Biliary Tract Diseases and Primary Sclerosing Cholangitis

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which pattern of liver function tests (LFTs) is typically seen in biliary tract disease?

  • Elevated unconjugated bilirubin
  • Elevated cholesterol
  • Elevated gamma-glutamyl transferase (GGT)
  • Elevated alkaline phosphatase (ALP) (correct)

What is the classic presentation of primary sclerosing cholangitis?

  • Antimitochondrial antibody positivity
  • Middle-aged males with ulcerative colitis
  • Pruritus and jaundice
  • Alternating strictures and dilation of bile ducts (correct)

Which autoantibody is typically positive in primary biliary cholangitis?

  • Anti-smooth muscle antibody
  • Antinuclear antibody
  • Anti-liver kidney microsomal antibody
  • Antimitochondrial antibody (correct)

Which condition is associated with primary biliary cholangitis?

<p>All of the above (D)</p> Signup and view all the answers

What is the treatment for primary biliary cholangitis?

<p>Ursodiol (C)</p> Signup and view all the answers

What is the most common cause of secondary biliary cirrhosis?

<p>Gallstones (A)</p> Signup and view all the answers

What is the pathophysiology of secondary biliary cirrhosis?

<p>Elevated bile pressure and injury/fibrosis (B)</p> Signup and view all the answers

Which gender is most commonly affected by primary biliary cholangitis?

<p>Females (B)</p> Signup and view all the answers

What is the most common complication of primary sclerosing cholangitis?

<p>Biliary cirrhosis (C)</p> Signup and view all the answers

Which autoantibody is typically positive in primary sclerosing cholangitis?

<p>Perinuclear antineutrophil cytoplasmic antibody (p-ANCA) (B)</p> Signup and view all the answers

Which condition is characterized by concentric 'onion skin' bile duct fibrosis and alternating strictures and dilation of intra- and extrahepatic bile ducts?

<p>Primary sclerosing cholangitis (B)</p> Signup and view all the answers

Which condition is associated with ulcerative colitis?

<p>Primary sclerosing cholangitis (A)</p> Signup and view all the answers

Which condition is characterized by autoimmune reaction leading to destruction of lobular bile ducts?

<p>Primary biliary cholangitis (C)</p> Signup and view all the answers

Which condition is typically seen in middle-aged females?

<p>Primary biliary cholangitis (B)</p> Signup and view all the answers

Which condition is characterized by extrahepatic biliary obstruction and increased pressure in intrahepatic ducts?

<p>Secondary biliary cirrhosis (D)</p> Signup and view all the answers

Which condition is associated with known obstructive lesions such as gallstones and biliary strictures?

<p>Secondary biliary cirrhosis (C)</p> Signup and view all the answers

Which condition may present with pruritus, jaundice, dark urine, light-colored stool, and hepatosplenomegaly?

<p>Biliary tract disease (D)</p> Signup and view all the answers

Which condition is characterized by a cholestatic pattern of liver function tests (LFTs) with increased conjugated bilirubin, cholesterol, ALP, and GGT?

<p>Biliary tract disease (A)</p> Signup and view all the answers

Which condition is associated with other autoimmune conditions such as Hashimoto thyroiditis and rheumatoid arthritis?

<p>Primary biliary cholangitis (A)</p> Signup and view all the answers

Which condition can lead to secondary biliary cirrhosis and an increased risk of cholangiocarcinoma and gallbladder cancer?

<p>Primary sclerosing cholangitis (B)</p> Signup and view all the answers

Which of the following symptoms is commonly seen in biliary tract disease?

<p>Abdominal pain (A)</p> Signup and view all the answers

Which liver function test (LFT) pattern is typically observed in biliary tract disease?

<p>Increased conjugated bilirubin and ALP (B)</p> Signup and view all the answers

Which of the following conditions is characterized by concentric 'onion skin' bile duct fibrosis and alternating strictures and dilation of intra- and extrahepatic bile ducts?

