skip to main content

Post-cholecystectomy diarrhea — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

ModerateSurgery (post-operative, follow-up)Post-cholecystectomy diarrheaUSMLE Step 3

A 44-year-old woman returns 3 weeks after laparoscopic cholecystectomy. She has loose stools after meals but no fever, abdominal pain, jaundice, blood in stool, or weight loss. Liver tests are normal and incisions are healing. Which of the following would you recommend at the follow-up visit?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Reassure and consider bile acid sequestrant if persistent

Post-cholecystectomy bile acid diarrhea is often self-limited; persistent symptoms can respond to bile acid sequestrants.

Reference: SAGES gallbladder surgery guidance: https://www.sages.org/