Multiple Choice Questions (MCQ)

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Category: Surgery--->The Gallbladder and Extrahepatic Biliary System
Page: 2

Question 6#Print Question

The solubility of cholesterol in bile is determined by:

a. Cholesterol, calcium, bilirubin
b. Cholesterol, bile salts, lecithin
c. Bile salts, cholesterol, bilirubin
d. Calcium, cholesterol, bile salts

Question 7#Print Question

Acute cholecystitis is considered:

a. A primary infectious process with secondary inflammation
b. A sterile primary inflammatory process
c. A primary inflammatory process with occasional bacterial contamination
d. A primary autoimmune process.

Question 8#Print Question

A 54-year-old otherwise healthy woman presents to the emergency department with abdominal pain, fever, chills, and confusion. Blood pressure is 95/50, heart rate 1 10, and temperature 39°C. Laboratory tests demonstrate a white blood cell count of 15,000, normal hematocrit and platelets, as well as a direct bilirubin of 7.2. Initial management should be:

a. Emergency biliary decompression endoscopically or transhepatically
b. Emergent cholecystectomy
c. Intravenous (IV) fluid resuscitation and antibiotics
d. Observation and pain control
e. Discharge home with oral antibiotics with planned cholecystectomy in the coming weeks

Question 9#Print Question

Risk factors for acalculous cholecystitis include:

a. Sepsis
b. Severe burns
c. Prolonged parenteral nutrition
d. Multiple trauma
e. All of the above

Question 10#Print Question

Appropriate management of a patient with cirrhosis secondary to sclerosing cholangitis includes:

a. Systemic immunosuppression with corticosteroids and calcineurin inhibitors
b. Anti-tumor necrosis factor (TNF) monoclonal antibodies (infliximab)
c. Consideration for transplantation
d. Ursodeoxycholic acid
e. Excision of the extrahepatic biliary tree (Kasai procedure)

Category: Surgery--->The Gallbladder and Extrahepatic Biliary System
Page: 2 of 6