Acute Abdomen & GI Surgery — Practice

Question 1

A patient describes pain that began around the umbilicus and is now sharp and localised in the right iliac fossa. What has this migration indicated?

Accepted Answer

B

Question 2

A patient has gross abdominal distension and absolute constipation, with vomiting only appearing very late. Where is the obstruction?

Accepted Answer

C

Question 3

A 72-year-old man in atrial fibrillation has three hours of agonising central abdominal pain with a soft, non-tender abdomen. What is the next step?

Accepted Answer

C

Question 4

Which factor most strongly predicts failure of antibiotic-only treatment for uncomplicated appendicitis?

Accepted Answer

B

Question 5

An 80-year-old institutionalised man has massive abdominal distension and a coffee-bean shaped loop on plain radiography. What is the first-line treatment?

Accepted Answer

B

Question 6

A patient has sudden severe generalised abdominal pain, board-like rigidity, and an erect chest radiograph showing no free gas. What is the correct action?

Accepted Answer

A

Question 7

In malignant large bowel obstruction with a competent ileocaecal valve, why does the caecum perforate before the site of obstruction?

Accepted Answer

A

Question 8

A 78-year-old woman on long-term prednisolone is confused and tachycardic with a soft abdomen and mild diffuse tenderness. What is the most important consideration?

Accepted Answer

A

Question 9

A 40-year-old man with no previous surgery has small bowel obstruction that settles with conservative management. What should be considered before discharge?

Accepted Answer

B

Practice — Acute Abdomen & GI Surgery

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