Enter Your Name Email Phone Acute appendicitis A 22-year-old has periumbilical pain that migrated to the right iliac fossa with fever and anorexia. Most likely diagnosis? Crohn’s ileitis Acute appendicitis Mesenteric adenitis Renal colic None Appendicitis sign Most characteristic physical sign of acute appendicitis? Murphy’s sign Rovsing’s sign Courvoisier’s sign Cullen sign None Perforated peptic ulcer Sudden severe epigastric pain, rigid abdomen, and free gas under diaphragm on X-ray suggests: Acute pancreatitis Perforated duodenal ulcer Acute cholecystitis Small bowel obstruction None Acute pancreatitis diagnosis Best single initial test to confirm acute pancreatitis? Serum amylase Serum lipase Ultrasound abdomen CT abdomen immediately None Acute cholecystitis A patient has RUQ pain, fever, Murphy’s sign. First-line imaging? CT abdomen HIDA scan Ultrasound abdomen MRCP None Intestinal obstruction (early clue) Most common earliest symptom in small bowel obstruction is: Constipation Fever Colicky abdominal pain Jaundice None Strangulated hernia Feature most suggestive of strangulation in hernia? Reducible swelling Impulse on coughing present Severe pain with tenderness + systemic toxicity Long history of swelling None Trauma (shock) In trauma, the most reliable early indicator of hypovolemic shock is: Hypotension Tachycardia Bradycardia Fever None Head injury (raised ICP) Classic Cushing’s response includes: Tachycardia, hypotension, tachypnea Bradycardia, hypertension, irregular respiration Fever, tachycardia, hypertension Bradycardia, hypotension, slow respiration None Burn management Fluid resuscitation in major burns is most commonly calculated by: Hartmann formula Parkland formula Holliday-Segar Glasgow coma scale None Breast lump Most common cause of a breast lump in a young woman (20s)? Carcinoma breast Fibroadenoma Fat necrosis Phyllodes tumor None Thyroid—painful swelling Painful tender thyroid with fever following viral illness suggests: Hashimoto thyroiditis Subacute (De Quervain) thyroiditis Graves disease Thyroid lymphoma None Varicose vein complication Most common complication of varicose veins is: Pulmonary embolism Venous ulcer Arterial gangrene Acute limb ischemia None Urology—renal colic Best initial imaging for suspected renal stone in a stable adult (most accurate)? IVU Ultrasound only Non-contrast CT KUB MRI None Post-op fever timing Fever within the first 24 hours after surgery is most commonly due to: Surgical site infection Atelectasis / inflammatory response UTI DVT None Quiz navigator configuration error. Contact the website administrator for help. Time's upYou cannot switch tabs while taking this quiz!You are not allowed to switch tabs violation has been recorded.you cannot minimize full screen mode!You are not allowed to minimize full screen while taking this quiz, violation has been recorded.Access denied! To begin the quiz, please grant this quiz access to your camera.Time is Up!