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(Single Best Answer) Question 1: A 50-year old lady presented with history of pain upper abdomen, nausea, and decreased appetite for 5 days. She had undergone cholecystectomy 2 years back. Her bilirubin was 10 mg/dl, SGOT 900 IU/l SGPT 700 IU/l and serum alkaline phosphatase was 280 IU/l. What is the most likely diagnosis ?
A) Acute pancreatitis
B) Acute cholangitis
C) Acute viral hepatitis
D) Posterior penetration of peptic ulcer
Answer (Select an option above to get the answer):
(Single Best Answer) Question 2: Regarding bile duct injuries following Cholecystectomy which of the following statements is false ?
A) The incidence following open cholecystectomy is in the range of 0.2 - 0.3 %
B) The incidence rate following Laparoscopic Cholecystectomy is three times higher than the rates following Open cholecystectomy
C) Untreated cases may develop secondary biliary cirrhosis
D) Routine use of 'open' technique of laparascopic port insertion has resulted in a decline in the incidence of post-laparascopic cholecystectomy bile duct injuries
Answer (Select an option above to get the answer):
(Single Best Answer) Question 3: The initial investigation of choice for a post cholecystectomy biliary stricture is ?
A) Ultrasound scan of the abdomen
B) Endoscopic cholangiography
C) Computed tomography
D) Magnetic resonance cholangiography
Answer (Select an option above to get the answer):
(Single Best Answer) Question 4: Which of the following is not an indication for cholecystectomy ?
A) 70 year old male with symptomatic gallstones
B) 20 year old male with sickle cell anaemia and symptomatic gallstones
C) 65 year old female with a large gallbladder polyp
D) 55 year old with an asymptomatic gallstone
Answer (Select an option above to get the answer):
(Single Best Answer) Question 5: The treatment of choice for a mucocele of gall bladder is ?
A) Aspiration of mucous
B) Cholecystectomy
C) Cholecystostomy
D) Antibiotics and observation
Answer (Select an option above to get the answer):
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