gall Bladder Quiz

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

What is the preferred initial management for gall bladder ascariasis?

a)

Immediate surgical intervention

b)

Conservative management with anti-helminthic drugs

c)

Chemotherapy

d)

Radiation therapy

2.

Which of the following best describes the pathological process involved in adenomyomatosis of the gallbladder?

a)

Hyperplastic changes causing overgrowth of mucosa and thickening of the gallbladder wall

b)

Inflammatory destruction of the gallbladder wall

c)

Malignant transformation of gallbladder cells

d)

Simple accumulation of cholesterol in the gallbladder

3.

Why might it be challenging to differentiate between adenomyomatosis and cholesterolosis on imaging?

a)

Both conditions can present with similar sonographic features

b)

Both conditions always present with gallstones

c)

Both conditions are associated with acute inflammation

d)

Both conditions cause complete obstruction of the bile duct

4.

Based on the image and the term "Adenomyomatosis," which organ is most likely being examined in this ultrasound?

a)

Gallbladder

b)

Kidney

c)

Liver

d)

Pancreas

5.

Which of the following are the two most common causes of biliary obstruction in the distal common bile duct (CBD)?

a)

Gallstones and carcinoma in the head of the pancreas

b)

Cholangitis and biliary atresia

c)

Choledochal cyst and Mirizzi syndrome

d)

Pancreatic adenocarcinoma and gallbladder carcinoma

6.

Which laboratory findings are most likely to be elevated in a patient with biliary obstruction?

a)

ALP, conjugated bilirubin, and GGT

b)

AST, ALT, and amylase

c)

Hemoglobin, hematocrit, and platelets

d)

Sodium, potassium, and chloride

7.

What happens to the intrahepatic ducts and gallbladder when there is an obstruction at the bifurcation (BIF) of the right and left hepatic ducts (RHD and LHD)?

a)

Intrahepatic ducts dilate; gallbladder contracts

b)

Intrahepatic ducts contract; gallbladder dilates

c)

Only the cystic duct dilates; gallbladder contracts

d)

Only the common bile duct dilates; gallbladder expands

8.

A patient is diagnosed with Mirizzi Syndrome. Which of the following findings would you expect to observe?

a)

Cholecystocholechochal fistula

b)

Portal vein thrombosis

c)

Hepatic artery aneurysm

d)

Splenic infarction

9.

Which laboratory findings are most likely to be elevated in a patient with cholangitis?

a)

Conjugated bilirubin, ALP, GGT, Amylase, Lipase, WBC

b)

Hemoglobin, Hematocrit, Platelets

c)

Sodium, Potassium, Chloride

d)

Glucose, Insulin, C-peptide

10.

A patient presents with air in the biliary tract but no symptoms. Which of the following is the most likely diagnosis?

a)

Pneumobilia

b)

Cholelithiasis

c)

Hepatic abscess

d)

Acute pancreatitis