WorksheetsAppendicitis Quiz
Total questions: 10
Worksheet time: 10mins
What anaerobic bacteria is most commonly isolated in perforated appendicitis?
(a)
This physical examination is elicited by internal rotation of the hip
Roving's
Dunphy's
Obturator
Iliopsoas
Which CT scan finding highly suggests appendicitis?
Wall thickness 5mm
Wall thickening 2mm
Pelvic fluid collection
Periappendiceal fat stranding
Which of the following statements is true regarding the operative management of uncomplicated appendicitis?
Laparoscopic appendectomy resulted in higher superficial wound infection rates.
Open appendectomy results in shorter operative times.
Laparoscopic appendectomy showed lower intra-abdominal infection rates.
Laparoscopic appendectomy has higher overall hospital cost than open appendectomy.
43/M came in due to RLQ pain of 8 hours duration. He stated that it started to the epigastric region, then localized to the RLQ after 3 hours. The pain is associated with anorexia and vomiting of previously ingested food. On PE, vital signs were stable and there is direct tenderness on the RLQ but no rebound. On work up, Hgb 125 Hct 0.34 WBC 14 with predominance of segmenters, Plt 400. What is the Alvarado score?
6
7
8
9
In the pediatric appendicitis score, which two components scores the maximum weight (2 points)?
RLQ tenderness
Rebound tenderness
(+) Dunphy's
(+) Rovsing's
Which of the following statements is true regarding appendicitis in pregnancy?
Ultrasound is the preferred imaging modality
The risk for fetal loss is low if perforation occurs.
Laparoscopic appendectomy is avoided in pregnant patients
Nonoperative management has a low treatment failure rate and can be proposed.
67/M came in due to RLQ. Imaging was done revealing dilated appendix, patient eventually underwent laparoscopic appendectomy. On histopath, noted 0.9cm mucinous adenocarcinoma. What is your next plan of action?
For colonoscopy
For chemotherapy
For radiation
For right hemicolectomy
87/M underwent laparoscopic appendectomy, on final histopath noted high-grade appendiceal mucinous neoplasm confined to the appendix. What is your next plan of action?
Appendectomy is adequate
Appendectomy with resection of acellular mucin
Appendectomy with omentectomy
Appendectomy, omentectomy, HIPEC
67/M came in due to RLQ. Imaging was done revealing dilated appendix, patient eventually underwent laparoscopic appendectomy. On histopath, noted 2.1cm carcinoid tumor. What is your next plan of action?
For chemotherapy
For radiation
For right hemicolectomy
Refer to palliative service
