A 49-year-old woman has right upper quadrant pain for 12 hours with fever and nausea. Pain began after a fatty meal and now persists. Examination

Question

A 49-year-old woman has right upper quadrant pain for 12 hours with fever and nausea. Pain began after a fatty meal and now persists. Examination shows inspiratory arrest with right upper quadrant palpation. WBC count is 15,200/mm3. Which of the following is the most likely diagnosis?

Accepted Answer

Acute cholecystitis

Answer

Peptic ulcer disease

Answer

Acute hepatitis A

Answer

Right lower lobe pneumonia

Answer

Biliary colic

Acute cholecystitis — USMLE Step 3 MCQ

A 49-year-old woman has right upper quadrant pain for 12 hours with fever and nausea. Pain began after a fatty meal and now persists. Examination shows inspiratory arrest with right upper quadrant palpation. WBC count is 15,200/mm3. Which of the following is the most likely diagnosis?