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Gallbladder Conditions

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  1. A 40-year-old old woman has multiple attacks of right upper quadrant abdominal pain after heavy meals. The last episode started after a fatty meal, co… D-207تكرر ×5
  2. A 67-year-old man has itching, dark urine, and epigastric pain. Physical examination reveals jaundice. Initial laboratory tests show a high total bili… D-210تكرر ×5
  3. A 35-year-old women has a 10-hours history of acute right upper quadrant pain and nausea. On examination she is febrile with RUQ tenderness, she has n… D-214تكرر ×4
  4. A 35-year-old woman has a 10-hour history of acute right upper quadrant pain and nausea. On examination, she is febrile with RUQ tenderness. She has n… D-209تكرر ×3
  5. A 20-year-old man has painless progressive jaundice, anorexia, and significant weight loss of 10 kg over the last 4 months Which of the following sign… D-213تكرر ×3
  6. A 54-year-old woman has jaundice and generalized pruritus that keeps her awake at night. On examination, her liver span by percussion in the midclavic… D-208
  7. A 50-year-old lady presents with a 12-hour history of severe right upper abdominal pain, tenderness and guarding. Her T 38 C, pulse 100 beats/min and … D-211
  8. A 67-year-old woman is being evaluated for obstructive jaundice. The cholangiographic findings indicate that she has a cancer of the lower end of the … D-212
  9. A 45-year-old woman visits the ER complaining of right upper quadrant abdominal pain. Which of the following features of this pain is most likely sugg… D-215
  10. A 55-year-old woman comes to OPD complaining of recurrent RUQ pain (especially after heavy meals) radiating to the right shoulder and to the back, ass… D-216
  11. A 41-year-old woman has 18 hours of nausea, right upper quadrant abdominal pain, and fever. She ate a heavy meal the night before and has never experi… D-217
  12. A 42-year-old man arrives at the ER with acute upper abdominal pain. A tender palpable globular swelling moving with respiration is detected on examin… D-218
  13. A 25-year-old man, known to have Hb SS disease presents with 3-day history of right upper quadrant pain radiated to his shoulder, it is associated wit… D-219
  14. A 25-year-old man, known to have Hb SS disease, presents with a 3-day history of right upper quadrant pain radiating to his shoulder, it is associated… D-220المصادر مختلفة
  15. A 67-year-old woman is being evaluated for obstructive jaundice. The cholangiographic findings indicate that she has a cancer of the lower end of the … D-221
  16. An 80-year-old woman is evaluated for increasing somnolence for several hours. She has hypertension and diabetes. On examination, she is jaundiced, le… D-222
  17. A previously healthy 85-year-old man is brought to the hospital with a 2-day history of nausea and vomiting. He has not passed gas or moved his bowels… D-223
  18. A 45-year-old woman, with aa history of gallstones for the past 2 years, has recurrent episodes of biliary colic that require short ER treatment with … D-224
  19. A 48-year-old women is admitted with acute cholecystitis. Her bilirubin level is elevated, as are the serum and urinary amylase levels. Which radiolog… D-225غير محسوم
  20. A 40 Y/O man underwent laparoscopic cholecystectomy 2 years ago. He remains asymptomatic until 1 week before admission, when he complains of right upp… D-226
  21. A 63-year-old woman has nausea, vomiting, shaking chills, fever and abdominal pain of 4 hours’ duration. Physical examination reveals a temperature of… D-227
  22. A 45-year-old woman with sickle cell anemia underwent laparoscopic cholecystectomy for recurrent biliary colic. What would be the most common type of … D-228
  23. A 60-year-old man is admitted to the hospital with right upper quadrant abdominal pain. The WBC count is 28,000/ml and a plain film and CT scan of the… D-229
  24. A 30-year-old lady post cholecystectomy 3 years ago is complaining recently of intermittent jaundice with right upper quadrant pain. Abdominal ultraso… D-230
  25. In 15% of patients for whom cholecystectomy has been performed, the symptoms for which the operation was performed persist. In the absent of common bi… D-231
  26. A male patient aged 40 years presented to the emergency room with acute onset of right upper abdominal pain with high fever and jaundice. You suspect … D-232
  27. A 40-year-old teacher presents to the ER with dyspnea, with recurrent upper quadrant abdominal pain for the last 2 years. U/S shows a thick-walled gal… D-233
  28. A 55-year-old woman to the emergency room with crampy abdominal pain. On plain film of her abdomen you notice multiple air-fluid levels and distension… D-234
  29. A 45-year-old female patient with sickle cell anemia underwent laparoscopic cholecystectomy for recurrent biliary colic. What is would be the most cor… D-235
  30. A 55-year-old female patient present in shock with sever right upper quadrant pain for 6 hrs. She has localized peritonitis in RUQ. Ultrasound showed … D-236
