I believe that this card should specify "prolonged extrahepatic biliary obstruction".
This is evidenced in the AMBOSS link above where chronic biliary obstruction is listed first under pathophysiology.
Furthermore, leaving the card as is makes it rather vague as an acute biliary obstruction with resultant back up commonly leads to ascending cholangitis which is also mentioned by AMBOSS:
https://next.amboss.com/us/article/nS07Zf?utm_source=navbar&utm_medium=anki&utm_campaign=anki&utm_term=secondary%2Bbiliary%2Bcirrhosis&guid=t%257C4%253Br%2540K%255EUg&aid=4061cbac-3969-4d7a-8f3a-2ff7bbb4462a&uid=yzUhdvfWY#Z7f463d44ec421b4a4bb8d03bd56ef644
Source: AMBOSS - https://next.amboss.com/us/article/nS07Zf?utm_source=navbar&utm_medium=anki&utm_campaign=anki&utm_term=secondary%2Bbiliary%2Bcirrhosis&guid=t%257C4%253Br%2540K%255EUg&aid=4061cbac-3969-4d7a-8f3a-2ff7bbb4462a&uid=yzUhdvfWY#Z7f463d44ec421b4a4bb8d03bd56ef644
Obstruction causes increased pressure in intrahepatic ducts, causing injury/fibrosis and bile stasis
Primary sclerosing cholangitis (PSC) = intra- and extrahepatic bile duct fibrosis & inflammation
Primary biliary cholangitis (PBC) = intrahepatic bile duct inflammation

