Biliary atresia

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[size=20px]A 5 year old underwent a successful hepatoportoenterostomy (HPE - Kasai procedure) as a newborn. She is clinically well with her native liver. The most common long term complication after successful HPE is A Failure to thrive B Abnormal liver synthetic function C Bowel obstruction D Malignant transformation E Cholangitis[/size]

[size=20px]All of these viral agents has been linked to biliary atresia except: A cytomegalovirus B hepatitis virus C rotavirus D human papilompapiloma virus E reovirus[/size]

[size=20px]All of these viral agents has been linked to biliary atresia except: A cytomegalovirus B hepatitis virus C rotavirus D human papilompapiloma virus E reovirus[/size]

First one with correct answer with justification win. [size=20px]You are asked to see a four-week old female with direct hyperbilirubinemia. Ultrasound suggests a small collapsed gallbladder and HIDA study shows hepatic uptake without secretion. Studies for metabolic and infectious diseases are pending. The next best step in management of this child with jaundice is A wait for metabolic and infection studies. B laparoscopic cholangiogram, liver biopsy and possible Kasai portoeneroscopy. C open cholangiogram, liver biopsy and possible Kasai portoenterostomy. D liver transplant.[/size]

Saudi pediatric Surgery board lectures, download from next post

First one with correct answer with justification win. [size=20px]Which of the following tests can be used to definitively diagnose biliary atresia in a forty day old infant presents with jaundice and a distended abdomen. ? A ultrasound B hepatobiliary scan C duodenal aspiration D cholangiography E serum lipoprotein X[/size]