Hepatobiliary and pancreatic surgery: Klatskin tumour and Bismuth-Corlette: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Hepatobiliary and pancreatic surgery: Klatskin tumour and Bismuth-Corlette

Sample item

A hilar cholangiocarcinoma extends to involve the confluence and both the right and left hepatic ducts up to secondary radicles. What is the Bismuth-Corlette type?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Type IV

Type I is below the confluence, type II involves the confluence, IIIa and IIIb involve the right or left hepatic duct respectively, and type IV involves both or is multifocal. Type IV is generally unresectable by standard resection.

Option by option

  • A. Type II

    Type II reaches only the confluence.

  • B. Type I

    Type I spares the confluence.

  • C. Type IIIa

    Type IIIa extends to the right duct alone.

  • D. Type IV (correct)

    Correct. Bilateral secondary duct involvement is type IV.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is D, Type IV. Type I is below the confluence, type II involves the confluence, IIIa and IIIb involve the right or left hepatic duct respectively, and type IV involves both or is multifocal.

Why is "Type II" not the answer?

Type II reaches only the confluence.

Why is "Type I" not the answer?

Type I spares the confluence.

Why is "Type IIIa" not the answer?

Type IIIa extends to the right duct alone.

What concept does this question test?

It tests Hepatobiliary and pancreatic surgery: Klatskin tumour and Bismuth-Corlette in General Surgery. Type IV is generally unresectable by standard resection.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hepatobiliary and pancreatic surgery: Klatskin tumour and Bismuth-Corlette?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.