Gall Bladder Disease MCQ QUIZ

by | Jul 8, 2024 | MEDICAL MCQ | 0 comments

These mcqs are prepared exclusively for medical professionals for exam preparation. MCQ is helpful to remember the concept on gall bladder disease mcq quiz. This multiple choice questions are helpful for preparation for DHA, PROMETRIC, MOH, HAAD, NCLEX, Medical, NEET and Nursing EXAMINATION

Gall Bladder MCQs with Rationale

1. Which of the following is the most common cause of cholecystitis?

A. Gallstones
B. Biliary atresia
C. Gallbladder polyps
D. Pancreatitis

Answer: A. Gallstones

Rationale: Gallstones are the most common cause of cholecystitis, leading to inflammation of the gallbladder when stones obstruct the cystic duct.

2. A positive Murphy’s sign is indicative of:

A. Pancreatitis
B. Appendicitis
C. Cholecystitis
D. Gastritis

Answer: C. Cholecystitis

Rationale: Murphy’s sign is a clinical test where the patient experiences pain upon palpation of the right upper quadrant during inspiration, indicating cholecystitis.

3. What is the most common symptom of gallbladder disease?

A. Diarrhea
B. Jaundice
C. Right upper quadrant pain
D. Nausea

Answer: C. Right upper quadrant pain

Rationale: Right upper quadrant pain is the most common symptom of gallbladder disease, often associated with meals and fatty foods.

4. The preferred imaging modality for diagnosing gallstones is:

B. CT scan
C. Ultrasound
D. X-ray

Answer: C. Ultrasound

Rationale: Ultrasound is the preferred imaging modality for diagnosing gallstones due to its high sensitivity, non-invasiveness, and lack of radiation exposure.

5. In the context of gallbladder disease, what does the term “biliary colic” refer to?

A. Inflammation of the gallbladder
B. Severe abdominal pain due to gallstone blockage
C. Chronic liver disease
D. Gallbladder cancer

Answer: B. Severe abdominal pain due to gallstone blockage

Rationale: Biliary colic refers to severe abdominal pain caused by the temporary blockage of the cystic duct by a gallstone, usually after eating a fatty meal.

6. Which of the following laboratory tests is most likely to be elevated in a patient with acute cholecystitis?

A. Serum amylase
B. Serum lipase
C. Serum bilirubin
D. Serum alkaline phosphatase

Answer: D. Serum alkaline phosphatase

Rationale: Elevated serum alkaline phosphatase is commonly seen in acute cholecystitis due to biliary obstruction and inflammation.

7. What is the initial treatment for a patient with suspected acute cholecystitis?

A. Surgical removal of the gallbladder
B. Antibiotics and supportive care
C. Liver transplant
D. Chemotherapy

Answer: B. Antibiotics and supportive care

Rationale: Initial treatment for acute cholecystitis involves antibiotics to treat infection and supportive care to manage symptoms, followed by possible surgical intervention.

8. Which of the following complications is associated with untreated cholecystitis?

A. Pancreatitis
B. Gallbladder perforation
C. Liver cirrhosis
D. Kidney failure

Answer: B. Gallbladder perforation

Rationale: Untreated cholecystitis can lead to complications such as gallbladder perforation, which can cause peritonitis and sepsis.

9. Which of the following is a common risk factor for gallstone formation?

A. High-fiber diet
B. Obesity
C. Low cholesterol levels
D. Chronic kidney disease

Answer: B. Obesity

Rationale: Obesity is a common risk factor for gallstone formation due to increased cholesterol levels in bile, which can precipitate stone formation.

10. What is the typical management of asymptomatic gallstones?

A. Immediate surgery
B. Watchful waiting
C. Chemotherapy
D. Radiation therapy

Answer: B. Watchful waiting

Rationale: Asymptomatic gallstones are typically managed with watchful waiting since they often do not cause problems and surgery carries risks.

11. Which of the following findings on an ultrasound would suggest acute cholecystitis?

A. Gallbladder polyps
B. Thickened gallbladder wall
C. Enlarged common bile duct
D. Normal gallbladder size

Answer: B. Thickened gallbladder wall

Rationale: A thickened gallbladder wall on ultrasound is a common finding in acute cholecystitis, indicating inflammation.

12. What is the primary function of the gallbladder?

A. Producing bile
B. Storing bile
C. Metabolizing fats
D. Detoxifying blood

Answer: B. Storing bile

Rationale: The primary function of the gallbladder is to store and concentrate bile produced by the liver, releasing it into the small intestine during digestion.

13. Which of the following symptoms would most likely indicate choledocholithiasis (gallstones in the common bile duct)?

A. Hematemesis
B. Steatorrhea
C. Jaundice
D. Hematuria

Answer: C. Jaundice

Rationale: Jaundice, or yellowing of the skin and eyes, occurs in choledocholithiasis due to obstruction of bile flow and subsequent buildup of bilirubin in the blood.

14. In which of the following populations are gallstones most commonly found?

A. Children
B. Men aged 20-30
C. Women aged 40-50
D. Elderly men

Answer: C. Women aged 40-50

Rationale: Gallstones are most commonly found in women aged 40-50, especially those with risk factors such as obesity, pregnancy, and certain hormonal factors.

15. A patient presents with fever, right upper quadrant pain, and jaundice. What is the most likely diagnosis?

A. Hepatitis
B. Cholecystitis
C. Cholangitis
D. Pancreatitis

Answer: C. Cholangitis

Rationale: Fever, right upper quadrant pain, and jaundice (Charcot’s triad) are classic signs of cholangitis, an infection of the bile ducts.

16. What is the gold standard for diagnosing choledocholithiasis?

B. Endoscopic retrograde cholangiopancreatography (ERCP)
C. CT scan
D. Abdominal X-ray

Answer: B. Endoscopic retrograde cholangiopancreatography (ERCP)

Rationale: ERCP is the gold standard for diagnosing choledocholithiasis as it allows for direct visualization and possible removal of stones from the common bile duct.

17. Which of the following is not a typical symptom of gallbladder disease?

A. Right upper quadrant pain
B. Vomiting
C. Fever
D. Hematuria

Answer: D. Hematuria

Rationale: Hematuria (blood in urine) is not a typical symptom of gallbladder disease, which usually presents with right upper quadrant pain, vomiting, and fever.

18. Which of the following dietary recommendations is appropriate for a patient with gallbladder disease?

A. High-fat diet
B. Low-fat diet
C. High-carbohydrate diet
D. High-protein diet

Answer: B. Low-fat diet

Rationale: A low-fat diet is recommended for patients with gallbladder disease to reduce the workload on the gallbladder and prevent exacerbation of symptoms.

19. Which of the following is a potential complication of gallbladder surgery (cholecystectomy)?

A. Chronic kidney disease
B. Postcholecystectomy syndrome
C. Liver cirrhosis
D. Peptic ulcer disease

Answer: B. Postcholecystectomy syndrome

Rationale: Postcholecystectomy syndrome is a potential complication of gallbladder surgery, characterized by persistent symptoms such as abdominal pain and dyspepsia.

20. Which of the following medications is used to dissolve cholesterol gallstones?

A. Metformin
B. Ursodeoxycholic acid
C. Omeprazole
D. Atorvastatin

Answer: B. Ursodeoxycholic acid

Rationale: Ursodeoxycholic acid is used to dissolve cholesterol gallstones by reducing the cholesterol content of bile, making it less likely for stones to form