Absite graded A+ fully solved 2023

Absite graded A+ fully solved 2023Biliary dyskinesia - correct answer CCK HIDA EF 35% at 20 min Unable to obtain critical view in lap chole? - correct answer IOC; contrast into infundibulum of gallbladder Options for choledocholithiasis during lap chole - correct answer Lap common duct exploration , lap transcystic basket choledocholithotomy with t tube drainage Benign biliary polyps - correct answer Cholesterol polyps Found in periampullary region 1cm in size Arise: lamina propria T tube management for retained stones after CBD exploration - correct answer T tube cholangiography 2 weeks post op; 4-6 weeks before any instrumentation 2 Predictors of gallbladder malignancy - correct answer Age 50 Size 1cm Pre-malignant gallbladder polyps - correct answer Adenomas Arise from epithelial layer Gallbladder cancer staging and treatments - correct answer Stage 1A- simple chole Classic presentation of gallstone Ileus (3) and treatment - correct answer Intestinal obstruction. Air in biliary tree. Gallstone outside the RUQ. Tx- removal of stone and resection of obstructed bowel if there is tissue necrosis Initial imaging for gallbladder polyp - correct answer RUQ ultra sound Disease associated with ulcerative colitis? Typically presents with intermittent jaundice, weight loss, dilatations/strictures of Bile ducts - correct answer Primary sclerosing cholangitis Tx- liver transplant PSC treatments? - correct answer 1. Non op dilatation 2. If dominant stricture is at hepatic duct bifurcation then need resection with transhepatic silastic stent 3. Liver transplant Gallbladder carcinoma staging. T1a T1b T2 T3 T4 - correct answer T1a lamina propria T1b muscle layer T2 peri muscular T3 serosal invasion and /or 1 adjacent structure T4 2 cm into liver or 2+ adjacent structure invasion Extended cholecystectomy ? - correct answer Lymphadenectomy of cystic duct Pericholedochal Portal Right celiac Posterior pancreaticoduodenal nodes T1 gallbladder cancer treatment - correct answer Lap chole with excision of port sites T2 gallbladder cancer - correct answer Extended cholecystectomy including wedge resection with 2cm margins Stone in CBD not flushing with saline. Next step? - correct answer 1-2 mg glucagon. Relaxes sphincter of oddi. If fails, then lap CBD exploration Compartment syndrome pressures - correct answer Pressure 20mmhg Compartment syndrome findings - correct answer Pain paresthesia anesthesia paralysis