Gallbladder imaging: gallbladder polyp: practice question

A Radiology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Radiology · Gallbladder imaging: gallbladder polyp

Sample item

An incidental 12 mm polyp is found in the gallbladder on ultrasound in a 55-year-old patient. What is the usual recommendation?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Cholecystectomy because a size of 10 mm or more raises the risk of malignancy

Most gallbladder polyps are cholesterol polyps, but solitary lesions of 10 mm or larger, growing polyps, sessile polyps and those in patients over 50 carry a higher malignancy risk. Cholecystectomy is advised for these.

Option by option

  • A. No follow-up at all

    Ignoring a polyp this size is unsafe.

  • B. Oral dissolution therapy

    Dissolution therapy does not apply to polyps.

  • C. Repeat ultrasound in 5 years

    A long interval is appropriate only for small polyps.

  • D. Cholecystectomy because a size of 10 mm or more raises the risk of malignancy (correct)

    Correct. A polyp of 10 mm or more should be removed.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is D, Cholecystectomy because a size of 10 mm or more raises the risk of malignancy. Most gallbladder polyps are cholesterol polyps, but solitary lesions of 10 mm or larger, growing polyps, sessile polyps and those in patients over 50 carry a higher malignancy risk.

Why is "No follow-up at all" not the answer?

Ignoring a polyp this size is unsafe.

Why is "Oral dissolution therapy" not the answer?

Dissolution therapy does not apply to polyps.

Why is "Repeat ultrasound in 5 years" not the answer?

A long interval is appropriate only for small polyps.

What concept does this question test?

It tests Gallbladder imaging: gallbladder polyp in Radiology. Cholecystectomy is advised for these.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gallbladder imaging: gallbladder polyp?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.