Published 8 April 2009, doi:10.1136/bmj.b1386
Cite this as: BMJ 2009;338:b1386

Endgames

OnExamination Quiz

Upper gastrointestinal tract

The first 100% of the full text of this article appears below.

The answer to this question, and more questions on this topic, are available from www.onexamination.com/endgames until midnight on Wednesday.

This week’s quiz is on the upper gastrointestinal tract and is taken from the MRCS Part A examination.

A 70 year old man presented with insidious onset of jaundice and some weight loss. On examination, his gallbladder was palpable in the right upper quadrant. Liver function tests showed a raised bilirubin, grossly raised alkaline phosphatase, and a mildly raised aspartate transaminase. What is the most likely diagnosis?

  • Carcinoma of the pancreas
  • Cholangiocarcinoma
  • Cholangitis
  • Gallstone in the common bile duct
  • Infective hepatitis
  • Mirizzi’s syndrome

Cite this as: BMJ 2009;338:b1386


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