Podcast
Questions and Answers
What are the baseline investigations recommended for suspected biliary malignancies?
What are the baseline investigations recommended for suspected biliary malignancies?
- CBC, electrolytes, and kidney function (correct)
- CBC and liver function tests
- Liver function tests and biliary excretion products
- Liver function tests and tumour markers
Which imaging modality is specifically used to assess the pancreas in suspected pancreatic cancer?
Which imaging modality is specifically used to assess the pancreas in suspected pancreatic cancer?
- ERCP or PTC
- CT pancreas protocol (correct)
- MRI liver
- CT chest
What is the primary purpose of ERCP or PTC in the investigation of biliary malignancies?
What is the primary purpose of ERCP or PTC in the investigation of biliary malignancies?
- To assess for metastases
- To biopsy mass or lymph node
- To relieve biliary obstruction (correct)
- To collect histological samples
Which tumour marker is associated with pancreatic cancer?
Which tumour marker is associated with pancreatic cancer?
What is the general prognosis described for patients with pancreatic and biliary cancers?
What is the general prognosis described for patients with pancreatic and biliary cancers?
In suspected cholangiocarcinoma, what procedure involves brushing the bile duct to collect samples for histology?
In suspected cholangiocarcinoma, what procedure involves brushing the bile duct to collect samples for histology?
What is the main treatment approach for pancreatic and biliary cancers?
What is the main treatment approach for pancreatic and biliary cancers?
What is a common symptom triad seen in cholangitis, which includes fever, RUQ pain, and jaundice?
What is a common symptom triad seen in cholangitis, which includes fever, RUQ pain, and jaundice?
Which imaging technique is considered the gold standard for diagnosing and treating choledocholithiasis?
Which imaging technique is considered the gold standard for diagnosing and treating choledocholithiasis?
What is a significant risk factor for biliary malignancies?
What is a significant risk factor for biliary malignancies?
In gallstone pancreatitis, what causes inflammation and pain in the pancreas?
In gallstone pancreatitis, what causes inflammation and pain in the pancreas?
What investigation is preferred if there is uncertainty in diagnosing gallstones and acute cholecystitis following an ultrasound?
What investigation is preferred if there is uncertainty in diagnosing gallstones and acute cholecystitis following an ultrasound?
Which imaging method can assess for CBD stones and biliary strictures non-invasively without using radiation or anesthesia?
Which imaging method can assess for CBD stones and biliary strictures non-invasively without using radiation or anesthesia?
What is considered the best diagnostic test for gallstones with 90% specificity but can lead to false negatives in certain conditions?
What is considered the best diagnostic test for gallstones with 90% specificity but can lead to false negatives in certain conditions?
Which surgical procedure is considered the gold standard for gallbladder stones?
Which surgical procedure is considered the gold standard for gallbladder stones?
What is the primary lining of the gallbladder and biliary tree?
What is the primary lining of the gallbladder and biliary tree?
Which condition is closely associated with biliary cancers?
Which condition is closely associated with biliary cancers?
What are common symptoms of cholangiocarcinoma?
What are common symptoms of cholangiocarcinoma?
What is the elective surgical treatment for biliary colic?
What is the elective surgical treatment for biliary colic?
Which of the following is a risk factor for biliary malignancies?
Which of the following is a risk factor for biliary malignancies?
How is cholangiocarcinoma typically diagnosed?
How is cholangiocarcinoma typically diagnosed?
Which of the following substances can contribute to the formation of mixed pigmented gallstones?
Which of the following substances can contribute to the formation of mixed pigmented gallstones?
What is the most common cause of gallstones in the general population?
What is the most common cause of gallstones in the general population?
Which symptom is classically associated with gallstones?
Which symptom is classically associated with gallstones?
What is the main risk factor for gallstone disease?
What is the main risk factor for gallstone disease?
In the context of biliary malignancies, which presentation is suggestive of cholangiocarcinoma?
In the context of biliary malignancies, which presentation is suggestive of cholangiocarcinoma?
What is the recommended investigation for suspected cholangiocarcinoma?
What is the recommended investigation for suspected cholangiocarcinoma?
Which treatment modality is commonly used for pancreatic and biliary cancers?
Which treatment modality is commonly used for pancreatic and biliary cancers?
What is the term for gallstones hanging out in the gallbladder without causing any problems?
What is the term for gallstones hanging out in the gallbladder without causing any problems?
Which of the following is a risk factor for pigment gallstones?
Which of the following is a risk factor for pigment gallstones?
What is the typical duration of pain in biliary colic?
What is the typical duration of pain in biliary colic?
Which condition presents with gallstones in the common bile duct?
Which condition presents with gallstones in the common bile duct?
What is a common medication known to cause gallstones?
What is a common medication known to cause gallstones?
What is the term for inflammation of the gallbladder that does not resolve like biliary colic?
What is the term for inflammation of the gallbladder that does not resolve like biliary colic?
What is a common presentation of cholangiocarcinoma?
What is a common presentation of cholangiocarcinoma?
What is a common investigation for suspected cholangiocarcinoma?
What is a common investigation for suspected cholangiocarcinoma?
Which of the following is a treatment option for pancreatic cancer?
Which of the following is a treatment option for pancreatic cancer?
What is a common treatment approach for biliary cancers?
