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NU🩺 Appendicitis – MCQs (AIIMS NORCET Level)
1️⃣ The most common cause of acute appendicitis is:
A. Trauma
B. Worm infestation
C. Fecalith
D. Tumor
✅ Answer: C. Fecalith
2️⃣ The classical pain in appendicitis initially starts at:
A. Right iliac fossa
B. Epigastrium
C. Periumbilical region
D. Left iliac fossa
✅ Answer: C. Periumbilical region
3️⃣ McBurney’s point is located:
A. Midway between xiphoid and umbilicus
B. Junction of lateral 1/3 and medial 2/3 between umbilicus & ASIS
C. Left lower quadrant
D. Above umbilicus
✅ Answer: B
4️⃣ Most common age group affected by appendicitis:
A. <5 years
B. 10–30 years
C. 40–60 years
D. >70 years
✅ Answer: B
5️⃣ Rovsing’s sign indicates:
A. Pain on extension of right hip
B. Pain in RIF on palpating LLQ
C. Pain on internal rotation of thigh
D. Pain on coughing
✅ Answer: B
6️⃣ Most common symptom of appendicitis is:
A. Fever
B. Vomiting
C. Anorexia
D. Diarrhea
✅ Answer: C
7️⃣ The gold standard investigation for appendicitis is:
A. X-ray abdomen
B. Ultrasound
C. CT scan
D. MRI
✅ Answer: C
8️⃣ Which complication is most serious?
A. Abscess
B. Appendicular mass
C. Perforation
D. Constipation
✅ Answer: C
9️⃣ In suspected appendicitis, the nurse should avoid:
A. IV fluids
B. NPO status
C. Hot compress
D. Monitoring vitals
✅ Answer: C
🔟 Treatment of choice in acute appendicitis:
A. Oral antibiotics
B. Laxatives
C. Appendectomy
D. High-fiber diet
✅ Answer: C
1️⃣1️⃣ Psoas sign is positive when:
A. Flexing hip causes pain
B. Extending right hip causes pain
C. Pressing LLQ causes pain
D. Coughing causes pain
✅ Answer: B
1️⃣2️⃣ Leukocytosis in appendicitis is usually:
A. <5,000/mm³
B. 6,000/mm³
C. >10,000/mm³
D. 2,000/mm³
✅ Answer: C
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