Epidemiology of Gallstones

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Questions and Answers

What percentage of adults in developed countries are estimated to develop gallstones during their lifetime?

  • 20%
  • 10% (correct)
  • 5%
  • 15%

Which group is more commonly affected by gallstones?

  • Males
  • Elderly
  • Women (correct)
  • Children

Which of the following is NOT mentioned as a potential predisposing factor for gallstones?

  • Physical exercise (correct)
  • Pregnancy
  • Diabetes
  • Obesity

In which type of communities is gallstone disease rare?

<p>Rural communities in developing countries (B)</p> Signup and view all the answers

Which dietary factor is suggested to contribute to gall bladder disease?

<p>'Fast food' diet high in fats and refined carbohydrates (A)</p> Signup and view all the answers

What is the main advantage of using ultrasound in investigating gall bladder pathology?

<p>It is suitable for use in non-jaundiced patients (A)</p> Signup and view all the answers

Why is ultrasound unreliable for directly identifying bile duct stones, particularly at the lower end?

<p>The image is obscured by overlying duodenal gas (A)</p> Signup and view all the answers

What imaging technique involves passing a cannula through the cystic duct into the common bile duct and injecting radiopaque contrast material to visualize the biliary tree?

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

In patients with gallstones but no history of obstructive jaundice, what preoperative investigations are typically required according to the text?

<p>Ultrasound scan and liver function tests (LFTs) (A)</p> Signup and view all the answers

Why is it important to distinguish between stone and tumor in jaundiced patients with obstructive jaundice?

<p>To plan appropriate management (C)</p> Signup and view all the answers

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