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General Surgery · Biliary disease
Sample itemWhat pain location is common in acute cholecystitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Right upper quadrant
Inflammation of the gallbladder typically causes persistent right upper-quadrant pain and tenderness, often after cystic duct obstruction by a stone.
Option by option
A. Posterior neck
Posterior neck pain does not localize to the gallbladder.
B. Left calf
Calf pain raises a different vascular or musculoskeletal differential.
C. Right upper quadrant (correct)
Correct: cholecystitis localizes to the right upper abdomen.
D. Lower back only
Isolated low back pain is not the usual acute cholecystitis pattern.
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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