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[] (a) An embryologic duplication of the bilary tree
[] (b) A spiral cystic duct and duct of Luschka
[] (c) Classic, normal biliary anatomy
[] (d) The cystic duct coming off of the right hepatic duct
[] (e) The cannulated duct is to segment VII
[] (f) Don't Know

Question 2: It is safe to clip and transect the duct on which the Olsen clamp is attached.

True False Don't Know

Question 3: This cholangiogram was performed in a jaundice woman 2 1/2 years following a cholecystectomy and partial gastrectomy with Bilroth II reconstruction. It most likely demonstrates a:

[] (a) A large common bile duct polyp or cancer
[] (b) fecolith
[] (c) primary bile duct stone
[] (d) retained common bile duct stone
[] (e) ascaris lumbricoides
[] (f) Don't Know

Question 4: The most appropriate therapy is:

[] (a) choledochoscopy with stent placement
[] (b) choledocotomy with stone extraction and choledocho-enterostomy
[] (c) choledocotomy with stone extraction and primary closure
[] (d) choledocotomy with stone extraction and T-tube placement
[] (e) medical therapy
[] (f) Don't Know

Question 5: The follow-up cholangiogram in the same patient:

[] (a) is normal
[] (b) reveals a dilated CBD but otherwise is normal
[] (c) is abnormal
[] (d) Don't Know

Question 6: The appropriate next step is:

[] (a) proceed with the operation
[] (b) as per answer (a), but do perform a post-op ERCP
[] (c) perform intra-operative choledocoscopy
[] (d) pass a balloon-tip catheter, and if no stones are found, close.
[] (e) Don't Know