Diagnosis of Obstructive Jaundice Clinical Tips
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Questions and Answers

Which of the following is the most specific biochemical marker for obstructive jaundice?

  • Elevated serum alanine aminotransferase (ALT)
  • Elevated serum bilirubin
  • Elevated serum gamma-glutamyl transferase (GGT)
  • Elevated serum alkaline phosphatase (correct)

Which of the following imaging modalities is considered the gold standard for diagnosing obstructive jaundice?

  • Ultrasound
  • Computed Tomography (CT) scan
  • Endoscopic Retrograde Cholangiopancreatography (ERCP) (correct)
  • Magnetic Resonance Cholangiopancreatography (MRCP)

Which of the following is the preferred initial treatment for obstructive jaundice caused by a distal common bile duct stone?

  • Open cholecystectomy
  • Surgical exploration of the common bile duct
  • Endoscopic sphincterotomy and stone extraction (correct)
  • Percutaneous transhepatic biliary drainage

Which of the following is a potential complication of untreated obstructive jaundice?

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

Which of the following is the most common cause of obstructive jaundice?

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

In a patient with obstructive jaundice due to a suspected malignant biliary stricture, which of the following is the preferred diagnostic and therapeutic approach?

<p>ERCP with biliary stenting (D)</p> Signup and view all the answers

Which of the following is the most common cause of obstructive jaundice in patients with pancreatic cancer?

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

Which of the following statements regarding the management of obstructive jaundice is correct?

<p>The underlying cause of obstruction should be identified and addressed when possible (C)</p> Signup and view all the answers

In a patient with obstructive jaundice due to a periampullary mass, which of the following is the preferred initial diagnostic and therapeutic approach?

<p>ERCP with biliary stenting and tissue sampling (D)</p> Signup and view all the answers

In a patient with obstructive jaundice and suspected cholangiocarcinoma (bile duct cancer), which of the following is the preferred treatment approach?

<p>Neoadjuvant chemotherapy followed by surgical resection (A)</p> Signup and view all the answers

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