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WorksheetsHPB test
Total questions: 7
Worksheet time: 4mins
A Thai man present at ER due to RUQ pain, fever and jaundice. What is differential diagnosis, except?
Acute cholangitis
Acute cholecystitis
Mirizzi syndrome
Acute hepatitis
Most common pathophysiology of acute cholecystitis in adult?
Capillary vessel of gall bladder wall thrombosis
Cystic duct obstruction due to gall stone
CBD obstruction due to stone
CBD and cystic duct obstruction due gall stone
Bacterial infection lead to emphysematous gall bladder
Which following is indication for cholecystectomy, except?
Symptomatic gall stone
Gall stone pancreatitis
Gall bladder polyp 6 mm in diameter
Porcelain gall bladder
Acalculous cholecystitis
A Thai man 78 years old. He complaint progressive jaundice 3 month ago. He complaint weight loss 4 kg in 1 month, pale stool, no clinical abdominal pain. Most likely clinical diagnosis?
Acute hepatitis
Liver cirrhosis
CBD stone with CBD obstruction
Cholangiocarcinoma
Hepatocellular carcinoma
A Thai man has taken to ER due to abdominal pain, he can’t pass stool. Film acute abdomen series show as a figure. The Most likely diagnosis?
Adhesive small bowel obstruction
Acute appendicitis
Gall stone ileus
Bouveret’s syndrome
Right ureteric stone
A Thai woman 45 years old, come to ER due to RUQ pain, with jaundice. Vital sign BP 120/80 mmHg, PR 90 bpm, BT 39.0 C. CBC show WBC 21,000, neutrophil predominate 89%. Ultrasound upper abdomen show CBD stone. She don’t has underlying disease or history of drugs allergy. After resuscitation and adequate ATBx. What is most proper modality for biliary drainage?
CBD exploration with T-tube drainage
ERCP
PTBD
Nasobilliary drainage
A Thai man 98 years old, He has underlying disease: CHF, ischemic heart disease, COPD. He come to hospital due to fever with chill. Physical examination found: RUQ abdominal pain, moderate jaundice. Ultrasound upper abdomen show intrahepatic duct marked dilation, not found etiology of biliary obstruction. Vital sign BP 90/40 mmHg, PR 120 bpm with AF. After resuscitation BP 90/60 mmHg, PR 110 with AF. What is Most proper modality for biliary drainage?
CBD exploration with T-tube drainage
ERCP
PTBD
Nasobilliary drainage
