Deck 13: The Biliary System

Question 1

The hepatic artery is found slightly medial and anterior to the main portal vein. ____

Answer 1

True
The hepatic artery is located slightly medial and anterior to the main portal vein.

Question 2

The common bile duct is formed by the union of the common hepatic duct and the cystic duct. ____

Answer 2

True
The common bile duct (CBD) is formed by the union of the common hepatic and cystic ducts.

Question 3

Cholecystokinin (CCK) is a peptide hormone that stimulates the gallbladder to contract. ____

Answer 3

True
Cholecystokinin stimulates the gallbladder to contract, the sphincter of Oddi to relax, and the liver to increase bile production.

Question 4

The relationship of the gallbladder and the right kidney can be stated as:

A) The right kidney is anterior to the gallbladder.
B) The right kidney is superior to the gallbladder.
C) The right kidney is posterior to the gallbladder.
D) The right kidney is inferior to the gallbladder.

Question 5

Normally, the gallbladder wall is less than 5 mm thick. ____

Question 6

The gallbladder remains stationary despite changes in the patient's position. ____

Question 7

The route of bile secretion directly from the liver to the gallbladder is via the

A) common bile duct.
B) cystic duct.
C) right hepatic duct.
D) left hepatic duct.

Question 8

The most inferior portion of the common bile duct is called the infraduodenal portion. ____

Question 9

A normal gallbladder appears round on the longitudinal view. ____

Question 10

Following the main portal vein, the gallbladder is seen just superior to the right portal vein. ____

Question 11

The celiac artery passes posterior to the common hepatic duct and anterior to the common duct. ____

Question 12

The gastroduodenal artery is a branch of the

A) celiac artery.
B) proper hepatic artery.
C) splenic artery.
D) common hepatic artery.

Question 13

The common bile duct enters the duodenum through the hepatopancreatic ampulla. ____

Question 14

The gallbladder fossa can be identified close to the main lobar fissure. ____

Question 15

The relationship of the portal vein, common bile duct. and hepatic artery can be stated as:

A) The common bile duct lies medial to the portal vein, and the hepatic artery is located lateral to the portal vein.
B) The portal vein lies medial to the common bile duct and the hepatic artery.
C) The portal vein lies lateral to the common bile duct and the hepatic artery.
D) The common bile duct is located lateral to the portal vein, and the hepatic artery lies medial to the portal vein.

Question 16

The left and right hepatic ducts form the

A) cystic duct.
B) common hepatic duct.
C) common bile duct.
D) portal triad.

Question 17

In the transverse view, the order of structures, from midline to right, is:

A) portal vein, head of the pancreas, duodenum, liver, and gallbladder.
B) portal vein, duodenum, superior mesenteric vein, right kidney, and gallbladder.
C) portal vein, head of the pancreas, gallbladder, right kidney, and liver.
D) splenic vein, superior mesenteric vein, duodenum, gallbladder, portal and vein.

Question 18

The length of the gallbladder is highly variable. ____

Question 19

The common bile duct can be found medial and posterior to the main portal vein. ____

Question 20

CCK is a peptide hormone that stimulates the sphincter of Oddi to contract. ____

Question 21

COMPLETION
Match the following measurements with the proper structure.
a. 0.5 to 2.5 cm
b. 3 to 5 cm
c. 1 to 7 mm
d. 8 to 11.5 cm
e. 3 mm
f. 1 to 3.5 cm
Length of the common hepatic duct ____

Question 22

The common hepatic duct is routinely seen on ultrasound. ____

Question 23

The right hepatic duct is routinely seen on ultrasound. ____

Question 24

COMPLETION
Match the following measurements with the proper structure.
a. 0.5 to 2.5 cm
b. 3 to 5 cm
c. 1 to 7 mm
d. 8 to 11.5 cm
e. 3 mm
f. 1 to 3.5 cm
Diameter of the common bile duct ____

Question 25

COMPLETION
Match the following measurements with the proper structure.
a. 0.5 to 2.5 cm
b. 3 to 5 cm
c. 1 to 7 mm
d. 8 to 11.5 cm
e. 3 mm
f. 1 to 3.5 cm
The layers of the gallbladder wall are the ______________, _____________, and __________.

Question 26

COMPLETION
Match the following measurements with the proper structure.
a. 0.5 to 2.5 cm
b. 3 to 5 cm
c. 1 to 7 mm
d. 8 to 11.5 cm
e. 3 mm
f. 1 to 3.5 cm
Length of the common bile duct ____

Question 27

The cystic duct is routinely seen on ultrasound. ____

Question 28

The left hepatic duct is routinely seen on ultrasound. ____

Question 29

The gallbladder is routinely identified with ultrasound ____

Question 30

COMPLETION
Match the following measurements with the proper structure.
a. 0.5 to 2.5 cm
b. 3 to 5 cm
c. 1 to 7 mm
d. 8 to 11.5 cm
e. 3 mm
f. 1 to 3.5 cm
Diameter of the cystic duct ____

Question 31

CCK is a peptide hormone that increases hepatic production of bile. ____

Question 32

The common bile duct is routinely seen on ultrasound. ____

Question 33

COMPLETION
Match the following measurements with the proper structure.
a. 0.5 to 2.5 cm
b. 3 to 5 cm
c. 1 to 7 mm
d. 8 to 11.5 cm
e. 3 mm
f. 1 to 3.5 cm
Length of the cystic duct ____

Question 34

COMPLETION
Match the following measurements with the proper structure.
a. 0.5 to 2.5 cm
b. 3 to 5 cm
c. 1 to 7 mm
d. 8 to 11.5 cm
e. 3 mm
f. 1 to 3.5 cm
Length of the right and left hepatic ducts ____

Question 35

COMPLETION
Match the following measurements with the proper structure.
a. 0.5 to 2.5 cm
b. 3 to 5 cm
c. 1 to 7 mm
d. 8 to 11.5 cm
e. 3 mm
f. 1 to 3.5 cm
The common sections of the gallbladder are the _________________, _______________, and _______________.

Question 36

The landmarks that help identify the gallbladder on longitudinal section are the portal vein, main lobar fissure, and right kidney. ____