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Radiology · Ultrasound: gallbladder
Sample itemWhich ultrasound feature most strongly supports acute cholecystitis in a patient with right-upper-quadrant pain?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Sonographic Murphy sign with gallbladder wall thickening
Ultrasound is first-line imaging for suspected gallbladder disease. Gallstones, wall thickening, pericholecystic fluid, and a sonographic Murphy sign support acute cholecystitis.
Option by option
A. Dilated renal pelvis only
Renal pelvic dilatation concerns urinary obstruction.
B. Thickened endometrium
Endometrial thickness is assessed in gynecologic contexts.
C. Sonographic Murphy sign with gallbladder wall thickening (correct)
Correct. Focal tenderness over the imaged gallbladder plus inflammatory changes is supportive.
D. Absent splenic flow
Splenic flow does not diagnose gallbladder inflammation.
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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