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 presentation is typical of acute cholecystitis?

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

The answer and the reasoning

C. Persistent right upper quadrant pain with fever

Acute cholecystitis usually causes persistent right upper quadrant pain, fever, and local tenderness due to gallbladder inflammation, often from cystic duct obstruction.

Option by option

  • A. Painless central chest pressure on exertion

    Exertional chest pressure suggests myocardial ischaemia.

  • B. Sudden painless visual loss

    Visual loss has a separate urgent differential.

  • C. Persistent right upper quadrant pain with fever (correct)

    Correct: this is the common clinical pattern.

  • D. Isolated left calf swelling

    Calf swelling suggests venous 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 C, Persistent right upper quadrant pain with fever. Acute cholecystitis usually causes persistent right upper quadrant pain, fever, and local tenderness due to gallbladder inflammation, often from cystic duct obstruction.

Why is "Painless central chest pressure on exertion" not the answer?

Exertional chest pressure suggests myocardial ischaemia.

Why is "Sudden painless visual loss" not the answer?

Visual loss has a separate urgent differential.

Why is "Isolated left calf swelling" not the answer?

Calf swelling suggests venous disease.

What concept does this question test?

It tests Biliary surgery in General Surgery. The correct option holds because: Correct: this is the common clinical pattern.

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.