MCCQE Part I Practice Questions - Medical Council Of Canada Qualifying Examination Part I (MCCQE Part I) Exam

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A 45-year-old female presents with a 12-hour history of constant right upper quadrant (RUQ) pain, fever, and nausea after a fatty meal. Examination reveals a temperature of 38.5°C, localized RUQ tenderness, and a positive Murphy's sign. Ultrasound confirms gallstones, a thickened gallbladder wall, and pericholecystic fluid. In addition to intravenous fluids and analgesia, what is the most appropriate next step in management?

Arrange for an outpatient cholecystectomy in 6-8 weeks Schedule an urgent ERCP Administer broad-spectrum intravenous antibiotics Discharge with oral antibiotics and follow-up

Correct Answer:

Administer broad-spectrum intravenous antibiotics

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