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General Surgery · Biliary surgery
Sample itemWhat imaging study is commonly used first for suspected gallstones?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Right upper quadrant ultrasound
Ultrasound is a first-line test for gallstones because it visualises the gallbladder, stones, wall thickening, and biliary dilatation without radiation.
Option by option
A. Plain chest radiograph
Chest radiographs rarely diagnose gallstones.
B. Echocardiogram
Echocardiography evaluates cardiac structure.
C. Skull CT
Skull CT does not assess biliary disease.
D. Right upper quadrant ultrasound (correct)
Correct: ultrasound is sensitive and noninvasive for gallbladder disease.
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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