Emergency Medical Technician (EMT) Practice Test

What are the signs/symptoms of cholecystitis?

1. Pain radiating to right shoulder; RUQ tenderness

2. Onset after a spicy meal

3. Lower extremity edema

4. Confusion; Hypothermia; High fever

The correct answer is: Pain radiating to right shoulder; RUQ tenderness

The signs and symptoms of cholecystitis commonly include pain that radiates to the right shoulder along with tenderness in the right upper quadrant (RUQ). This is due to the inflammation of the gallbladder, which typically presents with a sharp, localized pain that may be exacerbated by movements or deep breaths. While discomfort after certain meals, such as spicy or fatty foods, can be associated with gallbladder issues, it is not definitive for cholecystitis specifically. Lower extremity edema does not correlate with this condition, as it is more indicative of other systemic issues, such as heart failure or kidney problems. Similarly, confusion, hypothermia, and high fever are broader symptoms that could signify severe systemic infection or sepsis, but are not characteristic of cholecystitis alone. Thus, the primary indicators of cholecystitis are clearly highlighted by the presence of RUQ tenderness and referred pain to the right shoulder.