Page 1 of 2: Surgery / MCQ/ Regarding appendicitis

NEHRA · Credits: 12123 My Scrapbook

Regarding appendicitis

a. The risk of developing the illness is greatest in childhood

b. Mortality increases with age and is greatest in the elderly

c. 20% of appendices are extraperitoneal in a retrocaecal position

d. Faecoliths are present in 75-80% of resected specimens

e. Appendicitis is a possible diagnosis in the absence of abdominal tenderness

(Answer can be single/multiple)

DOCTORJACK · Credits: 2328 My Scrapbook

the answer is D as fecolith r mc cause of obstruction

and also B, A

NEHRA · Credits: 12123 My Scrapbook

Anybody else wanna try or should I post answer ?

guest · Credits: 78825 My Scrapbook My Reading List 262569 Books

Incidence of appendicitis gradually rises from birth, peaks in the late teen years, and gradually declines in the geriatric years.

Mortality rate rises above 20% in patients older than 70 years.

In 5% cases, appendix is extraperitoneal, situated behind the cecum.

The most common causes of luminal obstruction are fecaliths and lymphoid follicle hyperplasia, and so 75-80% is too high for fecoliths.

(e) choice I believe is true, especially in subhepatic cases.

NEHRA · Credits: 12123 My Scrapbook

Please read question carefully.......multiple answers are possible actually it's true/false type of question like in AIIMS /NIMHANS MD Entrance.

guest · Credits: 78825 My Scrapbook My Reading List 262569 Books

I have read it carefully and each statement is a known facts which contraindicates or supports your given options. I have not written them in MCQ format.

guest · Credits: 78825 My Scrapbook My Reading List 262569 Books

a, b and e seem to be true and others (i.e. b and c) are false!

NEHRA · Credits: 12123 My Scrapbook

Actually all are true in this question.

DOCTORJACK · Credits: 2328 My Scrapbook

appendix in retroceacal position occurs in 70% cases...
but u mentioned only 20% which is not correct option..
and secondly i think in appendix tenderness is marked n also itz m.c cause of acute abdomen .. then how u think ansE will b correct. plz justify ur ansn xplanation 2 ans E

guest · Credits: 78825 My Scrapbook My Reading List 262569 Books

yes doctor 70% is retrocecal but only 5% of them are extraperitoneal! And tenderness is not absolutely essential for diagnosis. In cases where appendix is deep (e.g. subhepatic), and deep palpation does not put pressure on the inflamed organ there is no tenderness. Still c is incorrect option!

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