WorksheetsAppendicitis Posttest
Total questions: 9
Worksheet time: 5mins
What Aerobic bacteria is most commonly isolated in perforated appendicitis?
(a)
On PE, when there is pain with flexion of the hip, what is the most likely location of the appendix?
Pelvic
Retrocecal
Retroperitoneal
Retroileal
Which ultrasound finding is suggestive of appendicitis?
Diameter of 5mm
Decreased echogenicitiy of fat
Pain with compression
Absence of periappendiceal fluid
Which of the following statements is true regarding non operative management of uncomplicated appendicitis?
Majority of patients who underwent NOTA required an appendectomy within 6 months.
The rate of adverse events following antibiotics therapy was lower.
Patients with recurrence after NOTA usually presents with complicated appendicitis.
Conservative management is the standard of modality in uncomplicated appendicitis.
34/M known case of Crohn’s disease came in due to RLQ pain. PE is highly suggestive of Acute Appendicitis. Intraoperatively, appendix was normal with viable cecum but with noted inflammation of the terminal ileum. What is your surgical plan?
Close the patient, start IV antibiotics
Place a drain and close the patient
Do incidental appendectomy
Do a limited right hemicolectomy including the affected ileum, appendix, and cecum
43/M came in due to RLQ pain of 8 hours duration. The pain is associated with anorexia but no vomiting. 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 normal segmenters, Plt 400. What is your next plan of management?
Discharge the patient with oral antibiotics
For WAB CT scan
For diagnostic laparoscopy
For Appendectomy
87/M underwent laparoscopic appendectomy, on final histopath noted low-grade appendiceal mucinous neoplasm with periappendiceal epithelial cells dissecting through the wall. What is your next plan of action?
Appendectomy is adequate
Appendectomy with resection of acellular mucin
Appendectomy with second look laparoscopy
Appendectomy, omentectomy, HIPEC
56/F post laparoscopic appendectomy showed high grade mucinous adenocarcinoma peritonei without signet ring cells. What is the next plan?
For chemotherapy
For radiation
For right hemicolectomy
For cytoreductive surgery with HIPEC and systemic chemotherapy
Appendiceal perforation usually occurs at which site?
tip
base
mesenteric border
antimesenteric border
