The correct answer is C. Viral hepatitis.
Key findings in this scenario:
Loss of appetite (anorexia)
Vomiting
Fatigue
Joint pain (arthralgia)
Yellow sclera (jaundice)
Right upper quadrant (RUQ) pain
Why Viral Hepatitis is correct:
Viral hepatitis is an inflammation of the liver and commonly presents with:
Jaundice (yellowing of sclera/skin)
RUQ abdominal pain
Fatigue and malaise
Nausea/vomiting and loss of appetite
Joint pain (especially early in disease)
NREMT-aligned references state:
“Hepatitis commonly presents with jaundice, fatigue, and right upper quadrant pain.”
“Patients may also report nausea, vomiting, and anorexia.”
Why the other options are incorrect:
A. Diverticulitis→ Typically causes left lower quadrant pain, not jaundice
B. Appendicitis→ Causes right lower quadrant pain, not jaundice or systemic liver signs
D. Cholecystitis→ Causes RUQ pain, but jaundice and systemic symptoms (joint pain, fatigue) are more consistent with hepatitis
Exact Extracts (NREMT-aligned EMT educational references):
“Jaundice is a hallmark sign of liver dysfunction.”
“Hepatitis presents with RUQ pain, nausea, vomiting, and fatigue.”
“Patients may have systemic symptoms such as malaise and joint pain.”
Clinical Priority Summary:
The presence of jaundice, RUQ pain, and systemic symptoms strongly indicates viral hepatitis, making C the correct answer.
[References:, NREMT EMT Education Standards – Medical Emergencies (Gastrointestinal/Hepatic), NREMT National Continued Competency Program (NCCP), AAOS Emergency Care and Transportation of the Sick and Injured (NREMT-aligned), =====================, ]
