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Cholecystitis: Quiz


Question 1: This leads to inspissation (thickening) of bile, bile stasis, and secondary infection by gut organisms, predominantly ________ and Bacteroides species.
Pseudomonas aeruginosaPathogenic bacteriaHelicobacter pyloriEscherichia coli

Question 2: Perforation can happen at the neck from pressure necrosis due to the impacted ________, or at the fundus.
CalculusDifferential calculusDerivativeIntegral

Question 3: Laboratory values may be notable for an elevated ________, possibly an elevated bilirubin (although this may indicate choledocholithiasis), and possibly an elevation of the WBC count.
Alkaline phosphataseReference ranges for blood testsPhospholipase A2Aspartate transaminase

Question 4: It can result in a local ________, or perforation into the general peritoneal cavity.
Systemic lupus erythematosusAbscessCellulitisImpetigo

Question 5: Cholecystitis is often caused by ________ (the presence of choleliths, or gallstones, in the gallbladder), with choleliths most commonly blocking the cystic duct directly.
Primary sclerosing cholangitisHepatitisAscending cholangitisGallstone

Question 6: One of the more serious complications of choledocholithiasis is ________, which may result in significant permanent pancreatic damage and brittle diabetes.
Crohn's diseaseAscending cholangitisAcute pancreatitisHepatitis

Question 7: ________/pulmonary embolism (unusual- risk can be decreased through use of sequential compression devices on legs during surgery)
Deep vein thrombosisBudd-Chiari syndromeAtherosclerosisCerebral venous sinus thrombosis

Question 8: Laparoscopic procedures can have less ________ and a shorter recovery stay.

Question 9: More severe symptoms such as high fever, shock and jaundice indicate the development of complications such as abscess formation, perforation or ________.
Ascending cholangitisHepatitisAcute pancreatitisCrohn's disease

Question 10: Another complication, gallstone ileus, occurs if the gallbladder perforates and forms a ________ with the nearby small bowel, leading to symptoms of intestinal obstruction.
FistulaUlcerative colitisCrohn's diseaseColon (anatomy)

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