  31. A 76-year-old patients in the ICU for 7 days with respiratory failure. He developed sepsis. You cannot examine because he is sedated. Investigations r… D-237
  32. A female patient aged 40 years presented to the ER with acute onset of right upper abdominal pain with high fever and jaundice. What is the most likel… D-238
  33. With regards to obstructive jaundice, which of the following is true? D-239
  34. A 49-year-old lady is transferred to the ICU with hypertension and decreased level of … after being admitted with a 3-day history of RUQ abdominal pai… D-240المصادر مختلفة
  35. A 39-year-old female one week after laparoscopic cholecystectomy presented to ER … jaundice and RUQ discomfort. Her vital signs are within normal limi… D-241
  36. An obese but otherwise healthy 70-year-old lady presents with jaundice for 3 months, with no history of abdominal pain or vomiting. On examination, sh… D-242
  37. A male patient aged 40 years presented to the emergency room with … Abdominal pain with high fever and jaundice. You suspect ascending cholangitis … l… D-243
  38. You are called to assess an 80-year-old female who presented with small bowel obstruction… and early signs of sepsis. Abdominal x-ray showed air in th… D-244
  39. You received a consultation from the Gl service about 67-year-old otherwise healthy …. admitted with choledocholithasis. He underwent ERCP and success… D-245المصادر مختلفة
  40. During consenting a patient for ERCP. Which of the following is the LEAST possible complication of the Procedure? D-246
  41. The gas used to insufflate the abdomen during laparoscopic cholecystectomy is? D-247
  42. Which of the following medications is an absolute contraindication for elective laparoscopic cholecystectomy? D-248
  43. Which of the following is a direct cause of obstructive jaundice? D-249
  44. A 15-year-old boy having anemia, and gallstones should be investigated for the following condition: D-250
  45. A 45 year-old female had right hypochondrial pain …….. later, she developed jaundice followed by fever and rigors. The most likely diagnosis is: D-251
  46. Causes of a palpable gall bladder include: D-252
  47. Which of the following is the CORRECT statement regarding gallstones? D-253
  48. A Male patient aged 39 years presented to the emergency Rome with acute onset of right upper abdominal pain with high fever and jaundice. Later ascend… D-254
  49. A 42-year-old lady is transferred to the ICU with hypotension, decreased level of consciousness associated with a 3-day history of RUQ abdominal pain,… D-255
  50. Referred pain to the right shoulder associated with chronic cholecystitis is likely to occur from: D-256
  51. A 62-year-old female had uneventful laparoscopic cholecystectomy. On her follow up appointment, she was complaining of diarrhea which developed shortl… D-257غير محسوم
  52. Which of the following is TRUE about enterohepatic circulation of bile? D-258غير محسوم
  53. 3 days after a laparoscopic cholecystectomy for acute calculous cholecystitis which appeared to be straight forward, a 60-year-old man was noticed to … D-259
  54. A 65-year-old woman presented to the ER with symptoms of biliary colic. She gave a 1-week history of dark urine and pale stools and was clinically jau… D-260
  55. Regarding gallstones, which of the following statements is correct? D-261
  56. In obstructive jaundice, the following statements are true EXCEPT: D-262
  57. A 65-year-old woman presented to the Emergency Department with symptoms of biliary colic. She also gave a 1-Week history of dark urine and pale stools… D-263
  58. 37-year-old female teacher complaining of Right upper quadrant pain, on examination she was febrile and ill Investigation: ALT: 259 AST: 520 ALP: 1850… D-264
  59. 35-A 54-year-old woman has jaundice and generalized pruritus that keeps her awake at night. On examination her liver span by percussion in the midclav… D-265
  60. which is true regarding gallstones? D-266
  61. y.o obesity woman come with Abdominal pain on ex. Pressure pain on the arch of Right Rib: D-267
  62. 40 year old female has severe pain in the epigastrium radiating to the right hypochondriac region. After few hours she develops jaundice and offensive… D-268
  63. With regards to obstructive jaundice, which of the following is true? D-269
  64. A 54-year-old woman presented with fatigue and dark urine for 8 weeks. On physical examination, she has positive scleral icterus. Initial investigatio… D-270
  65. What is the initial imaging modality that you want to order based on your most likely diagnosis? D-271
  66. A 50-year-old woman has colicky right upper quadrant pain for 5 days. She has nausea, but no vomiting or diarrhea. She is afebrile. There is marked te… D-272
  67. Patient with sign and symptoms of acute cholecystitis what’s the most definitive management? D-273
  68. 51 y.o male with abdominal pain for 20 days, is getting worse and constant there’s fever ALP200, elevated liver function test. On imaging multiple gal… D-274المصادر مختلفة