WASHINGTON 2026 STUDY GUIDE COMPLETE
PATIENT CASE QUESTIONS AND ANSWERS
100% CORRECT
◉ Appendix location. Answer: Right lower quadrant, attached to the
cecum
◉ Common cause of appendicitis. Answer: Obstruction by fecalith,
tumor, or foreign body
◉ Why obstruction causes appendicitis. Answer: Mucus and bacteria
get trapped, causing infection
◉ Pathophysiology of appendicitis. Answer: Obstruction → pressure
buildup → decreased blood flow → ischemia → rupture
◉ Early appendicitis pain. Answer: Dull pain around the umbilicus
◉ Late appendicitis pain. Answer: Sharp pain in the right lower
quadrant
, ◉ Why appendicitis pain moves. Answer: Inflammation spreads
from visceral to localized pain
◉ Rebound tenderness. Answer: Increased pain when pressure is
released
◉ McBurney's point. Answer: Area between umbilicus and right iliac
crest where pain occurs
◉ 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