NBME 3 Q

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 1 Forum » Pathology Forum

NBME 3 Q

Login or Register to post messages

Rated:

(0 votes)

Author

5 Posts

rman
Forum Senior

Topics: 39
Posts: 123

06/19/06 - 12:49 PM

A 55-year-old man comes to the physician because of a 2-month history of intermittent, severe, sharp abdominal pain that occurs primarily after meals and lasts about 30 to 60 minutes. There is no fever, diarrhea, or weight loss. Physical examination shows no abnormalities. Which of the following is most likely responsible for these symptoms?

A ) Acute cholecystitis

B ) Ascending cholangitis

C ) Biliary colic

D ) Primary biliary cirrhosis

E ) Sclerosing cholangitis

rman
Forum Senior

Topics: 39
Posts: 123

06/19/06 - 12:51 PM

With A there would be fever; with D&E there would likely be jaundice. C makes most sense but how do you eliminate B? Is ascending cholangitis more sever so you would expect fever, diarrhea, and weight loss?

bangledoc
Forum Senior

Topics: 10
Posts: 138

06/19/06 - 05:18 PM

The answer is C.

bangledoc
Forum Senior

Topics: 10
Posts: 138

06/19/06 - 05:19 PM

bangledoc wrote:
The answer is C.

spjokes
Forum Senior
avatar

Topics: 3
Posts: 88

06/19/06 - 05:29 PM

Ascending cholangitis (B) could be eliminated rman,
Charcot's triad of fever with rigor, UQ abd pain and intermittent jaundice are characteristic of ascending cholangitis.

Another Charcots triad could be seen in Multiple sclerosis
Nystagmus, intention tremor, and scanning or staccato speech.

Similar forum topics

NBME 2 much easier than NBME 1??
NBME 2
nbme 3

Related resources

NBME Self-Assessment Program
NBME Self-Assessment Program
extra nbme questions w/answers