Gastrointestinal surgery: perihepatitis: 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.

Try it

General Surgery · Gastrointestinal surgery: perihepatitis

Sample item

A 24-year-old sexually active woman with pelvic inflammatory disease has sharp right upper quadrant pain worse on breathing. Liver tests and ultrasound are normal, and laparoscopy shows violin-string adhesions between the liver and the abdominal wall. What is the diagnosis?

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

The answer and the reasoning

D. Fitz-Hugh-Curtis syndrome

Perihepatitis from Chlamydia or gonococcal pelvic infection produces violin-string adhesions of the liver capsule and pleuritic right upper quadrant pain with normal liver tests. Treatment is antibiotics for pelvic infection.

Option by option

  • A. Acute cholecystitis

    Cholecystitis shows a thick-walled gallbladder.

  • B. Pyogenic liver abscess

    An abscess is a focal intrahepatic collection.

  • C. Budd-Chiari syndrome

    Budd-Chiari causes hepatomegaly and ascites.

  • D. Fitz-Hugh-Curtis syndrome (correct)

    Correct. Violin-string adhesions with pelvic infection define the syndrome.

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 D, Fitz-Hugh-Curtis syndrome. Perihepatitis from Chlamydia or gonococcal pelvic infection produces violin-string adhesions of the liver capsule and pleuritic right upper quadrant pain with normal liver tests.

Why is "Acute cholecystitis" not the answer?

Cholecystitis shows a thick-walled gallbladder.

Why is "Pyogenic liver abscess" not the answer?

An abscess is a focal intrahepatic collection.

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

Budd-Chiari causes hepatomegaly and ascites.

What concept does this question test?

It tests Gastrointestinal surgery: perihepatitis in General Surgery. Treatment is antibiotics for pelvic infection.

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 Gastrointestinal surgery: perihepatitis?

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.