Surgery Assessment

20 learning units • 10 questions per unit • 200 explained questions

Module 09 — Acute Abdomen, Appendix & Peritonitis

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Question 01 • Single best answer

What typically characterizes visceral abdominal pain?

A. Precise localization in every case B. Poor localization C. No relation to internal organs D. Only superficial skin tenderness

Question 02 • Single best answer

Central pain later localizing to the right lower quadrant suggests which diagnosis?

A. A definitive diagnosis of pancreatitis B. Appendicitis in the appropriate context C. A guaranteed urinary stone D. A diagnosis requiring no examination

Question 03 • Single best answer

Which statement about appendicitis is correct?

A. Every patient has the same symptom sequence B. Presentation can vary with anatomy and patient factors C. A normal early white-cell count excludes it D. It never occurs during pregnancy

Question 04 • Single best answer

What should happen to analgesia during acute abdominal assessment?

A. Withhold it as a mandatory diagnostic test B. Give it instead of examination C. Assume response identifies the cause D. Provide appropriate relief with continued reassessment

Question 05 • Single best answer

Generalized guarding with worsening perfusion raises concern for what?

A. A harmless symptom in every case B. An isolated skin allergy C. Guaranteed functional pain D. Peritonitis with serious underlying pathology

Question 06 • Single best answer

Why might antibiotics alone fail in a perforated bowel?

A. Antibiotics mechanically close the hole B. They always remove all leaked material C. Perforation cannot cause infection D. The ongoing source of contamination may require control

Question 07 • Single best answer

Which test is relevant when pregnancy is possible in lower abdominal pain?

A. Appropriate pregnancy testing with consent and context B. A hearing test alone C. Routine bone-density testing D. A skin allergy patch test

Question 08 • Single best answer

What is the safest response to worsening abdominal signs despite initially normal tests?

A. Discharge solely on the earlier results B. Stop monitoring C. Repeat clinical assessment and seek senior review D. Assume malingering

Question 09 • Single best answer

What is required for a planned period of observation?

A. Documented review timing and escalation triggers B. No named clinician C. No further observations D. An assumption that symptoms cannot change

Question 10 • Single best answer

Which discharge instruction is most useful after uncertain abdominal pain?

A. No advice because tests were normal B. Only a reminder of the appointment fee C. A guarantee that pain cannot worsen D. Specific warning symptoms and a clear route for urgent return

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