Question 193 · LEK · Peritonitis
Indicate the true statements concerning bile peritonitis:
1) it results from the irritation of the peritoneum by the bile;
2) diagnostic puncture of the peritoneal cavity that shows the fluid stained with blood allows formulating the diagnosis;
3) evolution of the symptoms (their temporal regression) may resemble the perforation of the gastric ulcer;
4) if the diagnosis is confirmed, the first-line treatment is conservative, with broad-spectrum antibiotic therapy; 66 z 117 29.06.2026, 14:15 Centrum Egzaminów Medycznych https://test.cem.edu.pl/pytcem/wyswietl_baza_pdf.php
5) the diagnosis is possible if there is a perforation of the gallbladder wall;
6) medical history of cholecystectomy allows excluding the diagnosis.
The correct answer is:
2) diagnostic puncture of the peritoneal cavity that shows the fluid stained with blood allows formulating the diagnosis;
3) evolution of the symptoms (their temporal regression) may resemble the perforation of the gastric ulcer;
4) if the diagnosis is confirmed, the first-line treatment is conservative, with broad-spectrum antibiotic therapy; 66 z 117 29.06.2026, 14:15 Centrum Egzaminów Medycznych https://test.cem.edu.pl/pytcem/wyswietl_baza_pdf.php
5) the diagnosis is possible if there is a perforation of the gallbladder wall;
6) medical history of cholecystectomy allows excluding the diagnosis.
The correct answer is:
- A. 1,2,4,5.
- B. 1,3,5,6.
- C. 2,5,6.
- D. 1,3.
- E. 1,4,5,6.
Hint
Consider sources of bile leak other than the gallbladder and how bile peritonitis must be treated.
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