<prompt> All of the following are seen with bile duct stone except: March 2008Obstructive jaundiceDistended and palpable gall bladderPruritisClay coloured stools  <response>: Ans. B: Distended and palpable gall bladder Jaundice occurs when the CBD becomes obstructed and conjugated bilirubin enters the bloodstream. A history of clay-colored stools and tea-colored urine is obtained from such patients in approximately 50 of cases. The jaundice can be episodic. Palpable gallbladder Courvoisier sign may indicate gall bladder malignancy. 