Murphy’s Sign of Cholecystitis Series Editor and Author: Frank L. Urbano, MD
	1. Which of the following statements best characterizes cholecystitis? It has no association with diet It is characterized by right upper quadrant pain It is often accompanied by nausea, vomiting, and leukopenia It most commonly occurs in persons younger than 30 years Its incidence is greater in men than in women Click here to compare your answer. 2. Which one of the following statements regarding Murphy’s sign is correct? Because of its accuracy, Murphy’s sign can be used alone to diagnose cholecystitis Few patients with a positive hepatobiliary scan will show a positive Murphy’s sign It is considered positive when full expiration causes pain in the right subcostal area upon palpation It is highly specific but not very sensitive It is positive in cholecystitis because the inflamed gallbladder descends towards the examiner’s fingers, irritating the peritoneum and causing pain Click here to compare your answer.		3. Which one of the following statements regarding the sonographic Murphy’s sign is correct? It is more useful than color Doppler imaging in the diagnosis of cholecystitis It is equal in accuracy to the traditional Murphy’s sign It is more useful than the presence of gallbladder wall thickening or pericholecystic fluid in the diagnosis of cholecystitis Palpation of the right upper quadrant with the ultrasound transducer elicits a positive response The test is generally less sensitive than it is specific Click here to compare your answer.
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