Medical MCQ
MCQ Ebook
Biochemistry
Microbiology
Pathology
All MCQs
Term Of Use
Privacy Policy
Contact Us
About Us
Search for:
Home
Ebooks
Questions
Search
Anaesthesia
A 73-year-old woman with a long history of heavy smoking undergoes femoral aery-popliteal aery bypass for rest pain in her left leg. Because of serious underlying respiratory insufficiency, she continues to require ventilatory suppo for 4 days after her operation. As soon as her endotracheal tube is removed, she begins complaining of vague upper abdominal pain. She has daily fever spikes of 39degC (102.2degF) and a leukocyte count of 18,000/mL. An upper abdominal ultrasonogram reveals a dilated gallbladder, but no stones are seen. A presumptive diagnosis of acalculous cholecystitis is made. Which of the following is the next best step in her treatment?
Nasogastric suction and broad-spectrum antibiotics
Immediate cholecystectomy with operative cholangiogram
Percutaneous drainage of the gallbladder
Endoscopic retrograde cholangiopancreatography (ERCP) to visualize and drain the common bile duct
Questions
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100