04-09-2007, 10:39 PM
A 44-year-old woman with a history of
recurrent biliary colic presents with
18 hours of very severe right upper
quadrant pain, fever, and jaundice. An
abdominal ultrasound reveals a
markedly dilated common bile duct.
Multiple gallstones are seen in the
gallbladder. Which of the following
would best determine whether there is
cystic duct obstruction?
A. Abdominal CT scan
B. Abdominal MRI
C. Abdominal ultrasound with
Doppler flow studies
D. Endoscopic retrograde
cholangiopancreatograph (ERCP)
E. HIDA scan
recurrent biliary colic presents with
18 hours of very severe right upper
quadrant pain, fever, and jaundice. An
abdominal ultrasound reveals a
markedly dilated common bile duct.
Multiple gallstones are seen in the
gallbladder. Which of the following
would best determine whether there is
cystic duct obstruction?
A. Abdominal CT scan
B. Abdominal MRI
C. Abdominal ultrasound with
Doppler flow studies
D. Endoscopic retrograde
cholangiopancreatograph (ERCP)
E. HIDA scan