Gastroenterology Quiz #33: Biliary Tract Diseases

1. A 40-year-old woman presents to the emergency department with severe right upper quadrant pain that radiates to her back. She reports the pain began suddenly after eating a fatty meal. On examination, her temperature is 38.3°C (100.9°F), and she has a positive Murphy's sign. Laboratory tests show elevated white blood cell count and mild elevation in bilirubin and alkaline phosphatase levels. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 55-year-old man with a history of alcohol abuse presents with jaundice, dark urine, and pale stools. He also reports pruritus. Laboratory tests reveal elevated direct bilirubin, alkaline phosphatase, and gamma-glutamyl transferase (GGT) levels. Which of the following is the most likely cause of this patient's symptoms?

Question 2 of 5

3. A 60-year-old woman presents with fever, right upper quadrant abdominal pain, and jaundice. She has a history of multiple episodes of cholecystitis. Laboratory tests show leukocytosis, elevated bilirubin, and markedly elevated alkaline phosphatase. Blood cultures are positive for Escherichia coli. Which of the following is the most likely diagnosis? 

Question 3 of 5

4. A 70-year-old man presents with fatigue, weight loss, and a palpable mass in the right upper quadrant of the abdomen. He has a history of ulcerative colitis. Laboratory tests reveal elevated alkaline phosphatase and GGT. An abdominal ultrasound shows bile duct strictures and beading. Which of the following is the most likely diagnosis? 

Question 4 of 5

5. A 25-year-old woman presents with right upper quadrant pain, fever, and jaundice. She recently traveled to Mexico. Laboratory tests reveal eosinophilia, elevated alkaline phosphatase, and positive serology for Entamoeba histolytica. Which of the following is the most likely diagnosis? 

Question 5 of 5


 

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