Bile duct 12-18

Q12) All are true for Transcystic Common Bile Duct  exploration in stones  except?
 a)Transcystic exploration is suited for stones
b) Transcystic Exploration is  possible only when cystic duct is parallel to the CBD
c) Cystic duct needs to be dilated to 10 mm
d) Clearance is possible in 95-98% cases


Q13) Regarding MRCP what is not true?
a) Hepatic vein has bright signal
b) Stones appear as enhanced signals
c) Bile duct appears as enhanced signal
d) Portal vein appears as void signal

Stones in MRCP appear as a VOID SIGNAL
    MRCP showing a void signal (stone) in the gall bladder and also in Common hepatic duct


 Q14) Not true about the association of Primary Sclerosing Cholangitis (PSC) and Ulcerative Colitis (UC)
a) Ulcerative Colitis appears 8-10 years earlier than PSC
b) Association is present in 70%
c) Symptoms of PSC improve after Total proctocolectomy
d) Patients with UC and PSC have increased risk of colonic dysplasia


 Q15) Most common cause of Budd Chiari syndrome in India is
a)      Membranous IVC obstruction
b)      Polycythemia
c)      Myeloproliferative disorders


 Q16 )What is not required for formation of cholesterol gallstones. (DNB Question GI Surgery December 2011)
a) Supersaturation of bile
b) Nucleation
c)Gall bladder stasis


Q17. Which of the following statement is not true for ideal hepaticojejunostomy
Ideal Hepaticojejunostomy
a) The anastomosis should be tension free
b) All the suture knots should  be on the  outside of bile duct
c) Mucosal contact must exist between  the mucosa of the bowel and bile duct
d) Anastomosis done with single layer  absorbable sutures


Q18. What is not true regarding Cholangiocarcinoma

a) Intrahepatic cholangiocarcinoma is the least common type anatomically

b) Primary resection is the main treatment

c) Liver Transplant is the main treatment

d) A multidisciplinary team should evaluate and manage all patients of cholangiocarcinoma