Abdomen and pelvis: Hartmann pouch: practice question

A Anatomy 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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Anatomy · Abdomen and pelvis: Hartmann pouch

Sample item

A stone impacted in the neck of the gallbladder (Hartmann's pouch) compresses the common hepatic duct and causes obstructive jaundice. What is this named?

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

The answer and the reasoning

B. Mirizzi syndrome

In Mirizzi syndrome a stone in the cystic duct or Hartmann's pouch compresses or erodes into the common hepatic duct, producing jaundice. Courvoisier's law describes a palpable non-tender gallbladder with painless jaundice from distal obstruction. Bouveret syndrome is gastric outlet obstruction by a stone in the duodenum.

Option by option

  • A. Bouveret syndrome

    Bouveret syndrome is a stone impacted in the duodenum causing outlet obstruction.

  • B. Mirizzi syndrome (correct)

    Correct. External compression of the common hepatic duct by an impacted stone is Mirizzi syndrome.

  • C. Charcot triad

    Charcot's triad is fever, jaundice and right upper quadrant pain in cholangitis.

  • D. Courvoisier sign

    Courvoisier's sign is a palpable non-tender gallbladder due to malignant distal 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 Anatomy questions

Questions about this Anatomy question

What is the answer to this Anatomy question?

The best answer is B, Mirizzi syndrome. In Mirizzi syndrome a stone in the cystic duct or Hartmann's pouch compresses or erodes into the common hepatic duct, producing jaundice.

Why is "Bouveret syndrome" not the answer?

Bouveret syndrome is a stone impacted in the duodenum causing outlet obstruction.

Why is "Charcot triad" not the answer?

Charcot's triad is fever, jaundice and right upper quadrant pain in cholangitis.

Why is "Courvoisier sign" not the answer?

Courvoisier's sign is a palpable non-tender gallbladder due to malignant distal obstruction.

What concept does this question test?

It tests Abdomen and pelvis: Hartmann pouch in Anatomy. Courvoisier's law describes a palpable non-tender gallbladder with painless jaundice from distal obstruction. Bouveret syndrome is gastric outlet obstruction by a stone in the duodenum.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Abdomen and pelvis: Hartmann pouch?

Learn every nerve by its route, its muscles and what a lesion looks like at the bedside. That one habit answers a large share of questions. Then use the flashcards and the other Anatomy 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.