Lymphatic drainage of gall bladder ends evantually in:
Anonymous Quiz
15%
Superior mesentric LNs
19%
Inferior mesenteric LNs
58%
Celiac LNs
8%
Common iliac LNs
The spiral valve of Heister is formed by the folded mucosa of:
Anonymous Quiz
18%
Gall bladder
47%
Cystic duct
18%
Common hepatic duct
18%
Common bile duct
The most common cause for chronic cholecystitis is:
Anonymous Quiz
80%
Gall bladder stones
14%
Stasis gall bladder
4%
Bacterial infection
2%
Cholecystitis glandularis proliferans
Haemolytic conditions are the predisposing factor of ...
Anonymous Quiz
2%
Cholesterol stone
13%
Mixed stoone
78%
Pigment stone
7%
Ca carbonate stone
彡 Dr_Thaalnoon_ALqahatani ⁞²⁰²³彡
Haemolytic conditions are the predisposing factor of ...
هذه الخيارات نفسها لهذه الأسئلة اللي تحت ⬇️
Which of the followings is a criteria of ch. inflammation of GB ?
Anonymous Quiz
5%
Loss of normal serosal luster
5%
Enlarged cystic LN
3%
Cobweb appearance of the GB bed
88%
All of the above
Which of the followings is false about conservative treatment of chronic cholecystitis ?
Anonymous Quiz
11%
Restriction of fat.
26%
We give the patient choleretics.
43%
Success rate is 85% after 2 years.
20%
Recurrence rate is 50% within 5 years.
The most common cause of hemorrhage during the operation is injury of which of the following vessels ?
Anonymous Quiz
5%
Portal vein
41%
Rt hepatic artery
54%
Cystic artery
The most common cause of calcular obstructive jaundice is:
Anonymous Quiz
13%
1ry CBD stone (💡brown pigment stone)
84%
Migrating stone from the gall bladder
0%
Kladskin tumor
3%
Cancer head of pancreas
The most common site for stone impaction in calcular obstructive jaundice:
Anonymous Quiz
11%
Common hepatic duct
14%
Retroduodenal portion of CBD
19%
Supraduodenal portion of CBD
57%
Ampulla of Vater
According to Courvoisier law:
Anonymous Quiz
41%
The gall bladder is palpable in 80% of cases of COJ
59%
The gall bladder is implapable in 80% of cases of COJ
Pruritis in cases of COJ occurs due to the presence of high level of...... in blood.
Anonymous Quiz
6%
Urobilinogen
53%
Bile salts
33%
Direct bilirubin
8%
Indirect bilirubin
Charcot triad includes the following EXCEPT
Anonymous Quiz
5%
Pain
7%
Fever
2%
Jaundice
85%
Hypotension
A 45-year-old female came to the ER with severe pain in her Rt hypochondrium radiating to the Rt shoulder. On examination, she is feverish & has olive-green jaundice.
There's history of fat dyspepsia & similar attacks of pain.
There's history of fat dyspepsia & similar attacks of pain.
The most likely diagnosis:
Anonymous Quiz
41%
Acute cholecystitis
54%
Calcular obstructive jaundice
0%
Acute pancreatitis
5%
Acute appendicitis
A T-tube was inserted & left for 10 days. After that, the patient came with a complaint of pain. The next step should be:
Anonymous Quiz
18%
Immediate removal of T-tube
6%
Leave the T-tube in place for additional 2 days
21%
Heparinized saline washout through the T-tube
56%
T-tube cholangiography
If a missed stone was found on T-tube cholangiography, the following are possible lines of ttt EXCEPT
Anonymous Quiz
11%
Instillation of MTBE through the T-tube
22%
Dormia basket extraction through the T-tube
36%
ERCP
31%
PTC
Missed stone is defined as a stone detected in biliary system within ..... after biliary surgery
Anonymous Quiz
49%
3 weeks
26%
6 weeks
9%
3 months
17%
6 months
Klatskin tumor occurs in which of the following?
Anonymous Quiz
30%
Cystic duct
19%
CHD
35%
CBD
16%
Gall bladder