MRCSPart 2 Question of the Day
Test your knowledge and try the Question of the Day based on
themes similar to recent exams.
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 |
|---|
For each of the following presentations select the most likely
diagnosis:
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.
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.
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.
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