AOBIM Internal Medicine Practice Questions - AOBIM Internal Medicine Certifying Examination Exam

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A 45-year-old woman presents with 6 months of intermittent epigastric pain, fatty food intolerance, and post-prandial nausea. RUQ ultrasound shows multiple gallstones with no wall thickening or pericholecystic fluid. LFTs are normal. What is the most appropriate management?

Elective laparoscopic cholecystectomy for symptomatic cholelithiasis Ursodiol for stone dissolution Watchful waiting (asymptomatic stones) ERCP with sphincterotomy

Correct Answer:

Elective laparoscopic cholecystectomy for symptomatic cholelithiasis

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