Chapter 25: Biliary Tract

Chapter 25. Biliary Tract

All of the following are current useful imaging modalities for the biliary tree and gallbladder, except

A. Abdominal ultrasound

B. Endoscopic retrograde cholangiopancreatography

C. Abdominal CT scan

D. Oral cholecystography

E. Transhepatic cholangiography

D. Oral cholecystography

Serum alkaline phosphatase can come from

A. Lung

B. Muscle

C. Skin

D. Intestine

E. Red blood cells

D. Intestine

Gallstones

A. Are symptomatic in greater than 50% of people

B. Are nearly always present in people with chronic cholecystitis

C. In the gallbladder are not detected by ultrasound in about 50% of cases (false negative)

D. Are usually detectable by ultrasound if present in the common bile duct

E. Are comprised of bile pigment in the majority of cases in the United States

B. Are nearly always present in people with chronic cholecystitis

Acute cholecystitis can be commonly confused with each of the following, except

A. Diverticulitis

B. Pancreatitis

C. Peptic ulcer disease

D. Acute appendicitis

E. Fitz–Hugh–Curtis syndrome

A. Diverticulitis

Management of acute cholangitis

A. Typically requires emergent operation

B. Should not include antibiotics until bile cultures are pending

C. Should usually include draining the biliary tree

D. Is commonly required in the management of chronic pancreatitis

E. Should reserve invasive procedures for patients who have required more than 3 days of antibiotics

C. Should usually include draining the biliary tree

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