Hepatobiliary surgery: cholecystitis: 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: cholecystitis

Sample item

Which sign supports acute cholecystitis on examination?

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

The answer and the reasoning

A. Inspiratory arrest with right-upper-quadrant palpation

Murphy sign is inspiratory arrest due to pain when the inflamed gallbladder is palpated during inspiration. Ultrasound is a useful initial investigation.

Option by option

  • A. Inspiratory arrest with right-upper-quadrant palpation (correct)

    Correct. This is Murphy sign.

  • B. Rebound tenderness at McBurney point

    McBurney-point tenderness suggests appendicitis.

  • C. Psoas spasm only

    Psoas sign may support retrocaecal appendicitis.

  • D. Flank bruising

    Flank bruising can occur in retroperitoneal bleeding or pancreatitis.

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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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is A, Inspiratory arrest with right-upper-quadrant palpation. Murphy sign is inspiratory arrest due to pain when the inflamed gallbladder is palpated during inspiration.

Why is "Rebound tenderness at McBurney point" not the answer?

McBurney-point tenderness suggests appendicitis.

Why is "Psoas spasm only" not the answer?

Psoas sign may support retrocaecal appendicitis.

Why is "Flank bruising" not the answer?

Flank bruising can occur in retroperitoneal bleeding or pancreatitis.

What concept does this question test?

It tests Hepatobiliary surgery: cholecystitis in General Surgery. Ultrasound is a useful initial investigation.

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: cholecystitis?

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.