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(Single Best Answer) Question 1: A 40 year old patient has undergone an open cholecystectomy. The procedure was reported as uneventful by the operating surgeon. She has 100 ml of bile output from the drain kept in the gall bladder bed on the first post operative day. On examination she is afebrile and anicteric. The abdomen is soft and bowel sounds are normally heard. As an attending physician, what should be your best possible advice ?
A) Order an urgent endoscopic retrograde cholangiography and biliary stenting
B) Urgent laparotomy
C) Order an urgent hepatic iminodiacetic acid scintigraphy (HIDA)
D) Clinical observation
Answer (Select an option above to get the answer):
(Single Best Answer) Question 2: A 50 year old woman presented with history of recurrrent episodes of right upper abdominal pain for the last one year. She presented to casualty with history of jaundice and fever for 4 days. On examination, the patient appeared toxic and had a blood pressure of 90/60 mmHg. She was started on intravenous antibiotics. Ultrasound of the abdomen showed presence of stones in the common bile duct. What would be the best treatment option for her ?
A) ERCP and bile duct stone extraction
B) Laparoscopic cholecystectomy
C) Open surgery and bile duct stone extraction
D) Lithotripsy
Answer (Select an option above to get the answer):
(Single Best Answer) Question 3: A 69 year old male patient having coronary artery disease was found to have gall bladder stones while undergoing a routine ultrasound of the abdomen. There was no history of biliary colic or jaundice at any time. What is the best treatment advice for such a patient for his gallbladder stones ?
A) Open cholecystectomy
B) Laparoscopic cholecystectomy
C) No surgery for gallbladder stones
D) ERCP and removal of gallbladder stones
Answer (Select an option above to get the answer):
(Single Best Answer) Question 4: 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):
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