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QUESTION: A 60-year-old woman presents to the ED with two days of right upper quadrant abdominal pain that is constant in nature and associated with subjective fever, nausea, and vomiting. Vital signs are temperature of 100.6°F, heart rate 87, blood pressure 140/80 mm Hg, respiratory rate 14, and O2 saturation of 99% on room air. Her abdomen is soft with right upper quadrant tenderness and a positive Murphy’s sign. Which of the following tests is most sensitive and specific in diagnosing this patient’s condition?


A. Computed tomography scan with intravenous contrast
B. Hepatobiliary iminodiacetic acid (HIDA) scan
C. MRI with gadolinium
D. Ultrasound

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Comments   

# Mini Board Review: March 2013 EditionDiane Gilliland 2013-03-07 20:37
Thank you for putting together the questions for the mini board review. I find them very helpful!
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# Mini Board reviewDr Zahn 2013-03-10 09:37
Good review....but alot of medical info, very specific...not known when you are out for years in practice.
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# MDSam Morale 2013-03-11 17:06
Thanks for your effort. Nice to review uncommon diseases to keep us up to speed. It is amazing how many diseases, pathogens etc... have had their names changed : Granulomatosis with Polyangiitis (GPA) (formerly referred to as Wegener’s granulomatosis) .
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# Robert Ditrolio 2013-03-12 17:10
Excellent review questions. Please keep them coming in future issues!
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