11/2/23, 5:41 PM

Gallstones >

Quiz Results

Your Score: 100 %

You answered 4 of 4 questions correctly.

Question 1: Correct
19.1
Which of the following is the correct landmark for locating the normal position of the gallbladder during a
physical examination?

A
The lowest point of the le! subcostal margin

B
The junction between the le! linea semilunaris and the subcostal margin

C
The lowest point of the right subcostal margin

✓D
The junction between the right linea semilunaris and the subcostal margin

E
The junction between the right linea semilunaris and the subcostal plane

The correct answer is D . You answered D .

Explanation:
D. The gallbladder is normally located at the junction between the right semilunar line and the right
subcostal margin.

68
68% of users answered correctly.

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Source: Case Files: Anatomy 3e

Question 2: Correct
19.2
During a surgical procedure in which you will remove the gallbladder, you will expect its blood supply, the
cystic artery, to arise from which of the following arteries?

✓A
Right hepatic artery

B
Le! hepatic artery

C
Proper hepatic artery

D
Common hepatic artery

E
Right gastric artery

The correct answer is A . You answered A .

Explanation:
A. The cystic artery typically is a branch of the right hepatic artery.

68
68% of users answered correctly.
Source: Case Files: Anatomy 3e

Question 3: Correct
19.3
During the surgical procedure described in question 19.2, your index finger is placed into the epiploic
foramen. Which of the following structures would be inferior to your finger?

A
Caudate lobe of the liver

✓B

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First part of the duodenum

C
Inferior vena cava

D
Portal vein

E
Hepatic artery

The correct answer is B . You answered B .

Explanation:
B. The first part of the duodenum will lie inferior to a finger within the epiploic foramen.

63
63% of users answered correctly.
Source: Case Files: Anatomy 3e

Question 4: Correct
19.4
A 45-year-old woman with a history of gallstones visits the emergency department complaining of severe
abdominal pain and vomiting for 1 day. The exam shows a distended abdomen and high-pitched bowel
sounds. Radiographs of the abdomen show air in the biliary tree and the gallbladder. Which of the
following is the most likely location for the gallstone to be found?

A
Common bile duct

B
Duodenum

C
Sphincter of Oddi

D
Jejunum

✓E
Ileum

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F
Ascending colon

The correct answer is E . You answered E .

Explanation:
E . The diagnosis is likely gallstone ileus, in which a large gallstone is impacted in the ileocecal valve. Air in
the biliary tree is caused by a fistula between the bowel and the biliary tree, allowing air from the bowel to
enter the biliary system. The gallstone causes bowel obstruction. This is a surgical emergency.

48
48% of users answered correctly.
Source: Case Files: Anatomy 3e
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