Bile duct 12-18

Free CBD MCQs – Surgical Gastroenterology – MCQSurgery

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
13.b
Stones in MRCP appear as a VOID SIGNAL. MRCP shows void signal (stone) in gall bladder and 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 GI Surgery Dec 2011)?


a) Supersaturation of bile
b) Nucleation
c) Gall bladder stasis
d) Infection

Q17. Which of the following statement is not true for 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

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