Question Bank - Cardiac
Question Bank – Gallbladder (Basic)
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Question 1 of 40
1. Question
Category: Right Upper QuadrantThe common bile duct is measured
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Question 2 of 40
2. Question
Category: Right Upper QuadrantA 34 year old female presents with vague epigastric pain which seems worse after meals. She reports a gnawing pain in her stomach currently that has not improved despite famotidine and antacids. You perform a bedside RUQ ultrasound and report
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Question 3 of 40
3. Question
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Question 4 of 40
4. Question
Category: Right Upper QuadrantThe upper limit of normal for gallbladder wall thickness is
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Question 5 of 40
5. Question
Category: Right Upper QuadrantRecommended strategies when trying to distinguish if a nodular finding in a gallbladder seen on sonogram is a polyp vs. a stone include:
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Question 6 of 40
6. Question
Category: Right Upper QuadrantThe gallbladder wall should be measured
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Question 7 of 40
7. Question
Category: Right Upper QuadrantA new intern brings you the following RUQ sonogram image and asks for your help with interpretation. This image demonstrates:
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Question 8 of 40
8. Question
Category: Right Upper QuadrantThe upper limit of normal for the diameter of the common bile duct is:
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Question 9 of 40
9. Question
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Question 10 of 40
10. Question
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Question 11 of 40
11. Question
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Question 12 of 40
12. Question
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Question 13 of 40
13. Question
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Question 14 of 40
14. Question
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Question 15 of 40
15. Question
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Question 16 of 40
16. Question
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Question 17 of 40
17. Question
You are seeing a patient with two days of constant upper abdominal pain and vomiting. Here is the results of your POCUS. What is the next best step for this patient?
https://vimeo.com/333447202
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Question 18 of 40
18. Question
What is approximate sensitivity and specificity of gall bladder POCUS for cholelithiasis?
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Question 19 of 40
19. Question
What is the importance of the exclamation point sign when scanning the gall bladder?
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Question 20 of 40
20. Question
Which one of these is a scan of a gallbladder?
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Question 21 of 40
21. Question
Which one of these is a scan of a gallbladder?
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Question 22 of 40
22. Question
If you cannot visualize the gall bladder under the costal margin when the patient is in the supine position, you could do which of the following troubleshooting techniques?
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Question 23 of 40
23. Question
What are the most important sonographic questions when doing POCUS of the gallbladder?
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Question 24 of 40
24. Question
If you are unable to find the gall bladder with the patient supine, what position should the patient move to?
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Question 25 of 40
25. Question
An ultrasound is not necessarily needed for the diagnosis of biliary colic, since often history, physical, and/or labs can make the definitive diagnosis.
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Question 26 of 40
26. Question
You are seeing a patient with postprandial epigastric abdominal pain. She has tried an H2 Blocker over the past 2 weeks without much change in her symptoms. Her POCUS is above. What are the best next steps for her treatment at this point?
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Question 27 of 40
27. Question
A 45 year old female G5P4 with a history of obesity, presents for her 4th visit for upper abdominal pain. She says it gets worse after she eats. She was treated with omeprazole and ranitidine as well as treated for H. Pylori however her symptoms have not improved. Her vital signs are normal.
After performing your physical exam, your bedside ultrasound of the RUQ shows the following. Upon visualizing this finding, gentle pressure applied causes the patient discomfort.
What is the most appropriate next step in patient management?
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Question 28 of 40
28. Question
A 52 year old female with a history of obesity and diabetes, presents for the 3rd time for upper abdominal pain. She says it gets worse after she eats. She was treated with omeprazole and ranitidine as well as treated for H. Pylori however her symptoms have not improved. Her vital signs are normal. Her labs show a mild elevation aspartate transaminase (AST) and alanine transaminase (ALT) of 110, 115 respectively and her WBC count is normal.
After performing your physical exam, your bedside ultrasound of the RUQ shows the following. Upon visualizing this finding, gentle pressure applied causes the patient discomfort.
What is the most likely diagnosis?
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Question 29 of 40
29. Question
The only vessel seen in the liver with hyperechoic (white) walls is:
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Question 30 of 40
30. Question
What are the most important sonographic questions when ultrasounding the gallbladder?
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Question 31 of 40
31. Question
A 55 year old female sees you in clinic after several weeks of right upper quadrant pain with meals. She denies fevers, chills, nausea, vomiting. The ultrasound below suggests?
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Question 32 of 40
32. Question
If you are unable to find the gall bladder with a supine patient, what should you do?
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Question 33 of 40
33. Question
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Question 34 of 40
34. Question
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Question 35 of 40
35. Question
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Question 36 of 40
36. Question
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Question 37 of 40
37. Question
Per the literature, how does the sensitivity and specificity of POCUS for gall bladder compare with radiology-performed gall bladder ultrasound?
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Question 38 of 40
38. Question
To obtain a positive sonographic Murphy's sign, you should:
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Question 39 of 40
39. Question
You are seeing a patient who is complaining of epigastric abdominal pain for the past two weeks. She has had minimal relief from an H2 blocker. Here is a still image from your POCUS. What would be the best next step for this patient?
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Question 40 of 40
40. Question
What is the clinical significance of gallbladder wall thickening?
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