Q1 Which of the following is not associated with Primary sclerosing cholangitis?
a) Retroperitoneal fibrosis
b) Riedel's thyroiditis
c) Ulcerative colitis
d) Cholelithiasis
Q2) What is the pressure of sphincter of oddi?
a) 20 cm of water
b) 40 cm of water
c) 30 cm of water
d) 50 cm of water
Q3) What is the preferred biliary anastomosis after liver transplant?
a) Choledocho-choledochal
b) Choledochojejunostomy
c) Choledochoduodenostomy
d) All have same results
Q4) Which variety of Klatskin tumor grows in the cystic duct?
a) Nodular
b) Sclerosing
c) Papillary
d) All
Q5) Which of the following is not a criteria for papillary stenosis?
a) Pain right upper abdomen
b) Increased pressure at sphincter of oddi
c) Dilated (Common Bile duct) CBD on ERCP
d) 30 min delay in contrast
Answers
1. d)
Primary sclerosing cholangitis (PSC) is a disease of extrahepatic and intrahepatic biliary system with difuse involvement of bile ducts.
Cholangiography shows a characterstic beaded apperance.Primary sclerosing cholangitis is more common in certain HLA haplotypes such as B8/DR3 which is also common in patients with other autoimmune diseases such as insulin-dependent diabetes mellitus, Graves’ disease, Sjögren’s syndrome, and myasthenia gravis.
It has strong association with ulcerative colitis and Cholangiocarcinoma. There is no association of PSC with cholelithiasis
Refrence: Sabiston textbook of Surgery 17th edition.
You can use the search box above to browse the Gastro intestinal surgery topics