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Questions 7-11 of Surgery Multiple Choice Questions on Bile Ducts and hepato biliary system. These
questions are from exams in GI Surgery and hepatology. Questions are accompanied with answers and
explanations. The MCQs and answers are free to read and download. More Questions on Related topics Symptoms Of Liver
could be seen on the links on top. For other questions of GI Surgery please use our sitemap
Cancer
Q7. Most common site for cholangiocarcinoma is
a) Intrahepatic lbile ducts
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b) Hepatic duct bifurcation
c) Lower End of CBD (Common Bile Duct)
d) Lower 1/3rd of CBD (Commmon Bile duct)
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Q8. Which is the least common anatomic variation of extrahepatic biliary system? Case Presentation Biliary stricture
a) Trifurcation of Right anterior, right posterior and left hepatic ducts.
b) Right anterior hepatic duct joining the common hepatic duct Surgery Blog
c) Right Posterior hepatic duct joining the common hepatic duct Operative steps
d) Anomalies of the gall bladder Top5 MCQs of the week
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Q9. Which of the following is not true for Acalculus cholecystitis? Your website here
a) It accounts for 5-10% cases of Acute Cholecystitis.
b) This entity has a more fulminant course than calculus cholecystitis » Jul 2012 - 10th world conference Hepato-
c) Acalculus Cholecystitis is commonly seen after burns, trauma or major cardiac surgeries. Pancreato Biliary Association
d) Cholescintigraphy is the investigation of choice for detecting Acute Acalculus Cholecystitis. » Nobel Prize in Surgery
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Q10. How much bile is produced by liver /day?
a) 100-300 ml
b) 300-500 ml
c) 500-1000ml
d) 500-1200 ml
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Q11. Which of the following is not a criteria for diagnosing Sphincter of Oddi Dysfunction
a) Common Bile Duct diameter more than 12 mm on USG Post op Fever
b) Decrease in Common Bile Duct pressure after infusion of Cholecystokinin
c) Ampullary pressure more than 40 mm Hg Portal gastropathy
d) Delayed emptying of contrast from Common Bile Duct after ERCP Endocrine tumors
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Operative steps
Endocrine tumors
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Obscure GI Bleed
7.b Weight loss Questions
60-80% of cholangiocarcinoma are located at the Hepatic Duct bifurcation.( Sabiston 18th edition page
1584). In earlier reviews (Maingot' 10th edition page 1841) , the most common site mentioned is Common
bile Duct (33-40%) followed by Common Hepatic duct (30-32%) and Hepatic duct bifurcation (20%).
From other reviews in books 55% of cholangiocarcinoma are in the upper 1/3rd, 15% in the middle 1/3rd
and 20% in the lower 1/3rd .10 % cholangiocarcinoma are diifuse.
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Sabiston 18 th page 1584. Send me a friend request

8. d Esophagus1
Variations are very common in the anatomy of extraheaptic biliary system. Stomach2
The typical anatomy of the left hepatic duct formation by the ducts draining segments II, III, and IV of the Colon1
liver and right hepatic formation by the right posterior (segments VI and VII) and right anterior (segments V Rectum
and VIII) hepatic ducts is seen in 55-60% cases. Bile Duct
Trifurcation of Left hepatic, right posterior and right anterior is seen in 12% Pancreas2
Right anterior hepatic duct joins Common Hepatic Duct distal to the junction of RP and Left Hepatic
Duct in 16%
Right posterior hepatic duct joins Common Hepatic Duct distal to the junction of RA and Left hepatic A look at the NEW Sabiston text
Duct in 4% book of surgery
Gall bladder anomalies are the least common.

