Approach to biliary colic Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 44-year-old woman presents to the emergency department with severe right upper quadrant abdominal pain. The pain started last night after eating a cheeseburger and has not improved. The pain radiates to the right shoulder. Past medical history is significant for obesity and hypertension, for which the patient takes amlodipine. Temperature is 38.5 ºC (101.3 ºF), pulse is 108/min, blood pressure is 136/89 mmHg, respirations are 18/min, and SpO2 is 99% on room air. Palpation of the right upper quadrant during inspiration causes significant pain and an abrupt cessation of inspiration. Serum white blood cell count is 18,000/mm³. Abdominal ultrasound shows a distended and thickened gallbladder with surrounding edema and gallstones. The common bile duct appears within normal limits. Which of the following is the best next step in management?

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Consult gastroenterology for endoscopic retrograde cholangiopancreatography

Administer piperacillin-tazobactam without surgical management

Perform magnetic resonance cholangiopancreatography (MRCP)

Perform cholescintigraphy (hepatic iminodiacetic acid [HIDA]) scan

Administer piperacillin-tazobactam and consult general surgery for non-emergent cholecystectomy