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Biliary Anatomy Quiz


1.  The upper limit of normal for the dimensions of a gallbladder are:
 

A. 10 cm long, 3 cm wide
B. 15 cm long, 5 cm wide
C. 5 cm long, 3 cm wide
D. 20 cm long, 5 cm wide
E. 15 cm long, 10 cm wide



2. (T/F) The gallbladder is divided into three fundamental regions: fundus, body, and neck.
 

True
False



3. (T/F) Approximately 80% of stones are lucent cholesterol and 20% contain enough calcium to be detected on radiograph.
 

True
False



4. (T/F) Porcelain gallbladder has a gender bias, most frequently affecting males.
 

True
False



5. Which of the following is the most likely long-term complication of porcelain gallbladder? (shown below)

 

A. gallbladder necrosis
B. biliary atresia
C. gallbladder cancer



6. What condition does the following image most likely represent?

 
 

A. ascending cholangitis
B. biliary obstruction
C. Mirizzi Syndrome



7. Which of the following predisposes to emphysematous cholecystitis?
 

A. Diabetes
B. Jaundice
C. Hyperthyroidism
D. Collagen Vascular Disease
E. None of the above



8. (T/F) Patients with emphysematous cholangitis have an increased risk of perforation and treatment usually requires emergent cholecystectomy.
 

True
False



9. (T/F) Choledochal cysts are the most common congenital bile duct anomaly.
 

True
False



10. (T/F) Patients with choledochal cysts have an increased incidence of other gallbladder anomalies, biliary stenosis/atresia, and congenital hepatic fibrosis.
 

True
False



11. Caroli's Disease is a type of choledochal cyst characterized by: (use the axial CT slice below)

 

A. Solitary Fusiform Extrahepatic Cyst
B. Extrahepatic Supraduodenal Diverticulum
C. Intraduodenal Diverticulum Choledochocele
D. Multiple Intrahepatic Cysts



12. Which of the following is NOT a predisposing condition for cholangiocarcinoma:
 

A. Primary Sclerosing Cholangitis
B. Choledochal cyst
C. Congenital hepatic fibrosis
D. Clonorchis infection
E. exposure to Thorotrast
F. Aflatoxin



13. (T/F) Choledochal cysts are more common in females
 

True
False



14. (T/F) Cholangiocarcinoma is the most common primary malignancy of the biliary system.
 

True
False



15. (T/F) Cholangiocarcinomas are typically situated as extrahepatic lesions vs. intrahepatic
 

True
False

 

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