Card 21 / 34: A 33 year-old woman is 3 months post-partum after delivering a healthy baby boy. She complains of intermittent episodes of right upper quadrant pain. An abdominal ultrasound shows numerous gallstones in the gallbladder. Which of the following best explains the pathogenesis of this patient’s gallstones?
1.)
Stasis of bile flow leading to pigment stones
2.)
Supersaturation of bile with bile acids
3.)
Supersaturation of bile with cholesterol
4.)
Supersaturation of bile with lecithin
5.)
High serum cholesterol level
Answer:
3.) Supersaturation of bile with cholesterol
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Gastrointestinal Pathophysiology Self-Assessment
Author:
Dr.Laurence BailenProfessor
Tufts University School of Medicine
USA
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