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Chapter 25. Biliary Tract

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All of the following are current useful imaging modalities for the biliary tree and gallbladder, except

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A. Abdominal ultrasound

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B. Endoscopic retrograde cholangiopancreatography

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C. Abdominal CT scan

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D. Oral cholecystography

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E. Transhepatic cholangiography

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D. Oral cholecystography

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Serum alkaline phosphatase can come from

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A. Lung

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B. Muscle

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C. Skin

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D. Intestine

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E. Red blood cells

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D. Intestine

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Gallstones

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A. Are symptomatic in greater than 50% of people

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B. Are nearly always present in people with chronic cholecystitis

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C. In the gallbladder are not detected by ultrasound in about 50% of cases (false negative)

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D. Are usually detectable by ultrasound if present in the common bile duct

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E. Are comprised of bile pigment in the majority of cases in the United States

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B. Are nearly always present in people with chronic cholecystitis

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Acute cholecystitis can be commonly confused with each of the following, except

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A. Diverticulitis

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B. Pancreatitis

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C. Peptic ulcer disease

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D. Acute appendicitis

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E. Fitz–Hugh–Curtis syndrome

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A. Diverticulitis

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Management of acute cholangitis

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A. Typically requires emergent operation

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B. Should not include antibiotics until bile cultures are pending

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C. Should usually include draining the biliary tree

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D. Is commonly required in the management of chronic pancreatitis

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E. Should reserve invasive procedures for patients who have required more than 3 days of antibiotics

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C. Should usually include draining the biliary tree

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