Radiographic Pathology for

Technologists 6th Edition Kowalczyk

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Chapter 6: Hepatobiliary System
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MULTIPLE CHOICE

1. Which of the following diagnostic imaging studies provides physiologic function of the liver?
a. CT without contrast
b. Sonogram
c. Radiograph
d. Nuclear medicine with contrast
ANS: D REF: p. 197

2. Which diagnostic examination does the ACR recommend for a patient who presents with right
upper quadrant pain that may be attributed to the biliary system?
a. CT without contrast
b. Sonogram
c. Radiograph
d. Nuclear medicine with contrast
ANS: B REF: p. 198

3. A MRCP is used to visual which anatomic structures?

1. Gallbladder
2. Biliary system
3. Kidney
a. 1 and 2 only
b. 1 and 3 only
c. 2 and 3 only
d. 1, 2, and 3
ANS: A REF: p. 197

4. A radiograph of the abdomen on a patient with known cirrhosis may be compromised due to
what additional pathologic condition?
a. Shrunken liver tissue
b. Gallstones
c. Ascites
d. Pancreatitis
ANS: C REF: p. 201

5. Which form of hepatitis is transmitted from the GI tract in fecal material?

a. HAV
b. HBV
c. HCV
d. HDV
ANS: A REF: p. 203

6. Which liver lesion is primarily composed of blood vessels?

 a. Hepatocellular adenoma
b. Hemangioma
c. Hepatocellular carcinoma
d. Hepatoma
ANS: B REF: p. 209

7. The TIPSS procedure is designed to reduce portal hypertension by uniting which vessels?
1. Hepatic artery
2. Hepatic vein
3. Portal vein
a. 1 and 2 only
b. 1 and 3 only
c. 2 and 3 only
d. 1, 2, and 3
ANS: C REF: p. 202

8. What is the incidence of gallstones in the United States for persons over 65 years of age?
a. 5%
b. 10%
c. 15%
d. 20%
ANS: D REF: p. 205

9. The inflammation of the gallbladder is referred to as:

a. colitis.
b. cholecystitis.
c. cholelithiasis.
d. cholecystectomy.
ANS: B REF: p. 206

10. A fluid collection that develops from the pancreas is termed:

a. ascites.
b. pancreatitis.
c. polycystic disease.
d. a pseudocyst.
ANS: D REF: p. 207

11. Which of the following imaging studies are highly recommended for the diagnosis of acute
pancreatitis?
1. CT
2. SPECT
3. Sonography
a. 1 and 2 only
b. 1 and 3 only
c. 2 and 3 only
d. 1, 2, and 3
 ANS: B REF: p. 207

12. The impaction of a gallstone in the small bowel is referred to as:

a. cholelithiasis.
b. gallstone ileus.
c. obstructive jaundice.
d. medical jaundice.
ANS: B REF: p. 206

13. Chronic liver disease has the highest incidence in which age group?
a. 25-34 years
b. 35-44 years
c. 45-65 years
d. Greater than 65 years
ANS: C REF: p. 201

14. Which imaging procedure is preferred in the evaluation of proximal obstructions involving the
hepatic duct bifurcation?
a. ERCP
b. Percutaneous transhepatic cholangiogram
c. T-tube cholangiogram
d. Operative cholangiogram
ANS: B REF: p. 195

15. Which imaging procedure can differentiate between vessels and biliary ducts based on flow
characteristics?
a. CT of the abdomen with contrast
b. Magnetic resonance cholangiopancreatography
c. Nuclear medicine cholescintigraphy
d. Doppler sonography
ANS: D REF: p. 197

16. Fatty infiltration of the liver is termed:

a. hyperlipidemia.
b. cirrhosis.
c. metabolic syndrome.
d. steatosis.
ANS: D REF: p. 200

17. Cirrhosis of the liver is considered an end-stage condition resulting from liver damage caused
by chronic:
1. alcohol abuse.
2. hepatitis.
3. biliary tract obstruction.
a. 1 and 2 only
b. 1 and 3 only
c. 2 and 3 only
 d. 1, 2, and 3
ANS: D REF: p. 200

18. How many types of viral hepatitis have been identified?

a. 2
b. 4
c. 6
d. 8
ANS: C REF: p. 203

19. Which of the following additional imaging procedures are highly recommended in patients
who have gallstones demonstrated with sonography but do not have fever or an elevated white
blood cell count?
1. Nuclear medicine cholescintigraphy
2. CT of the abdomen (with or without contrast)
3. MRI of the abdomen (with or without contrast)
a. 1 and 2 only
b. 1 and 3 only
c. 2 and 3 only
d. 1, 2, and 3
ANS: D REF: p. 205

20. Which type of jaundice occurs because of hemolytic disease in which too many red blood
cells are destroyed or because of liver damage from cirrhosis or hepatitis?
a. Medical jaundice
b. Obstructive jaundice
ANS: A REF: p. 195

21. The majority of adenocarcinomas of the pancreas occur in the _____ of the pancreas.
a. head
b. body
c. tail
ANS: A REF: p. 212

22. Ascites is best demonstrated by which of the following imaging procedures?

1. CT of the abdomen
2. Sonogram of the abdomen
3. ERCP
a. 1 and 2 only
b. 1 and 3 only
c. 2 and 3 only
d. 1, 2, and 3
ANS: A REF: p. 201

TRUE/FALSE
1. The right and left hepatic ducts unite to form the common bile duct.

ANS: F REF: p. 194

2. The liver has a double supply of blood, coming from the hepatic artery and the portal vein.

ANS: T REF: p. 193

3. Hepatitis B (HBV) is transmitted parenterally in infected serum or blood products.

ANS: T REF: p. 203

4. Although most commonly found in the gallbladder, gallstones can be located anywhere in the
biliary tree.

ANS: T REF: p. 205

5. Chronic pancreatitis resolves without impairing the histologic makeup of the pancreas.

ANS: F REF: p. 206

6. The liver is a common site for metastasis from other primary sites such as the colon, pancreas,
stomach, lung, and breast.

ANS: T REF: p. 210

7. Hepatitis B accounts for 80% of the cases of hepatitis that develop after blood transfusions.

ANS: F REF: p. 204

8. Approximately 80% of all gallstones are composed of a mixture of cholesterol, bilirubin, and
calcium salts.

ANS: T REF: p. 205