GENERAL
SURGERY
QUESTION BANK.
VALERIA SOFIA REYES CASTRO
@vreyescs
, GENERAL SURGERY
A 43-year-old woman experienced abdominal pain 7 days ago starting in the umbilical
region, which then localized to the right iliac fossa. She took antibiotics and analgesics. On
examination: a palpable mass in the right iliac fossa, somewhat painful. What is the most
likely diagnosis?
A. Right colon diverticulitis.
B. Appendiceal mucocele.
C. Right adnexal dermoid cyst.
D. Appendiceal phlegmon.
E. Tubo-ovarian abscess.
What is an appendiceal phlegmon?
Appendiceal phlegmon (PA) is a variant in the progression of acute
appendicitis in which the appendix is covered by adjacent tissues
(intestine, omentum) forming a mass that contains and isolates the
infectious process.
A 9-year-old child presents with abdominal pain for 36 hours that has migrated to the right
lower quadrant (RLQ), with a history of a cold, and currently has congested oropharynx. What
is the most likely diagnosis?
A. Meckel's diverticulitis.
B. Acute appendicitis.
C. Mesenteric adenitis.
D. Intestinal parasitosis.
E. Right lower lobe pneumonia
What is mesenteric adenitis?
It is a common cause of abdominal pain, often requiring hospitalization, and is
a differential diagnosis for surgical pathology such as 'acute appendicitis.' It
involves the inflammation of the lymph nodes in the intestine, affecting
children over 3 years old and adolescents.
What causes it?
During an infection, the lymph nodes become inflamed due to the
activation of the immune system to combat it. It is commonly caused by
viral infections of the upper respiratory tract."
@vreyescs
SURGERY
QUESTION BANK.
VALERIA SOFIA REYES CASTRO
@vreyescs
, GENERAL SURGERY
A 43-year-old woman experienced abdominal pain 7 days ago starting in the umbilical
region, which then localized to the right iliac fossa. She took antibiotics and analgesics. On
examination: a palpable mass in the right iliac fossa, somewhat painful. What is the most
likely diagnosis?
A. Right colon diverticulitis.
B. Appendiceal mucocele.
C. Right adnexal dermoid cyst.
D. Appendiceal phlegmon.
E. Tubo-ovarian abscess.
What is an appendiceal phlegmon?
Appendiceal phlegmon (PA) is a variant in the progression of acute
appendicitis in which the appendix is covered by adjacent tissues
(intestine, omentum) forming a mass that contains and isolates the
infectious process.
A 9-year-old child presents with abdominal pain for 36 hours that has migrated to the right
lower quadrant (RLQ), with a history of a cold, and currently has congested oropharynx. What
is the most likely diagnosis?
A. Meckel's diverticulitis.
B. Acute appendicitis.
C. Mesenteric adenitis.
D. Intestinal parasitosis.
E. Right lower lobe pneumonia
What is mesenteric adenitis?
It is a common cause of abdominal pain, often requiring hospitalization, and is
a differential diagnosis for surgical pathology such as 'acute appendicitis.' It
involves the inflammation of the lymph nodes in the intestine, affecting
children over 3 years old and adolescents.
What causes it?
During an infection, the lymph nodes become inflamed due to the
activation of the immune system to combat it. It is commonly caused by
viral infections of the upper respiratory tract."
@vreyescs
