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USMLE · Question #537

A 36-year-old man with profound intellectual disability is brought to the physician by staff at his facility because of increasing abdominal girth during the past 2 weeks. He is unable to speak, and…

The correct answer is D. Omental bursa (lesser sac). See the full explanation below for the reasoning.

Question

A 36-year-old man with profound intellectual disability is brought to the physician by staff at his facility because of increasing abdominal girth during the past 2 weeks. He is unable to speak, and no medical history is currently available. Physical examination shows a protuberant abdomen with a fluid wave and shifting dullness. There are no signs of trauma to the area. Laboratory studies show no abnormalities. A CT scan of the abdomen is shown. Fluid is present in which of the following areas as indicated by the arrow?

Exhibit

USMLE question #537 exhibit

Options

  • AEpiploic foramen
  • BGastrosplenic ligament
  • CHepatorenal pouch (of Morison)
  • DOmental bursa (lesser sac)
  • ESulcus pericolicus

How the community answered

(59 responses)
  • A
    5% (3)
  • B
    3% (2)
  • C
    12% (7)
  • D
    78% (46)
  • E
    2% (1)

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