Question

GL. a 42 year-old obese woman, entered the hospital with nausea and vomiting flatulence, and eructation, a fever of 100.5F, and continuous right upper quadrant and subscapular pain. Examination on admission showed rebound tenderness in the RUQ. Her skin, nails, and conjunctivae were yellowish Her leukocyte count was 16,000. An ERCP and ultrasound of the abdomen suggested many small stones in her gallbladder and possibly the common bile duct. Her diagnosis was cholecystitis with cholelithiasis A laparoscopic cholecystectomy was attempted with an intraoperative cholangiogram and common bile duct exploration Because of G.L's size and some unexpected bleeding visualization was difficut and the procedure was covered to an open approach. Small stones and granular sludge were imated from her common duct, and the gallbladder was removed. She had a T-tube inserted into the duct for bile drainage this tube was removed on the second postoperative day. An NG be in place before and during the surgery was also removed on day 2 She was discharged on the fifth postoperative day with a prescription for prn pain medication Flatulence and eructation represent: a regurgitation of bile b. distention of the esophagus c. passage of gas or air from the GI tract d. sounds heard only by abdominal auscultation 15 Subscapular pain is: a. below the ribs b. below the shoulder blade c. below the stomach d. below the gallbladder 16. Her skin, nails, and conjunctive were a jaundice b. icteric c. hemolyzed d. both a and 17. Her diagnosis was a inflammation of common bile duct b. inflammation of gallbladder with gallstones c. inflammation of galbladder with hematocheria d. inflammation of common bile duct with stones 18. Removal of the gallbladder: a choledochotomy b. colecystectomy c. laparoscopy d. cholecystectomy 19. Contrast medium is administered through an oral catheter and then passes through the esophagus, stomach, and duodenum and into bile ducts a lower GI series b. upper G series CERCP d. PTHC 20. The NG tube is inserted through the _and terminates in the a nose/stomach b. nose galbladder galderstomach d. nose intestines

Answer 1

ANSWER.

14) c) Flatulence and eructation represent passage of gas or air from the

           gastrointestinal tract.

15) b) Subscapular pain is pain below the shoulder blade.

16) d) Her skin,nail,conjunctiva were Jaundice or icteric (Both a and b).

17) b) Her diagnosis was inflammation of gallbladder with gallstones.

18) d) Removal of the gallbladder is Cholecystectomy.

19) c) Contrast medium administer through the oral catheter and then passes through

           the esophagus,stomach and duodenum and into bile duct is ERCP ( Endoscopic

           retrograde cholangio pancreatography).

20) a) The NG tube is inserted through the nose and terminates in the stomach.