USMLE Step 1 Question of the Day
Quiz-summary
0 of 1 questions completed
Questions:
- 1
Information
USMLE Step 1 Questions
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading...
You must sign in or sign up to start the quiz.
You have to finish following quiz, to start this quiz:
Results
Time has elapsed
You have reached 0 of 0 points, (0)
Categories
- Pathology 0%
-
Question:
A 35-year-old woman presents with worsening right upper quadrant pain for two days. For the past 3 months she’s had a similar pain 1-2 hours after meals, but now the pain is more severe and constant. She has also felt feverish and complains of clay-colored stools, dark urine, and a yellowish skin color. What is the most likely diagnosis?
Correct Answer: B. Ascending cholangitis
Ascending cholangitis is thought to be an ascending bacterial infection related to (D) choledocholithiasis and bile stasis. Charcot’s triad of RUQ pain, fever, and jaundice are typical of ascending cholangitis. Reynold’s pentad includes hypotension and altered mental status in addition to Charcot’s triad.
(A) The presence of clay-colored stools, dark urine, and jaundice suggests that the blockage is distal to the cystic duct (e.g. in the common bile duct), making acute cholecystitis incorrect.
(C) Biliary colic does not present with fever, jaundice, dark urine, and clay-colored stools.
(D) Uncomplicated choledocholithiasis does not present with fever and intense pain.
(E) Gallstones in the common bile duct can cause pancreatitis, but pancreatitis is unlikely to be the primary illness in this case.
- 1
- Answered
- Review
-
Question 1 of 1
1. Question
Category: PathologyA 35-year-old woman presents with worsening right upper quadrant pain for two days. For the past 3 months she’s had a similar pain 1-2 hours after meals, but now the pain is more severe and constant. She has also felt feverish and complains of clay-colored stools, dark urine, and a yellowish skin color. What is the most likely diagnosis?
Correct
Incorrect
