Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
            assesses the patient for pain and
indications of these complications and reports
them promptly to the physician.
• Antibiotic
agents
are
often
prescribed
to
minimize the risk of sepsis and septic shock.
Medical Management
Nutritional and Supportive Therapy
• Approximately 80% of the patients with acute
gallbladder inflammation achieve remission with
rest, IV fluids, nasogastric suction, analgesia, and
antibiotic agents.
• Unless the patient’s condition
deteriorates,
surgical intervention is delayed just until the
acute symptoms subside (usually within a few
days). At this time, the patient should undergo a
laparoscopic cholecystectomy
Nutritional and Supportive Therapy
• The diet required immediately after an episode of
cholecystitis is usually limited to low-fat liquids.
• Cooked fruits, rice or tapioca, lean meats, mashed
potatoes, non–gas-forming vegetables and bread.
• The patient should avoid eggs, cream, pork, fried
foods,
cheese,
rich
dressings,
gas-forming
vegetables, and alcohol.
• It is important to remind the patient that fatty
foods may induce an episode of cholecystitis.
Pharmacologic Therapy
• Ursodeoxycholic acid (UDCA [URSO, Actigall]) and
chenodeoxycholic
cid (chenodiol or CDCA [Chenix])
have been used to dissolve small, radiolucent gallstones
composed primarily of cholesterol.
• Treatment with UDCA can reduce the size of existing
stones, dissolve small stones, and prevent new stones
from forming
• Six to 12 months of therapy are required in many
patients to dissolve stones, and monitoring of the
patient for recurrence of symptoms or the occurrence
of side effects (e.g., GI symptoms, pruritus, and
headache) is required during this time.
Pharmacologic Therapy
• This method of treatment is generally indicated
for patients who refuse surgery or for whom
surgery is considered too risky
Contraindications
• Patients with significant, frequent symptoms;
cystic duct occlusion; or pigment stones
Nonsurgical Removal of Gallstones
Dissolving Gallstones
• Several methods have been used to dissolve
gallstones by infusion of a solvent (methyl tertiary
butyl ether [MTBE]) into the gallbladder.
Nonsurgical Removal of Gallstones
Stone Removal by Instrumentation
• Several nonsurgical methods are used to remove
stones that were not removed at the time of
cholecystectomy or have become lodged in the
common bile duct.
• A catheter and instrument with a basket attached
are threaded through the T-tube tract or fistula
formed at the time of T-tube insertion; the basket
is used to retrieve and remove the stones lodged
in the common bile duct.
Nonsurgical Removal of Gallstones
intracorporeal Lithotripsy
• Stones in the gallbladder or common bile duct may be
fragmented by means of laser pulse technology.
• A laser pulse is directed under fluoroscopic guidance
with the use of devices that can distinguish between
stones and tissue.
• The
laser
pulse
produces
rapid
expansion
and
disintegration of plasma on the stone surface, resulting
in a mechanical shock wa

            Quiz: