🏥 USMLE Exam Prep

Acute cholecystitis typically presents with:

A Left lower quadrant pain
B Right upper quadrant pain that is constant, with positive Murphy sign, fever, and leukocytosis
C Central chest pain
D Bilateral flank pain

✓ Correct Answer: Option B

Acute cholecystitis: cystic duct obstruction (usually gallstone) → inflammation. RUQ pain (>6 hrs), positive Murphy sign (inspiratory arrest with RUQ palpation), fever, WBC elevated. US: galllbladder wall thickening.

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