What is a common treatment approach for biliary cancers?
Which of the following substances contribute to the formation of mixed pigmented gallstones?
Which of the following substances contribute to the formation of mixed pigmented gallstones?
In biliary malignancies, which presentation is suggestive of cholangiocarcinoma?
In biliary malignancies, which presentation is suggestive of cholangiocarcinoma?
Which medication is known to cause gallstones?
Which medication is known to cause gallstones?
Which imaging modality is used to assess the pancreas in suspected pancreatic cancer?
Which imaging modality is used to assess the pancreas in suspected pancreatic cancer?
Which of the following is a risk factor for biliary malignancies?
Which of the following is a risk factor for biliary malignancies?
What is the relationship between cholesterol and bile salts in gallstone formation?
What is the relationship between cholesterol and bile salts in gallstone formation?
Which of the following imaging methods can assess for metastases in suspected pancreatic cancer?
Which of the following imaging methods can assess for metastases in suspected pancreatic cancer?
Which imaging modality is considered the gold standard for both diagnosing and treating choledocholithiasis?
Which imaging modality is considered the gold standard for both diagnosing and treating choledocholithiasis?
What imaging technique is specifically recommended to assess for common bile duct (CBD) stones and biliary strictures non-invasively, without using radiation or anesthesia?
What imaging technique is specifically recommended to assess for common bile duct (CBD) stones and biliary strictures non-invasively, without using radiation or anesthesia?
Which medication is commonly known to cause gallstones?
Which medication is commonly known to cause gallstones?
What presentation type is typically suggestive of cholangiocarcinoma in the context of biliary malignancies?
What presentation type is typically suggestive of cholangiocarcinoma in the context of biliary malignancies?
What is the primary purpose of Endoscopic Retrograde Cholangiopancreatography (ERCP) or Percutaneous Transhepatic Cholangiography (PTC) in the investigation of biliary malignancies?
What is the primary purpose of Endoscopic Retrograde Cholangiopancreatography (ERCP) or Percutaneous Transhepatic Cholangiography (PTC) in the investigation of biliary malignancies?
Which substance can significantly contribute to the formation of mixed pigmented gallstones?
Which substance can significantly contribute to the formation of mixed pigmented gallstones?
What is considered the best diagnostic test for gallstones with 90% specificity but can lead to false negatives under certain conditions?
What is considered the best diagnostic test for gallstones with 90% specificity but can lead to false negatives under certain conditions?
Which of the following is a risk factor for gallstone disease as described in the text?
Which of the following is a risk factor for gallstone disease as described in the text?
What is a possible clinical presentation of gallstones according to the text?
What is a possible clinical presentation of gallstones according to the text?
According to the information provided, what role does cholesterol play in the formation of gallstones?
According to the information provided, what role does cholesterol play in the formation of gallstones?
Which medication, as indicated in the text, is known to cause gallstones?
Which medication, as indicated in the text, is known to cause gallstones?
What imaging technique is suggested in the text for assessing CBD stones and biliary strictures non-invasively?
What imaging technique is suggested in the text for assessing CBD stones and biliary strictures non-invasively?
What is a plausible risk factor for gallstone disease based on the text?
What is a plausible risk factor for gallstone disease based on the text?
What is a risk factor for biliary malignancies according to the text?
What is a risk factor for biliary malignancies according to the text?
What type of presentation is usually associated with cholangiocarcinoma in its early stages?
What type of presentation is usually associated with cholangiocarcinoma in its early stages?
Which medication, as per the text, is known to contribute to the formation of gallstones?
Which medication, as per the text, is known to contribute to the formation of gallstones?
How is bile related to cholesterol according to the text?
How is bile related to cholesterol according to the text?
Which imaging method is not invasive and does not use radiation or anesthesia to assess for CBD stones and biliary strictures?
Which imaging method is not invasive and does not use radiation or anesthesia to assess for CBD stones and biliary strictures?
What is a common symptom associated with gallstones in the text?
What is a common symptom associated with gallstones in the text?
Which condition is closely associated with biliary cancers?
Which condition is closely associated with biliary cancers?
Which risk factor contributes to the formation of cholesterol gallstones?
Which risk factor contributes to the formation of cholesterol gallstones?
How does dyslipidemia contribute to the formation of gallstones?
How does dyslipidemia contribute to the formation of gallstones?
Which medication is NOT associated with an increased risk of gallstone formation?
Which medication is NOT associated with an increased risk of gallstone formation?
What is the primary imaging modality used to diagnose gallstones in the common bile duct?
What is the primary imaging modality used to diagnose gallstones in the common bile duct?
Which presentation is characteristic of choledocholithiasis?
Which presentation is characteristic of choledocholithiasis?
How does rapid weight loss contribute to the formation of gallstones?
How does rapid weight loss contribute to the formation of gallstones?
Which factor increases the risk of pigment gallstones?
Which factor increases the risk of pigment gallstones?
How do hormones and oral contraceptives contribute to gallstone formation?
How do hormones and oral contraceptives contribute to gallstone formation?
What imaging modality is commonly used to assess for gallstones within the gallbladder?
What imaging modality is commonly used to assess for gallstones within the gallbladder?
What is a possible consequence of biliary colic that transforms into cholecystitis?
What is a possible consequence of biliary colic that transforms into cholecystitis?