A 60-year-old woman presents with a 2-week history of fatigue, anorexia, and painless jaundice. On examination, she has scleral icterus and a palpably...

Question

A 60-year-old woman presents with a 2-week history of fatigue, anorexia, and painless jaundice. On examination, she has scleral icterus and a palpably enlarged, non-tender gallbladder (Courvoisier's sign). Liver function tests show a markedly elevated bilirubin (predominantly conjugated) and alkaline phosphatase, with mildly elevated transaminases. What is the most likely underlying diagnosis?

Accepted Answer

Pancreatic cancer (head)

Answer

Gallstones in the common bile duct

Answer

Acute viral hepatitis

Answer

Primary biliary cholangitis

Answer

Alcoholic liver disease

ukmla MCQ (SBA): Pancreatic Cancer