GI Liver, Biliary, and Pancreatic Disorders 3

Question 1

Which imaging modality is the first-line study for suspected acute cholecystitis?

Accepted Answer

Right upper quadrant ultrasound

Answer

CT scan of the abdomen

Answer

MRI/MRCP

Answer

Hepatobiliary iminodiacetic acid (HIDA) scan

Question 2

Charcot's triad — fever, right upper quadrant pain, and jaundice — is the classic presentation of which condition?

Accepted Answer

Ascending cholangitis

Answer

Acute cholecystitis

Answer

Acute pancreatitis

Answer

Hepatic abscess

Question 3

Which serum tumor marker is most commonly elevated in pancreatic adenocarcinoma and used for monitoring treatment response?

Accepted Answer

CA 19-9

Answer

Alpha-fetoprotein (AFP)

Answer

Carcinoembryonic antigen (CEA)

Answer

CA-125

Question 4

What is the standard first-line pharmacologic treatment for autoimmune hepatitis?

Accepted Answer

Prednisone with or without azathioprine

Answer

Sofosbuvir/velpatasvir antiviral therapy

Answer

Ursodeoxycholic acid

Answer

Cholestyramine

Question 5

Which laboratory pattern is most characteristic of hereditary hemochromatosis?

Accepted Answer

Elevated serum ferritin and transferrin saturation >45%

Answer

Low serum copper with elevated ceruloplasmin

Answer

Elevated alkaline phosphatase with low albumin

Answer

Positive anti-mitochondrial antibodies

Question 6

Hepatorenal syndrome (HRS) is best defined as:

Accepted Answer

Functional renal failure occurring in advanced liver disease without another identifiable renal cause

Answer

Acute kidney injury from NSAID use in a cirrhotic patient

Answer

Obstructive nephropathy secondary to biliary calculi

Answer

Contrast-induced nephropathy in a patient with cirrhosis

Question 7

Chronic alcoholic pancreatitis is most characteristically identified on imaging by which finding?

Accepted Answer

Pancreatic ductal calcifications and parenchymal fibrosis

Answer

Autoimmune enlargement of the pancreatic head

Answer

Groove between the duodenum and pancreatic head

Answer

Cystic lesions throughout the pancreas