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Ascending cholangitis: Quiz
  
  

Question 1: Dr ________, working at the Salpêtrière Hospital in Paris, France, is credited with early reports of cholangitis, as well as his eponymous triad, in 1877.
Jean-Martin CharcotTourette syndromeSamuel JohnsonGeorges Gilles de la Tourette

Question 2: If other causes rather than gallstones are suspected (such as a tumor), ________ and endoscopic ultrasound (EUS) may be performed to identify the nature of the obstruction.
Medical radiographyCT pulmonary angiogramMagnetic resonance imagingX-ray computed tomography

Question 3: EUS may be used to obtain ________ (tissue sample) of suspicious masses.
BiopsyCirrhosisHepatitisLiver

Question 4: Bile duct obstruction, which is usually present in acute cholangitis, is generally due to ________.
Ascending cholangitisGallstoneHepatitisCholecystitis

Question 5: In the early stages, however, pressure on the liver cells may be the main feature and the tests will resemble those in ________, with elevations in alanine transaminase and aspartate transaminase.
PeritonitisPancreatitisGastroenteritisHepatitis

Question 6: This involves endoscopy (passing a ________ tube through the stomach into the duodenum), identification of the ampulla of Vater and insertion of a small tube into the bile duct.
GlassOpticsTransparency and translucencyOptical fiber

Question 7: Acute cholangitis carries a significant risk of death, the leading cause being irreversible shock with ________ (a possible complication of severe infections).
Acute liver failureMultiple organ dysfunction syndromeAcute respiratory distress syndromeSepsis

Question 8: Bile is produced by the liver, and serves to eliminate cholesterol and ________ from the body, as well as emulsifying of fats to make them more soluble in water and aid in their digestion.
Reference ranges for blood testsBilirubinHemoglobinHaptoglobin

Question 9: [1] Characteristic symptoms include jaundice, ________, abdominal pain, and in severe cases, low blood pressure and confusion.
FeverInfluenza-like illnessHeadacheFatigue (medical)

Question 10: Given that ascending cholangitis usually occurs in the setting of bile duct obstruction, various forms of ________ may be employed to identify the site and nature of this obstruction.
Medical imagingFunctional magnetic resonance imagingNeuroimagingRadiology
















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