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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5775_Библиотеки_им_академика_М_И_Перельмана

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Contents

1Hepatobiliary
2Pancreas,Spleen,andBowe
3UrinaryTractandAdrenalGlands
4Neck
5Scrotum
6Gynecology
7FirstTrimesterPregnancy
8SecondandThirdTrimesterPregnancy
9Vascular
10Musculoskeletal
11PeritonealSpace,Retroperitoneum,AbdominalWall,andChest
Index
1 Hepatobiliary
Questions
1.Apreviouslyhealthy27-year-oldmalepresentswithrightupperquadrantpainandjaundice.Whichof
thefollowingisthemostlikelydiagnosis?
A.Hepatitis B.Cirrhosis C.Acutecholecystitis D.Acalculouscholecystitis
2a.This60-year-oldfemalewasfoundtohavegallbladderwallthickeningonCT.Whatisthenextbest
stepformanagementofthisfinding?
A.Noneedforfollow-up B.Cholecystectomy C.MRCP D.Contrast-enhancedCT
2b.Adenomyomatosisismostcommonlyassociatedwith:
A.Gallbladdercarcinoma B.Cholelithiasis C.Pancreatitis D.Cirrhosis
3a. This50-year-oldfemale presentedwith right upperquadrantpain, andimagesofthecommon duct
areshown.Whatisthemostappropriatemanagement?
A.Sphincterotomy B.Cholecystectomy C.ERCP D.HIDAscan
3b.Whatisthemostcommoncomplicationassociatedwithcholedochoceles?
A.Malignancy B.Liverabscess C.Pancreatitis D.Biliaryandpancreaticcalculi
3c.Whichtype(s)ofbiliarycystis(are)commonlytreatedwithaRoux-en-Yhepaticojejunostomy?
A.TypesIIandIII
B.TypesIandIII C.TypesIandIV D.TypeV
4a.  Shown here are transverse and sagittal images of the gallbladder. What is the most concerning
sonographicfinding?
A.PresenceofcolorDopplerflow B.Walldiscontinuity C.Intraluminalmass D.Absenceofring-downartifact
4b.Patientswithgallbladdercarcinomaaremostlikelytoalsohave:
A.Porcelaingallbladder B.Sludge C.Gallbladderpolyps D.Gallstones
4c.Themostcommonappearanceofgallbladdercarcinomais:
A.Massreplacinggallbladderlumen B.Intraluminalpolypoidlesion C.Gallbladderwallthickening D.Cysticmasswithinthegallbladder
5.Thispatientreceivedalivertransplant10yearsagoandpresentswithliverdysfunction.Whatisthe
mostlikelydiagnosis?