Exam 1: Biliary Stricture and Negative Cytology: What Next?
Transcript of Exam 1: Biliary Stricture and Negative Cytology: What Next?
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CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2011;9:e96–e98
CME Activities–Exams 1 and 2Shyam S. Varadarajulu, MD, Editor, CME Section
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Objectives:See article for specific learning objective.
September 2011 CME ACTIVITIES e97
Exam 1: Biliary Stricture and Negative Cytology: What Next?
Test ID No.: 0137 Contact Hours: 1.0 Expiration Date: September 30, 2012
Question 1
In a patient with distal biliary stricture, which technique isthe most sensitive for diagnosing malignancy?
Question 2
Question 3
duct.
Question 4
tients with malignant obstructive jaundice.
a. Biliary brushings at endoscopic retrograde cholangiopancre-atography (ERCP)
b. Biopsies of the biliary stricture at ERCPc. A combination of ERCP-guided brushings and biopsyd. Endoscopic ultrasound (EUS)-guided fine needle aspiration
(FNA)
In which of the following patients does EUS-guided FNAhave low diagnostic yield?
a. Patient with obstructive jaundice and a pancreatic headmass on computed tomography
b. Patient with obstructive jaundice and several enlarged, hy-poechoic lymph nodes near the pancreatic head region
c. Patient with obstructive jaundice and a stricture at the levelof the liver hilum extending to the proximal common bileduct on magnetic resonance cholangio-pancreatography
d. Patient with a mid-common bile duct stricture on ERCP
Fluorescence in situ hybridization (FISH) is the first linediagnostic modality for evaluation of indeterminate non–pri-mary sclerosing cholangitis associated strictures in the bile
a. Trueb. False
Preoperative biliary decompression is mandatory for all pa-
a. True b. False