Choledocholithiasis — MCQs

A 60-year-old patient with air in the biliary tree, colicky abdominal pain, and hyper-peristaltic abdominal sounds. What is the diagnosis?

Most common type of gallstone is?

What condition does the MRCP (Magnetic Resonance Cholangiopancreatography) image indicate?

Abdominal pain, fever and jaundice. This triad is known as;

A 45-year-old woman presents with right upper quadrant pain and fever. Ultrasound reveals gallstones with dilation of the bile ducts. What is the most appropriate next step?

What is the absolute indication for choledochotomy?

A 60-year-old diabetic man is admitted to the hospital with a diagnosis of acute cholecystitis. The white blood cell count is 28,000, and a plain film of the abdomen and computed tomography scan show evidence of intramural gas in the gallbladder. What is the most likely diagnosis?

A 28-year-old unrestrained male driver is brought to the trauma bay following a high-speed road traffic collision. Primary survey: GCS 14, HR 118 bpm, BP 94/60 mmHg with partial response to 1 litre of crystalloid. FAST examination is positive in the right upper quadrant. After partial haemodynamic stabilisation, a CT abdomen with contrast is performed and is shown (Image 2). His BP on return from CT is 88/54 mmHg despite ongoing resuscitation. What is the most appropriate next step?

What organism causes emphysematous cholecystitis?

Klatskin tumor is defined as: