WorksheetsNOM Appendicitis
Total questions: 15
Worksheet time: 8mins
What is the most common cause of acute surgical abdomen in children?
Hernia
Appendicitis
Gallstones
Pancreatitis
What is the approximate lifetime risk of appendicitis in the USA?
2-4%
5-7%
7-9%
10-12%
What is the perforation rate of appendicitis if the patient is under 1 year of age?
50%
100%
75%
125%
Which study supported the safety of Non-Operative Management (NOM) in adults?
Di Saverio(2014)
Salminen(2012)
Ericksson(1995)
Hansson(2009)
What percentage of children avoided appendectomy with NOM in the study by Styrud(2006)?
77%
86%
70%
65%
Which antibiotic was used in the study by Hartwich et al. for nonoperative treatment of acute appendicitis in children?
Piperacillin-Tazobactam
Gentamicin
Amoxicillin
Ciprofloxacin
What is the success rate of nonoperative treatment of acute appendicitis in children according to the study by Maita et al.?
95%
90%
85%
92%
What is the main indication to abandon Non-Operative Management (NOM)?
Vomiting for 12 hours
Fever for 24 hours
Decreasing abdominal pain
Signs of generalized peritonitis
Which study compared appendectomy with antibiotic treatment for acute appendicitis?
Varadhan et al. (2012)
Liu et al. (2011)
Vons et al. (2011)
Minneci et al. (2014)
What is the main caveat mentioned regarding Non-Operative Management (NOM) of appendicitis?
Recurrence is not possible
Antimicrobial resistance is not a concern
Appendectomy is not definitive
Antibiotics are ineffective
What is the main exclusion criteria for Non-Operative Management (NOM) of appendicitis?
Presence of signs and symptoms of peritonitis
Radiographic evidence of appendicolith
Age below 5 years old
Elevated C-reactive protein
Which study reported a success rate of 67.1% with initial nonoperative management strategy for appendicitis in children?
Svensson et al. (2015)
Tanaka et al. (2015)
Knaapen et al. (2019)
Hartwich et al. (2016)
What is the main indication to proceed with open appendectomy after initial nonoperative management?
Persistent vomiting for more than 24 hrs
Temperature > 38 °C for more than 24 hrs
Signs of generalized peritonitis
Increasing abdominal pain
Which study compared antibiotic therapy with appendectomy for treatment of uncomplicated acute appendicitis?
Hansson et al. (2009)
Salminen et al. (2015)
Vons et al. (2011)
Di Saverio et al. (2014)
What is the main concern regarding antibiotic treatment for appendicitis according to the Cochrane Library study?
Higher rates of unsuccessful treatment
No need for subsequent appendectomy
Shorter hospital stay
Reduced wound infections
