Question

The risk of developing gallstones increases 

A. When cholesterol micelles are formed in the gall bladder. 

B. As the bile salt:cholesterol ratio increases. 

C. As the lecithin:cholesterol ratio increases. 

D. When supplementary bile salts are taken by mouth. 

E. In patients with haemolytic anaemia.

Answer 1

A. False This is a vital solubilizing mechanism. 

B. False This favours formation of micelles. 

C. False Lecithin also contributes to the formation of micelles. 

D. False This can decrease the risk temporarily. 

E. True Excess bilirubin can give rise to pigment stones.