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Acute cholecystitis — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Acute cholecystitisUSMLE Step 3

A 55-year-old woman has right upper-quadrant pain, fever, leukocytosis, and a positive Murphy sign. Ultrasound shows gallstones, gallbladder wall thickening, and pericholecystic fluid. Which of the following is the most appropriate next step in management?

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Correct answer: C — Admit for antibiotics and early laparoscopic cholecystectomy

Acute calculous cholecystitis requires inpatient supportive care, antibiotics, and early cholecystectomy when feasible.

Reference: American College of Surgeons perioperative care principles