Biliary surgery: practice question

A General Surgery 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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General Surgery · Biliary surgery

Sample item

Which ultrasound finding supports acute cholecystitis in a patient with right-upper-quadrant pain and fever?

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

The answer and the reasoning

D. Gallbladder wall thickening with gallstones

Acute cholecystitis is usually caused by cystic duct obstruction from a gallstone; ultrasound may show stones, wall thickening, pericholecystic fluid, and a sonographic Murphy sign.

Option by option

  • A. Bilateral hydronephrosis

    Hydronephrosis concerns urinary tract obstruction.

  • B. Thickened Achilles tendon

    Achilles thickening is not an ultrasound marker of cholecystitis.

  • C. Dilated left ventricle

    Left-ventricular dilation is a cardiac imaging finding.

  • D. Gallbladder wall thickening with gallstones (correct)

    Correct: these ultrasound features support inflamed gallbladder disease.

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 General Surgery question

What is the answer to this General Surgery question?

The best answer is D, Gallbladder wall thickening with gallstones. Acute cholecystitis is usually caused by cystic duct obstruction from a gallstone; ultrasound may show stones, wall thickening, pericholecystic fluid, and a sonographic Murphy sign.

Why is "Bilateral hydronephrosis" not the answer?

Hydronephrosis concerns urinary tract obstruction.

Why is "Thickened Achilles tendon" not the answer?

Achilles thickening is not an ultrasound marker of cholecystitis.

Why is "Dilated left ventricle" not the answer?

Left-ventricular dilation is a cardiac imaging finding.

What concept does this question test?

It tests Biliary surgery in General Surgery. The correct option holds because: Correct: these ultrasound features support inflamed gallbladder disease.

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 Biliary surgery?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery 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.