Published 14 October 2009, doi:10.1136/bmj.b4157
Cite this as: BMJ 2009;339:b4157

Endgames

OnExamination quiz

Gallbladder disease

The first 150 words of the full text of this article appear below.

The answers to this question, and more questions on this topic, are available from www.onexamination.com/endgames until midnight on Wednesday.

This week’s quiz is on gallbladder disease and is taken from the OnExamination revision questions for the MRCS part A exam, papers 1 and 2.

A 48 year old woman is referred as an emergency with severe right upper quadrant pain. On examination she has a fever and a tender, palpable right subcostal mass with local peritonism.

A 43 year old obese, multiparous woman seen in the emergency department reports a first episode of right upper quadrant pain and nausea. The pain settled completely by the time the casualty officer has her blood results back. She does not have a fever and has only minimal right subcostal tenderness.

A 54 year old woman is admitted with severe epigastric pain and vomiting. She has a long history of recurrent right upper quadrant . . . [Full text of this article]


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