Hepatobiliary surgery: cholangitis: 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 · Hepatobiliary surgery: cholangitis

Sample item

Fever, jaundice and right-upper-quadrant pain form which syndrome?

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

The answer and the reasoning

D. Charcot triad of acute cholangitis

Charcot triad suggests infected biliary obstruction; hypotension and confusion add to form Reynolds pentad and indicate severe sepsis requiring urgent drainage.

Option by option

  • A. Courvoisier sign

    Courvoisier sign is painless palpable gallbladder with jaundice.

  • B. Virchow triad

    Virchow triad describes thrombosis risk.

  • C. Reynolds pentad only

    Reynolds pentad includes shock and altered mental status.

  • D. Charcot triad of acute cholangitis (correct)

    Correct. This triad is classic acute cholangitis.

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, Charcot triad of acute cholangitis. Charcot triad suggests infected biliary obstruction; hypotension and confusion add to form Reynolds pentad and indicate severe sepsis requiring urgent drainage.

Why is "Courvoisier sign" not the answer?

Courvoisier sign is painless palpable gallbladder with jaundice.

Why is "Virchow triad" not the answer?

Virchow triad describes thrombosis risk.

Why is "Reynolds pentad only" not the answer?

Reynolds pentad includes shock and altered mental status.

What concept does this question test?

It tests Hepatobiliary surgery: cholangitis in General Surgery. The correct option holds because: Correct. This triad is classic acute cholangitis.

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 Hepatobiliary surgery: cholangitis?

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.