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Chapter 27. Biliary Tract

All of the following are current useful imaging modalities for the biliary tree and gallbladder, except

A. Abdominal ultrasound

B. Endoscopic retrograde cholangiopancreatography

C. Abdominal computed tomography scan

D. Oral cholecystography

E. Transhepatic cholangiography

The correct answer is D. Oral cholecystography

Serum alkaline phosphatase can come from

A. Lung

B. Muscle

C. Skin

D. Intestin

E. Red blood cells

The correct answer is D. Intestin

Gallstones

A. Are symptomatic in > 50% of people

B. Are nearly always present in people with chronic cholecystitis

C. Are not detected in the gallbladder by ultrasound in about 50% of cases (false negative)

D. Are usually detectable by ultrasound if present in the common bile duct

E. Are composed of bile pigment in the majority of cases in the United States

The correct answer is B. Are nearly always present in people with chronic cholecystitis

Acute cholecystitis can be commonly confused with each of the following, except

A. Diverticulitis

B. Pancreatitis

C. Peptic ulcer disease

D. Acute appendicitis

E. Fitz-Hugh-Curtis syndrome

The correct answer is A. Diverticulitis

Management of acute cholangitis

A. Typically requires emergent operation

B. Should not include antibiotics until bile cultures are pending

C. Should usually include draining the biliary tree

D. Is commonly required in the management of chronic pancreatitis

E. Should reserve invasive procedures for patients who have required more than 3 days of antibiotics

The correct answer is C. Should usually include draining the biliary tree

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