PAEA Surgery End Of Rotation (EOR) Practice Exam

What is Reynold's Pentad primarily associated with?

1. Charcot's triad, hypotension, altered mental status

2. Cholecystitis diagnosis criteria

3. Gallbladder cancer symptoms

4. Acute pancreatitis fever symptoms

The correct answer is: Charcot's triad, hypotension, altered mental status

Reynold's Pentad is primarily associated with the severe form of cholangitis, which is an infection of the bile duct system. It expands upon the components of Charcot's triad, which includes right upper quadrant pain, fever, and jaundice. The addition of hypotension and altered mental status completes the pentad, indicating a more severe or advanced state of the illness. This set of signs and symptoms highlights a critical condition that requires immediate attention and intervention. The presence of hypotension suggests septic shock, while altered mental status indicates significant systemic dysfunction, which can arise during severe infections. In contrast, the other options relate to different conditions or diagnostic criteria, making them unrelated to Reynold's Pentad. Cholecystitis diagnosis criteria primarily focus on inflammation of the gallbladder and do not encompass the systemic manifestations highlighted in Reynolds Pentad. Similarly, symptoms of gallbladder cancer and acute pancreatitis fever symptoms center on different pathologies without the specific critical context found in Reynold's Pentad.