MRCP UK EXAMINATIONS

ABDOMINAL

ABDOMINAL STATION

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
SELECT ALL THAT APPLY. Which of the following is/are used to assess for acute cholecystitis?
A
McBurney point
B
Murphy sign
C
Rovsing sign
D
Psoas sign
E
Obturator sign
Explanation: 

Detailed explanation-1: -Abdominal ultrasound, endoscopic ultrasound, computerized tomography (CT) scan or magnetic resonance cholangiopancreatography (MRCP) can be used to create pictures of your gallbladder and bile ducts. These pictures may show signs of cholecystitis or stones in the bile ducts and gallbladder.

Detailed explanation-2: -Murphy’s sign is elicited in patients with acute cholecystitis by asking the patient to take in and hold a deep breath while palpating the right subcostal area. If pain occurs when the inflamed gallbladder comes into contact with the examiner’s hand, Murphy’s sign is positive.

Detailed explanation-3: -Monitor for signs and symptoms of increased or continued nausea or vomiting, abdominal cramps, weakness, twitching, seizures, irregular heart rate, paresthesia, hypoactive or absent bowel sounds, and depressed respirations.

Detailed explanation-4: -Hepatobiliary scintigraphy is the most reliable imaging study for patients with suspected acalculous acute cholecystitis.

There is 1 question to complete.