Question 1

Gas-forming bacteria in the gallbladder appear on ultrasound as a:

Accepted Answer

A)  dilated round shape. 
B)  nonshadowing echogenic mass. 
C)  localized dilation. 
D)  bright echo with a ring down or comet-tail artifact. 
A)  dilated round shape. 
B)  nonshadowing echogenic mass. 
C)  localized dilation. 
D)  bright echo with a ring down or comet-tail artifact.

Question 2

The physiologic effect of a fatty meal includes all of the following except:

Accepted Answer

A)  stimulation of cholecystokinin (CCK). 
B)  contraction of the gallbladder. 
C)  decreased bile flow to the liver. 
D)  relaxation of the sphincter of Oddi. 
A)  stimulation of cholecystokinin (CCK). 
B)  contraction of the gallbladder. 
C)  decreased bile flow to the liver. 
D)  relaxation of the sphincter of Oddi.

Question 3

A fusiform dilation of the common bile duct is known as:

Accepted Answer

A)  a choledochal cyst. 
B)  adenomyomatosis. 
C)  cholangitis. 
D)  a Phrygian cap. 
A)  a choledochal cyst. 
B)  adenomyomatosis. 
C)  cholangitis. 
D)  a Phrygian cap.

Question 4

The cystic duct connects the _________ of the gallbladder with the common hepatic duct to form the ___________.

Accepted Answer

A)  fundus; common hepatic duct (CH
D)  
B)  fundus; common bile duct (CB
D)  
C)  neck; CBD 
D)  body; CHD 
A)  fundus; common hepatic duct (CH
D)  
B)  fundus; common bile duct (CB
D)  
C)  neck; CBD 
D)  body; CHD

Question 5

The most common cause of biliary ductal obstruction is the presence of a ductal:

Accepted Answer

A)  cyst. 
B)  tumor. 
C)  stone. 
D)  stricture. 
A)  cyst. 
B)  tumor. 
C)  stone. 
D)  stricture.

Question 6

A Phrygian cap of the gallbladder is:

Accepted Answer

A)  partial septation. 
B)  calcification of the gallbladder wall. 
C)  septations within the organ. 
D)  folding of the gallblabber fundus. 
A)  partial septation. 
B)  calcification of the gallbladder wall. 
C)  septations within the organ. 
D)  folding of the gallblabber fundus.

Question 7

The distal duct lies ___________ with the anterior wall of the inferior vena cava (IVC).

Accepted Answer

A)  parallel 
B)  perpendicular 
C)  lateral 
D)  horizontal 
A)  parallel 
B)  perpendicular 
C)  lateral 
D)  horizontal

Question 8

Air within the biliary tree, secondary to common bile duct stents, is called:

Accepted Answer

A)  pneumobilia. 
B)  hemobilia. 
C)  pneumothorax. 
D)  cholangitis. 
A)  pneumobilia. 
B)  hemobilia. 
C)  pneumothorax. 
D)  cholangitis.

Question 9

The right and left hepatic ducts emerge from the right lobe of the liver in the porta hepatis and unite to form the:

Accepted Answer

A)  common hepatic duct. 
B)  cystic duct. 
C)  common bile duct. 
D)  common pancreatic duct. 
A)  common hepatic duct. 
B)  cystic duct. 
C)  common bile duct. 
D)  common pancreatic duct.

Question 10

A condition causing RUQ pain in which small polypoid masses arise from the gallbladder wall demonstrating "comet tail" artifact is:

Accepted Answer

A)  choledocholithiasis. 
B)  cholesterosis. 
C)  adenomyomatosis. 
D)  pruritus. 
A)  choledocholithiasis. 
B)  cholesterosis. 
C)  adenomyomatosis. 
D)  pruritus.

Exam 10: Gallbladder and the Biliary System

Gas-forming bacteria in the gallbladder appear on ultrasound as a:

The physiologic effect of a fatty meal includes all of the following except:

A fusiform dilation of the common bile duct is known as:

The cystic duct connects the _________ of the gallbladder with the common hepatic duct to form the ___________.

The most common cause of biliary ductal obstruction is the presence of a ductal:

A Phrygian cap of the gallbladder is:

The distal duct lies ___________ with the anterior wall of the inferior vena cava (IVC).

Air within the biliary tree, secondary to common bile duct stents, is called:

The right and left hepatic ducts emerge from the right lobe of the liver in the porta hepatis and unite to form the:

A condition causing RUQ pain in which small polypoid masses arise from the gallbladder wall demonstrating "comet tail" artifact is:

Foundations of Clinical Sonography

Essentials of Patient Care for the Sonographer

Ergonomics and Musculoskeletal Issues in Sonography

Anatomic and Physiologic Relationships Within the Abdominopelvic Cavity

Comparative Sectional Anatomy of the Abdominopelvic Cavity

Basic Ultrasound Imaging: Techniques, Terminology, and Tips

Imaging and Doppler Artifacts

Vascular System

Liver

Spleen

Pancreas

Gastrointestinal Tract

Peritoneal Cavity and Abdominal Wall

Urinary System

Retroperitoneum

Abdominal Applications of Ultrasound Contrast Agents

Ultrasound-Guided Interventional Techniques

Emergent Ultrasound Procedures

Sonographic Techniques in the Transplant Patient

Breast

Thyroid and Parathyroid Glands

Scrotum

Musculoskeletal System

Neonatal and Pediatric Abdomen

Neonatal and Pediatric Adrenal and Urinary System

Neonatal and Infant Head

Infant and Pediatric Hip

The Neonatal and Infant Spine

Anatomic and Physiologic Relationships Within the Thoracic Cavity

Understanding Hemodynamics

Introduction to Echocardiographic Techniques, Terminology, and Tips

Introduction to Clinical Echocardiography: Left-Sided Valvular Heart Disease

Introduction to Clinical Echocardiography: Pericardial Disease, Cardiomyopathies, and Tumors

Fetal Echocardiography: Beyond the Four Chambers

Fetal Echocardiography: Congenital Heart Disease

Extracranial Cerebrovascular Evaluation

Intracranial Cerebrovascular Evaluation

Peripheral Arterial Evaluation

Peripheral Venous Evaluation

Normal Anatomy and Physiology of the Female Pelvis

Sonographic and Doppler Evaluation of the Female Pelvis

Pathology of the Uterus

Pathology of the Ovaries

Pathology of the Adnexa

Role of Ultrasound in Evaluating Female Infertility

Role of Sonography in Obstetrics

Clinical Ethics for Obstetric Sonography

The Normal First Trimester

First-Trimester Complications

Sonography of the Second and Third Trimesters

Obstetric Measurements and Gestational Age

Fetal Growth Assessment by Sonography

Sonography and High-Risk Pregnancy

Prenatal Diagnosis of Congenital Anomalies

Placenta

Umbilical Cord

Amniotic Fluid and Fetal Membranes

Fetal Face and Neck

Fetal Neural Axis

Fetal Thorax

Fetal Anterior Abdominal Wall

Fetal Abdomen

Fetal Urogenital System

Fetal Skeleton

Filters

The cystic duct connects the _ of the gallbladder with the common hepatic duct to form the ___.