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 9. d
1-2% of all patients undergoing cholecystectomy have a diagnosis of Acute acalculus cholecystitis. IN 5-
10 % cases of acute cholecystitis no gall stones are found.
Most frequently Acalculus cholecystitis occur in the elderly patients in ICU setting eg after major trauma,
burns, Long term parenteral nutrition or after major Vascular or cardiac surgery.
Main Pathophysiology is gall bladder stasis, gall bladder ischemia and visceral ischemia so the gall
bladder is more prone for gangrene and perforation.
Ultrasound is the investigation of choice and not Cholescintigraphy because with the latter false positive Sabiston Textbook of
rate maybe as high as 40% Surgery
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Bile flow is approximately 500ml to 1000 ml in most patients. It is dependent on neurogenic, chemical
and humoral system.
Increase in bile secretion Decrease in bile secretion Privacy Information
Vagal stimulation Splanchnic nerve secretion
Secretin
Cholecystokinin

11. b
In sphincter of Oddi Dysfunction, after CCK infusion, the pressure in the CBD increases and not
decrease.
All other choices are true Subscribe to Surgery MCQ

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77 comments Add a comment Gastric Surgery MCQ

Manahil Abdalah · ‫ﺟ ﺎﻣ ﻌﺔ اﻟﺰﻋﯿﻢ اﻻزھﺮى‬- ‫ﻛﻠﯿﺔ اﻟﻄﺐ‬

I like
Reply · Like · April 19 at 11:23pm

Surg Mcq · St. Xaviers Delhi

Thanks for liking :-) Home Sitemap Cardiac Plastic
Reply · Like · April 24 at 4:25am
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Alka Singh · Kilpauk Medical College
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Reply · Like · December 26, 2013 at 10:35pm
Mcqsurgery.com-- Quiz on Biliary sytem and Bile
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Drvipan Kumar · Dr.rpgmc tanda Questions 7-11 of Surgery Multiple Choice Questions
Ques 03- Option A - its incorrect, marked correct in the answ er. Its a non - compressible, questions are from exams in GI Surgery and hepatolo
blind ending tube. explanations. The MCQs and answers are free to rea
Reply · Like · November 17, 2013 at 9:18pm could be seen on the links on top. For other question

Surg Mcq · St. Xaviers Delhi

w hich page Q7. Most common site for cholangiocarcinoma is
Reply · Like · November 23, 2013 at 7:58pm a) Intrahepatic lbile ducts
b) Hepatic duct bifurcation
c) Lower End of CBD (Common Bile Duct)
Ciprofloxacin Toxicity · Khyber Medical College
d) Lower 1/3rd of CBD (Commmon Bile duct)
superb Questions w d ans
Reply · Like · September 17, 2013 at 11:58am Q8. Which is the least common anatomic variatio
a) Trifurcation of Right anterior, right posterior and left
Hala Almnfe · Works at ‫ﻣﺮ ﻛﺰ طﺒﺮق اﻟﻄﺒ ﻲ‬
b) Right anterior hepatic duct joining the common hep
c) Right Posterior hepatic duct joining the common he
nice d) Anomalies of the gall bladder
Reply · Like · September 7, 2013 at 9:50am
Q9. Which of the following is not true for Acalcul
Emad Eid · Cairo University a) It accounts for 5-10% cases of Acute Cholecystitis
b) This entity has a more fulminant course than calcu
good questions.... c) Acalculus Cholecystitis is commonly seen after bu
Reply · Like · July 11, 2013 at 2:57pm d) Cholescintigraphy is the investigation of choice for

Ahmed Khafagy · Top Commenter · S.p.college at Beni suef General Hospital Q10. How much bile is produced by liver /day?
a) 100-300 ml
like b) 300-500 ml
Reply · Like · April 18, 2013 at 6:34pm

Mohammed Ali Alseri · Medicine at Student

good puzzle
Reply · Like · April 9, 2013 at 5:31pm

Aziz Asiry · Medical Doctor and Teaching Assistant at King Saud bin Abdulaziz University for
Health Sciences
excellent thanks for putting such questions. as I am preparing for selection exam of plastic
surgery and I really find these mcq's really helpful.
Reply · Like · March 4, 2013 at 4:58pm

Ali Sadiq · TUCOM

like

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