Multiple Choice Questions (MCQ)

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Category: Surgery--->The Appendix
Page: 2

Question 6# Print Question

A 34-year-old man presents to your clinic asking about an elective appendectomy. He has no history of appendicitis. What are possible indications for appendectomy in this patient?

A. Planned travel to a remote place with no surgical care
B. Patients with Crohn disease where the cecum is free of gross disease
C. As part of Ladd procedure
D. All of the above

Question 7# Print Question

While reviewing pathology of a recent laparoscopic appendectomy, you note that in addition to acute appendicitis, the patient had a 1.5-cm carcinoid tumor located at the base of the appendix. The patient is otherwise healthy and recovering well from surgery. What would you recommend?

A. No additional therapy necessary
B. Right hemicolectomy
C. Radical appendectomy
D. Adjuvant chemotherapy

Question 8# Print Question

An 8-year-old boy presents to the emergency department complaining of generalized abdominal pain for the past 24 hours. Laboratory tests reveal a leukocytosis of 13,000 and he is tender in the RLQ on physical examination. He is taken to the operating room for laparoscopic appendectomy. Removal of the appendix has been associated with a protective effect of which of the following?

A. Crohn colitis
B. Ulcerative colitis
C. Clostridium dijficile
D. Carcinoid

Question 9# Print Question

Which of the following physical signs is associated with the correct definition suggestive of acute appendicitis?

A. Rovsing sign: pain in the RLQ on palpation of the left lower quadrant
B. Dunphy sign: pain in the RLQ with palpation on the left
C. Obturator sign: pain with extension of the leg
D. Iliopsoas sign: pain on internal rotation of the right hip

Question 10# Print Question

A 29-year-old woman presents with RLQ pain, fever, and leukocytosis. Prior to imaging studies the Alvarado score is used to determine the patient's likelihood of having appendicitis. All of the following variables make up the Alvarado score EXCEPT:

A. Anorexia
B. Left shift of neutrophils
C. Iliopsoas sign
D. RLQ pain
E. Fever

Category: Surgery--->The Appendix
Page: 2 of 3