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Hepatobiliary Surgery
(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: The treatment of choice for an 8 mm retained common bile duct (CBD) stone is ?
A) Laparoscopic CBD exploration
B) Percutaneous stone extraction
C) Endoscopic stone extraction
D) Extracorporeal shock wave lithotripsy
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 most common site of intestinal obstruction in gallstone ileus is ?
A) Duodenum
B) Jejunum
C) Ileum
D) Sigmoid colon
Answer (Select an option above to get the answer):
(Single Best Answer) Question 6: 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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