Deck 6: Hepatobiliary System

Question 1

Which type of jaundice occurs because of hemolytic disease in which too many red blood cells are destroyed or because of liver damage from cirrhosis or hepatitis?

A) Medical jaundice
B) Obstructive jaundice

Answer 1

Medical jaundice

Question 2

Chronic liver disease has the highest incidence in which age group?

A) 25-34 years
B) 35-44 years
C) 45-65 years
D) Greater than 65 years

Answer 2

45-65 years

Question 3

Which form of hepatitis is transmitted from the GI tract in fecal material?

A) HAV
B) HBV
C) HCV
D) HDV

Answer 3

HAV

Question 4

Cirrhosis of the liver is considered an end-stage condition resulting from liver damage caused by chronic
1)alcohol abuse.
2)hepatitis.
3)biliary tract obstruction.

A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3

Question 5

Which of the following imaging studies are highly recommended for the diagnosis of acute pancreatitis?
1)CT
2)SPECT
3)Sonography

A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3

Question 6

Fatty infiltration of the liver is termed

A) hyperlipidemia.
B) cirrhosis.
C) metabolic syndrome.
D) steatosis.

Question 7

Which liver lesion is primarily composed of blood vessels?

A) Hepatocellular adenoma
B) Hemangioma
C) Hepatocellular carcinoma
D) Hepatoma

Question 8

The TIPSS procedure is designed to reduce portal hypertension by uniting which vessels?
1)Hepatic artery
2)Hepatic vein
3)Portal vein

A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3

Question 9

Which diagnostic examination does the ACR recommend for a patient who presents with right upper quadrant pain that may be attributed to the biliary system?

A) CT without contrast
B) Sonogram
C) Radiograph
D) Nuclear medicine with contrast

Question 10

Which imaging procedure is preferred in the evaluation of proximal obstructions involving the hepatic duct bifurcation?

A) ERCP
B) Percutaneous transhepatic cholangiogram
C) T-tube cholangiogram
D) Operative cholangiogram

Question 11

The impaction of a gallstone in the small bowel is referred to as

A) cholelithiasis.
B) gallstone ileus.
C) obstructive jaundice.
D) medical jaundice.

Question 12

A fluid collection that develops from the pancreas is termed

A) ascites.
B) pancreatitis.
C) polycystic disease.
D) a pseudocyst.

Question 13

What is the incidence of gallstones in the United States for persons over 65 years of age?

A) 5%
B) 10%
C) 15%
D) 20%

Question 14

Which of the following diagnostic imaging studies provides physiologic function of the liver?

A) CT without contrast
B) Sonogram
C) Radiograph
D) Nuclear medicine with contrast

Question 15

How many types of viral hepatitis have been identified?

A) 2
B) 4
C) 6
D) 8

Question 16

Which of the following additional imaging procedures are highly recommended in patients who have gallstones demonstrated with sonography but do not have fever or an elevated white blood cell count?
1)Nuclear medicine cholescintigraphy
2)CT of the abdomen (with or without contrast)
3)MRI of the abdomen (with or without contrast)

A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3

Question 17

A MRCP is used to visual which anatomic structures?
1)Gallbladder
2)Biliary system
3)Kidney

A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only d 1, 2, and 3
D) 1, 2, and 3

Question 18

Which imaging procedure can differentiate between vessels and biliary ducts based on flow characteristics?

A) CT of the abdomen with contrast
B) Magnetic resonance cholangiopancreatography
C) Nuclear medicine cholescintigraphy
D) Doppler sonography

Question 19

The inflammation of the gallbladder is referred to as

A) colitis.
B) cholecystitis.
C) cholelithiasis.
D) cholecystectomy.

Question 20

A radiograph of the abdomen on a patient with known cirrhosis may be compromised due to what additional pathologic condition?

A) Shrunken liver tissue
B) Gallstones
C) Ascites
D) Pancreatitis

Question 21

The liver has a double supply of blood, coming from the hepatic artery and the portal vein.

Question 22

Although most commonly found in the gallbladder, gallstones can be located anywhere in the biliary tree.

Question 23

Hepatitis B accounts for 80% of the cases of hepatitis that develop after blood transfusions.

Question 24

The liver is a common site for metastasis from other primary sites such as the colon, pancreas, stomach, lung, and breast.

Question 25

The right and left hepatic ducts unite to form the common bile duct.

Question 26

Hepatitis B (HBV)is transmitted parenterally in infected serum or blood products.

Question 27

The majority of adenocarcinomas of the pancreas occur in the _____ of the pancreas.

A) head
B) body
C) tail

Question 28

Ascites is best demonstrated by which of the following imaging procedures?
1)CT of the abdomen
2)Sonogram of the abdomen
3)ERCP

A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3

Question 29

Approximately 80% of all gallstones are composed of a mixture of cholesterol, bilirubin, and calcium salts.

Question 30

Chronic pancreatitis resolves without impairing the histologic makeup of the pancreas.