MRCSPart 2 Question of the Day

Theme:Hepatobiliary disease

A	Carcinoma of the pancreas
B	Cholangiocarcinoma
C	Cholangitis
D	Gallstone in the common bile duct
E	Infective hepatitis
F	Mirizzi's syndrome

A 70-year-old man presents with insidious onset of jaundice with some weight loss. On examination the gallbladder was palpable in the right upper quadrant. Liver function tests show a raised bilirubin, grossly raised alkaline phosphatase and a mildly raised AST.

Please select an optionCarcinoma of the pancreasCholangiocarcinomaCholangitisGallstone in the common bile ductInfective hepatitisMirizzi's syndrome

A 35-year-old woman presents with sudden onset of jaundice, fever, rigors and severe pain. She is tender in the right upper quadrant but the gall bladder is not palpable. Liver function tests reveal grossly elevated bilirubin, AST and alkaline phosphatase.

Please select an optionCarcinoma of the pancreasCholangiocarcinomaCholangitisGallstone in the common bile ductInfective hepatitisMirizzi's syndrome

A 35-year-old woman on routine medical examination and biochemical screening is found to have a mildly raised bilirubin and alkaline phosphatase. She has had one episode of right hypochondrial pain following a cheese and wine party the previous Christmas. Ultrasound examination showed the presence of multiple small stones in the gallbladder and a common bile duct with a diameter just over the upper normal limited, but no abnormalities.

Please select an optionCarcinoma of the pancreasCholangiocarcinomaCholangitisGallstone in the common bile ductInfective hepatitisMirizzi's syndrome