<p>Primary sclerosing cholangitis (A)</p> Signup and view all the answers

Flashcards

Biliary Tract Disease LFTs

Elevated alkaline phosphatase (ALP) is a typical pattern in liver function tests (LFTs) associated with biliary tract disease.

Primary Sclerosing Cholangitis (PSC)

A condition that causes bile ducts to become inflamed and scarred, characterized by alternating strictures and dilation of the bile ducts.

Primary Biliary Cholangitis (PBC) Autoantibody

Antimitochondrial antibodies (AMA) are typically found in people with primary biliary cholangitis (PBC).

Primary Biliary Cholangitis Associated Conditions

PBC is often linked with other autoimmune diseases.

Signup and view all the flashcards

PBC Treatment

Ursodiol is commonly used to treat PBC.

Signup and view all the flashcards

Secondary Biliary Cirrhosis Cause

Gallstones are a common cause of secondary biliary cirrhosis.

Signup and view all the flashcards

Secondary Biliary Cirrhosis Pathophysiology

Secondary biliary cirrhosis results from elevated bile pressure and resulting liver injury and scarring.

Signup and view all the flashcards

PBC Predominant Gender

Primary biliary cholangitis (PBC) is more common in females.

Signup and view all the flashcards

PSC Common Complication

Biliary cirrhosis is a common complication of primary sclerosing cholangitis (PSC).

Signup and view all the flashcards

PSC Autoantibody

Perinuclear antineutrophil cytoplasmic antibody (p-ANCA) is a common autoantibody associated with PSC.

Signup and view all the flashcards

PSC Characteristic

Primary sclerosing cholangitis has concentric "onion skin" bile duct fibrosis with alternating strictures and dilation of intra- and extrahepatic bile ducts.

Signup and view all the flashcards

PSC and Ulcerative Colitis

Primary sclerosing cholangitis (PSC) is associated with ulcerative colitis.

Signup and view all the flashcards

PBC Pathophysiology

PBC causes an autoimmune reaction that leads to the gradual destruction of the lobular bile ducts.

Signup and view all the flashcards

PBC typical patient

PBC is often seen in middle-aged women.

Signup and view all the flashcards

Secondary Biliary Cirrhosis cause

Secondary biliary cirrhosis arises from extrahepatic biliary obstruction and increased pressure in intrahepatic ducts.

Signup and view all the flashcards

Secondary Biliary Cirrhosis Obstruction

Secondary biliary cirrhosis typically involves known obstructive lesions like gallstones and biliary strictures.

Signup and view all the flashcards

Biliary Tract Disease Symptoms

Symptoms of biliary tract disease can involve pruritus, jaundice, dark urine, light-colored stools, and hepatosplenomegaly.

Signup and view all the flashcards

Biliary Tract Disease LFT pattern

Biliary tract disease is recognized by a cholestatic pattern of liver function tests (LFTs) - elevated conjugated bilirubin, cholesterol, ALP, and GGT.

Signup and view all the flashcards

PBC & other Autoimmune Conditions

Primary biliary cholangitis is linked to autoimmune disorders, such as Hashimoto's thyroiditis and rheumatoid arthritis.

Signup and view all the flashcards

PSC - Complications

Primary sclerosing cholangitis can lead to secondary biliary cirrhosis, and increase risk of cholangiocarcinoma and gallbladder cancer.

Signup and view all the flashcards

Biliary Tract Disease Symptom

Abdominal pain is a common symptom in biliary tract disease

Signup and view all the flashcards

Biliary Tract Disease LFT pattern 2

A typical liver function test (LFT) change in biliary tract disease involves elevated conjugated bilirubin and alkaline phosphatase (ALP).

Signup and view all the flashcards

Concentric Bile Duct Fibrosis

Primary sclerosing cholangitis is characterized by concentric, 'onion-skin' bile duct fibrosis.

Signup and view all the flashcards

More Like This

Liver Function Tests (LFTs) Quiz
5 questions
Liver Function Tests (LFT) Quiz
5 questions

Liver Function Tests (LFT) Quiz

AppreciatedDalmatianJasper avatar
AppreciatedDalmatianJasper
Use Quizgecko on...
Browser
Browser