APPENDICITIS AND APPENDECTOMY JOHN WASHINGTON 2026 CLINICAL DECISIONMAKING QUESTIONS AND CORRECT ANSWERS FULL REVIEW

APPENDICITIS AND APPENDECTOMY JOHN
WASHINGTON 2026 CLINICAL DECISION-
MAKING QUESTIONS AND CORRECT
ANSWERS FULL REVIEW

◉ Rovsing's sign. Answer: LLQ palpation causes RLQ pain


◉ Psoas sign. Answer: Pain with extension of the right hip


◉ Obturator sign. Answer: Pain with internal rotation of right hip


◉ Common lab finding in appendicitis. Answer: Elevated white
blood cell count


◉ Why fever occurs in appendicitis. Answer: Infection and
inflammation


◉ Major complication of appendicitis. Answer: Perforation leading
to peritonitis


◉ Sign of appendiceal rupture. Answer: Sudden relief of abdominal
pain

, ◉ Primary treatment for appendicitis. Answer: Appendectomy


◉ Preoperative nursing care. Answer: Keep NPO and monitor for
perforation


◉ What to avoid in suspected appendicitis. Answer: Heat, laxatives,
enemas


◉ Postoperative care priority. Answer: Monitor bowel function and
signs of infection


◉ Rebound tenderness. Answer: Pain increases when pressure on
the RLQ is suddenly released


◉ McBurney's point. Answer: Pain when pressing 2/3 of the
distance from the umbilicus to the right hip


◉ Rovsing's sign. Answer: Pressing the LLQ causes pain in the RLQ
(referred pain)


◉ Psoas sign. Answer: Pain occurs when the right hip is extended
while the patient lies on the left side