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Biliary colic follow-up — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Biliary colic follow-upUSMLE Step 3

A 42-year-old woman had an emergency department visit for episodic right upper-quadrant pain after meals. Ultrasound showed gallstones without gallbladder wall thickening, duct dilation, or fever. Symptoms resolved. Which of the following would you recommend at the follow-up visit?

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Correct answer: C — Refer for elective laparoscopic cholecystectomy

Symptomatic cholelithiasis is managed with elective cholecystectomy to prevent recurrence and complications.

Reference: American College of Surgeons perioperative care principles