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Continuing Medical Education Questions: May 2015

Palmer, William C MD; Brahmbhatt, Bhaumik MBBS; DeVault, Kenneth R MD, FACG

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American Journal of Gastroenterology: May 2015 - Volume 110 - Issue 5 - p 660
doi: 10.1038/ajg.2015.125
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Questions:

  1. Which one of the following tests is the preferred method of diagnosing primary sclerosing cholangitis (PSC)?
    • A. Liver biopsy
    • B. Endoscopic retrograde cholangiopancreatography (ERCP)
    • C. Magnetic resonance cholangiography (MRCP)
    • D. Serum antimitochondrial antibody (AMA) level
  2. Which one of the following treatments is the best for PSC patients with decompensated cirrhosis?
    • A. Ursodeoxycholic acid (28 mg/kg per day)
    • B. Liver transplantation
    • C. Vancomycin
    • D. Biliary reconstruction by biliary-enteric drainage
  3. Which one of the following statements is true regarding PSC patients and hepatobiliary malignancies?
    • A. Cholecystectomy should only be performed in PSC patients with symptomatic gallbladder polyps.
    • B. The 10-year cumulative risk for cholangiocarcinoma is 1–3%.
    • C. CA 19-9 levels have limited predictive value as a screening tool for cholangiocarcinoma.
    • D. Conventional endoscopic techniques with brush cytology for detection of cholangiocarcinoma have a sensitivity of >90%.
© The American College of Gastroenterology 2015. All Rights Reserved.