Hepatobiliary surgery: Mirizzi syndrome: 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: Mirizzi syndrome

Sample item

A patient with an impacted stone in the cystic duct or gallbladder neck develops obstructive jaundice from external compression of the common hepatic duct. What syndrome is this?

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

The answer and the reasoning

B. Mirizzi syndrome

Mirizzi syndrome is obstructive jaundice due to extrinsic compression of the common hepatic duct by an impacted cystic-duct or gallbladder-neck stone. It complicates biliary surgery and requires careful imaging.

Option by option

  • A. Courvoisier syndrome

    Courvoisier sign is a palpable nontender gallbladder in malignant obstruction.

  • B. Mirizzi syndrome (correct)

    Correct. The anatomic compression described defines Mirizzi syndrome.

  • C. Caroli disease

    Caroli disease involves congenital intrahepatic duct dilatation.

  • D. Budd-Chiari syndrome

    Budd-Chiari is hepatic venous outflow obstruction.

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.

More General Surgery questions

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is B, Mirizzi syndrome. Mirizzi syndrome is obstructive jaundice due to extrinsic compression of the common hepatic duct by an impacted cystic-duct or gallbladder-neck stone.

Why is "Courvoisier syndrome" not the answer?

Courvoisier sign is a palpable nontender gallbladder in malignant obstruction.

Why is "Caroli disease" not the answer?

Caroli disease involves congenital intrahepatic duct dilatation.

Why is "Budd-Chiari syndrome" not the answer?

Budd-Chiari is hepatic venous outflow obstruction.

What concept does this question test?

It tests Hepatobiliary surgery: Mirizzi syndrome in General Surgery. It complicates biliary surgery and requires careful imaging.

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: Mirizzi syndrome?

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.