**Core Concept**
During starvation, the body undergoes significant physiological changes to adapt to the lack of nutrients. The gallbladder, responsible for storing bile, plays a crucial role in digestion, particularly in the emulsification of fats. In starvation, the body's need for energy shifts from fat to protein and carbohydrates, affecting the gallbladder's function and appearance.

**Why the Correct Answer is Right**
The gallbladder becomes distended due to the accumulation of bile, which is produced continuously but not efficiently utilized in the absence of adequate fat intake. This occurs because the body relies more on carbohydrate and protein metabolism, leading to a decrease in the production of cholecystokinin (CCK), a hormone that stimulates gallbladder contraction and emptying. As a result, the gallbladder becomes distended, often with a decreased ability to contract and release bile.

**Why Each Wrong Option is Incorrect**
**Option A:** Atrophied - While chronic starvation can lead to muscle atrophy, the gallbladder itself is not necessarily atrophied; its distension is a more direct consequence of the physiological changes during starvation.

**Option C:** Show stones - While gallstones can form in individuals with chronic disease or malnutrition, they are not a direct consequence of starvation. The distension of the gallbladder is a more immediate effect.

**Option D:** Normal - The gallbladder is not typically normal in the context of starvation; its distension is a characteristic finding due to the body's altered metabolic state.

**Clinical Pearl / High-Yield Fact**
In cases of starvation, the distended gallbladder may be palpable, and its distension can be a significant indicator of the individual's nutritional status. This finding can be particularly relevant in forensic medicine, where autopsies and post-mortem examinations are conducted to determine the cause and manner of death.

**✓ Correct Answer: B. Distended**