Question 382
{"accessible":false,"alternatives":[{"id":1891,"text":"arsenic"},{"id":1892,"text":"Echinococcosis"},{"id":1893,"text":"primary biliary cirrhosis"},{"id":1894,"text":"primary sclerosing cholangitis"},{"id":1895,"text":"porcelain gallbladder"}],"archived":false,"correctAlternativeId":1894,"explanation":"\u003cp\u003eA number of risk factors for cholangiocarcinoma have been identified including:\u003c/p\u003e\u003cul\u003e\n\u003cli\u003e\n\u003ca href=\"https://radiopaedia.org/articles/primary-sclerosing-cholangitis-psc\"\u003eprimary sclerosing cholangitis (PSC)\u003c/a\u003e: major risk factor in western countries\u003c/li\u003e\n\u003cli\u003e\n\u003ca href=\"https://radiopaedia.org/articles/oriental-cholangiohepatitis\"\u003erecurrent pyogenic cholangitis\u003c/a\u003e\u0026nbsp;(hepatolithiasis): major risk factor in endemic areas\u003c/li\u003e\n\u003cli\u003e\n\u003ca href=\"https://radiopaedia.org/articles/choledocholithiasis\"\u003echoledocholithiasis\u003c/a\u003e\u0026nbsp;more than\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/gallstones-1\"\u003echolelithiasis\u003c/a\u003e\n\u003c/li\u003e\n\u003cli\u003eAsian liver flukes\u003c/li\u003e\n\u003cli\u003e\n\u003ca href=\"https://radiopaedia.org/articles/caroli-disease\"\u003eCaroli disease\u003c/a\u003e\u0026nbsp;/\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/choledochal-cyst\"\u003echoledochal cysts\u003c/a\u003e\n\u003c/li\u003e\n\u003cli\u003etoxins:\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/thorotrast\"\u003ethorotrast\u003c/a\u003e, dioxin, polyvinyl chloride, heavy alcohol use\u003c/li\u003e\n\u003cli\u003eviral infections: HIV, hepatitis B and hepatitis C, EBV\u003c/li\u003e\n\u003c/ul\u003e","id":382,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/1837","nextQuestionPath":null,"relatedArticles":[],"alsoUsedIn":[],"stem":"\u003cp\u003eWhich of the following is most associated with cholangiocarcinoma?\u0026nbsp;\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/382"}],"attemptsPercentages":[{"alternativeId":"1894","percentage":85},{"alternativeId":"1891","percentage":2},{"alternativeId":"1893","percentage":8},{"alternativeId":"1892","percentage":1},{"alternativeId":"1895","percentage":4}],"promptToLogin":false,"questionManager":false,"articleId":"cholangiocarcinoma"}