Question Bank - Cardiac
Question Bank – Gallbladder (Basic)
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Question 1 of 53
1. Question
The common bile duct is measured
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Question 2 of 53
2. Question
A 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 53
3. Question
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Question 4 of 53
4. Question
The upper limit of normal for gallbladder wall thickness is
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Question 5 of 53
5. Question
Recommended 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 53
6. Question
The gallbladder wall should be measured
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Question 7 of 53
7. Question
A 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 53
8. Question
The upper limit of normal for the diameter of the common bile duct is:
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Question 9 of 53
9. Question
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Question 10 of 53
10. Question
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Question 11 of 53
11. Question
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Question 12 of 53
12. Question
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Question 13 of 53
13. Question
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Question 14 of 53
14. Question
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Question 15 of 53
15. Question
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Question 16 of 53
16. Question
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Question 17 of 53
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?
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Question 18 of 53
18. Question
What is approximate sensitivity and specificity of gall bladder POCUS for cholelithiasis?
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Question 19 of 53
19. Question
What is the importance of the exclamation point sign when scanning the gall bladder?
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Question 20 of 53
20. Question
Which one of these is a scan of a gallbladder?
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Question 21 of 53
21. Question
Which one of these is a scan of a gallbladder?
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Question 22 of 53
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 53
23. Question
What are the most important sonographic questions when doing POCUS of the gallbladder?
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Question 24 of 53
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 53
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 53
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 53
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 53
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 53
29. Question
The only vessel seen in the liver with hyperechoic (white) walls is:
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Question 30 of 53
30. Question
What are the most important sonographic questions when ultrasounding the gallbladder?
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Question 31 of 53
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 53
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 53
33. Question
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Question 34 of 53
34. Question
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Question 35 of 53
35. Question
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Question 36 of 53
36. Question
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Question 37 of 53
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 53
38. Question
To obtain a positive sonographic Murphy's sign, you should:
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Question 39 of 53
39. Question
You are seeing a patient who is complaining of intermittent epigastric abdominal pain for the past two weeks without nausea, vomiting or fever. She has had minimal relief from an H2 blocker. You perform a POCUS of the Gallbladder and see the image below. What would be the best next step for this patient?
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Question 40 of 53
40. Question
What is the clinical significance of gallbladder wall thickening?
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Question 41 of 53
41. Question
A 34 year old female presents at 13 weeks gestation with epigastric pain after eating which hasn't resolved with Tums. Ultrasound is consistent with which of the following?
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Question 42 of 53
42. Question
The presence of which additional finding would help distinguish cholecystitis from biliary colic in this patient with post prandial abdominal pain?
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Question 43 of 53
43. Question
A 52 year old male presents with persistent right upper quadrant pain, vomiting, and fever. Which of the following is true about this ultrasound clip?
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Question 44 of 53
44. Question
Right upper quadrant ultrasound is performed in a 55 year old male with no known medical history who presents with shaking chills and epigastric abdominal pain. Which of the following is true?
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Question 45 of 53
45. Question
Which of the following findings raises suspicion for cholecystitis in a patient for whom the following RUQ clip is obtained?
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Question 46 of 53
46. Question
Gallstones in this case are:
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Question 47 of 53
47. Question
Findings in this RUQ clip are most consistent with which of the following conditions?
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Question 48 of 53
48. Question
Which of the following is the next best step in management in this 52 year old male with jaundice and weight loss but no fever?
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Question 49 of 53
49. Question
Which of the following is seen in this 28 year old male with epigastric pain?
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Question 50 of 53
50. Question
Findings in this RUQ clip are most consistent with which of the following conditions?
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Question 51 of 53
51. Question
A 62 year old female presents with ongoing abdominal pain after eating, with this episode unresolved after 3 hours and multiple antacids. The following clip demonstrates?
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Question 52 of 53
52. Question
This sonographic gallbladder finding can be seen in which of the following conditions?
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Question 53 of 53
53. Question
A 36 year old female presents with right upper quadrant pain which is persistent and severe. Which of the following is the next best step in management?
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