Gastroenterology Quiz #26: Appendicitis and Cholecystitis

1. A 25-year-old man presents to the emergency department with sudden onset of right lower quadrant abdominal pain, nausea, and a low-grade fever. Physical examination reveals tenderness at McBurney's point. Laboratory tests show a mild leukocytosis. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 45-year-old woman presents with a 6-hour history of right upper quadrant abdominal pain that radiates to her right shoulder. She mentions that the pain started after eating a fatty meal. On physical examination, Murphy's sign is positive. Ultrasound of the abdomen shows gallstones. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 30-year-old man presents with generalized abdominal pain that began 24 hours ago and has localized to the right lower quadrant. He has a fever of 38.3°C and an elevated white blood cell count. On examination, rebound tenderness is observed. Which of the following is the most appropriate next step in management? 

Question 3 of 5

4. A 55-year-old man with a history of chronic alcohol use presents to the emergency department with sudden onset of severe, epigastric abdominal pain radiating to the back. Laboratory tests reveal elevated amylase and lipase levels. Which of the following is the most likely diagnosis?

Question 4 of 5

5. A 60-year-old woman presents with a 2-day history of nausea, vomiting, and severe right upper quadrant abdominal pain. She has a history of type 2 diabetes mellitus and obesity. Laboratory tests show leukocytosis and abnormal liver function tests. Ultrasound of the abdomen reveals thickening of the gallbladder wall and pericholecystic fluid. Which of the following is the most likely diagnosis? 

Question 5 of 5


 

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