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Free practice question 9 of 20 · HPB

Gallstones & benign biliary disease: a free FRCS (Gen Surg) Section 1 question

An original single best answer question in the style of the FRCS (Gen Surg) Section 1 paper, with the answer and a referenced explanation. Pick an answer to reveal it, then rate how sure you were.

09HPB·Gallstones & benign biliary disease
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A fit 46-year-old woman has had right upper quadrant pain for two days. Temperature is 38.1 °C, WCC 14 × 10⁹/L and CRP 120 mg/L, with normal liver function tests. Ultrasound shows a thick-walled gallbladder containing stones, pericholecystic fluid and a 4 mm common bile duct.

Which plan is most appropriate?

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Calot’s triangle, the critical view of safety and bile duct injury

Safe cholecystectomy for FRCS (Gen Surg): the hepatocystic triangle, the critical view of safety, Rouvière’s sulcus, bail-out options and the Strasberg classification of bile duct injury.

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Acute pancreatitis: diagnosis, severity and management after the revised Atlanta classification

Acute pancreatitis for FRCS (Gen Surg): the revised Atlanta diagnosis and severity grades, collections by time, fluids and feeding, ERCP, cholecystectomy timing and the step-up approach.

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