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USMLE · Question #537

USMLE Question #537: Real Exam Question with Answer & Explanation

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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

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