Week 4 questions

Question 1

Answer 1

Question 2

Answer 2

Question 3

Answer 3

Question 4

Answer 4

Question 5

Answer 5

Question 6

Answer 6

Question 7

Which three of the following form the most likely differential diagnosis?

• acute cholecystitis
• acute pancreatitis
• acute appendicitis
• alcoholic gastritis
• perforated duodenal ulcer
• portal vein thrombosis

Answer 7

=alcohol gastritis
=acute pancreatitis
=perforated duodenal ulcer

Question 8

Answer 8

Question 9

Answer 9

Question 10

Answer 10

Question 11

Answer 11

Question 12

Answer 12

Question 13

Answer 13

Question 14

Answer 14

Question 15

What is the most likely diagnosis?

Answer 15

Question 16

Answer 16

Question 17

6
Question 3 of 6.
Question 3

The ultrasound examination is technically difficult due to bowel gas but confirms the common bile duct to measure 10mm at the porta hepatis and there is mild intrahepatic biliary tree dilatation. The distal common bile duct and pancreas are not seen. What further investigation is now indicated?

Answer 17

Question 18

Answer 18

A-GB
B-cystic duct
C-intrahepatic ducts
D-common hepatic duct
E-common bile duct
F-gall stone
G-pancreatic duct
H-duodenum

Question 19

Answer 19

Question 20

Answer 20

Question 21

Answer 21

Question 22

Answer 22

Question 23

Answer 23

Question 24

Answer 24

Question 25

Answer 25

Question 26

Answer 26

Question 27

Which of the following are the 2 most likely diagnoses?

• Chronic cholecystitis
• Gallstones
• Carcinoma of the pancreas
• Cholangiocarcinoma
• Empyema of the gallbladder
• Acute viral hepatitis
• Gilbert’s syndrome
• Chronic pancreatitis
• Cholestatic drug reaction

Answer 27

Question 28

Answer 28

Question 29

Answer 29

Question 30

Answer 30

Question 31

Answer 31

A=endoscope

B=duodenum

C=Monitor leads on patient

D=Common bile duct

E=Dilated intrahepatic duct

F=Sternotomy clip

G=Ampullary stricture

Question 32

Answer 32

Question 33

Answer 33

Question 34

What is the most likely diagnosis?

Answer 34

Question 35

Answer 35

Question 36

Answer 36

Question 37

Answer 37

A=right lobe of liver

B=Left kidney

C=Hepatic flexure colon

D=Para-aortic adenopathy

E=Thick-walled stomach

F=Aorta

Question 38

Answer 38

Question 39

Answer 39

Question 40

What is the most likely diagnosis?

Answer 40

Question 41

Answer 41

Question 42

Answer 42

Question 43

Answer 43

Question 44

Answer 44

Question 45

Answer 45

Question 46

Answer 46

Question 47

Answer 47

Question 48

Answer 48

Question 49

Answer 49

Question 50

Answer 50

Question 51

Answer 51

Question 52

The chest film confirms a loop of large bowel lying between liver and diaphragm. Is this appearance normal or abnormal?

Answer 52

Question 53

Answer 53

Question 54

Answer 54

Question 55

Answer 55

Question 56

Answer 56

Question 57

Answer 57

Question 58

Answer 58

• Consolidation in the lower lobes
• Dilated, gas-filled oesophagus

Question 59

Answer 59