Acute Abdomen
Acute Abdomen MCQs
A quiz / Test on Acute Abdomen as MCQs
Here is the MCQs test on Acute Abdomen as quiz or test. These MCQs are prepared to fulfil the requirement for all types of medical exams as NEET, USMLE, PLAB, Promatric and ALL TYPES OF MEDICAL BOARD Exams all over the world. Each question is original, clinically relevant, and designed to test critical thinking.
Results
PASS
WELL DONE
Keep it up
Fail
Revise again
Work Hard
#1. A patient with acute abdominal pain has a positive Rovsing’s sign. What does this indicate? ? Rovsing’s sign (RLQ pain upon LLQ palpation) suggests appendicitis.
Rovsing’s sign (RLQ pain upon LLQ palpation) suggests appendicitis.
#2. A 25-year-old woman presents with right lower quadrant pain, nausea, and a low-grade fever. She describes the pain initially starting near her belly button before migrating. What is the most probable diagnosis? ? Periumbilical pain migrating to the RLQ + fever and nausea is classic for appendicitis.
Periumbilical pain migrating to the RLQ + fever and nausea is classic for appendicitis.
#3. A 70-year-old man suddenly collapses with severe abdominal pain and hypotension. On examination, a pulsatile mass is palpable in his abdomen. What is the most critical next step? ? Hypotension + pulsatile abdominal mass suggests a ruptured AAA, requiring emergency surgery.
Hypotension + pulsatile abdominal mass suggests a ruptured AAA, requiring emergency surgery.
#4. A patient with acute abdominal pain has a history of recent antibiotic use. What condition should be considered? ? Antibiotic use + abdominal pain/diarrhea raises concern for C. difficile colitis.
Antibiotic use + abdominal pain/diarrhea raises concern for C. difficile colitis.
#5. A patient with acute abdominal pain has “tearing” pain radiating to the back. What is the most critical diagnosis to exclude? ? "Tearing" pain + back radiation is classic for AAA rupture, a surgical emergency.
“Tearing” pain + back radiation is classic for AAA rupture, a surgical emergency.
#6. A 30-year-old woman with lower abdominal pain has a positive urine pregnancy test. Which condition must be ruled out first? ? A positive pregnancy test + abdominal pain requires immediate evaluation for ectopic pregnancy, a potentially fatal condition.
A positive pregnancy test + abdominal pain requires immediate evaluation for ectopic pregnancy, a potentially fatal condition.
#7. A patient with acute abdominal pain has “sentinel loop” on X-ray. What is the most likely cause? ? A sentinel loop (localized ileus near the pancreas) is seen in pancreatitis.
A sentinel loop (localized ileus near the pancreas) is seen in pancreatitis.
#8. A patient with abdominal pain has referred pain to the right shoulder. What is the most likely source? ? Referred pain to the right shoulder (Kehr’s sign) is classic for gallbladder or diaphragmatic irritation.
Referred pain to the right shoulder (Kehr’s sign) is classic for gallbladder or diaphragmatic irritation.
#9. A patient with acute abdominal pain reports that the pain worsens with movement. What does this indicate? ? Pain aggravated by movement suggests peritoneal irritation, as seen in peritonitis or appendicitis.
Pain aggravated by movement suggests peritoneal irritation, as seen in peritonitis or appendicitis.
#10. A patient with acute abdominal pain has “currant jelly” stools. What is the most likely diagnosis? ? Currant jelly stools (blood + mucus) are classic for intussusception, especially in children.
Currant jelly stools (blood + mucus) are classic for intussusception, especially in children.
#11. A patient with acute abdominal pain has “obturator sign” positivity. What does this suggest? ? Obturator sign (pain on internal hip rotation) suggests pelvic appendicitis.
Obturator sign (pain on internal hip rotation) suggests pelvic appendicitis.
#12. A 60-year-old woman with a history of atrial fibrillation complains of severe, diffuse abdominal pain that seems disproportionate to her physical exam findings. She has mild abdominal tenderness but no rigidity. What is the most urgent concern? ? Pain out of proportion to exam + atrial fibrillation raises suspicion for mesenteric ischemia, a life-threatening condition requiring immediate intervention.
Pain out of proportion to exam + atrial fibrillation raises suspicion for mesenteric ischemia, a life-threatening condition requiring immediate intervention.
#13. A patient with acute abdominal pain has “doughy” abdominal palpation. What condition should be suspected? ? A doughy abdomen may indicate intraperitoneal bleeding (e.g., ruptured ectopic pregnancy or AAA).
A doughy abdomen may indicate intraperitoneal bleeding (e.g., ruptured ectopic pregnancy or AAA).
#14. A patient with acute abdominal pain is writhing in bed, unable to find a comfortable position. What type of pain does this suggest? ? Colicky pain (e.g., from kidney stones or bowel obstruction) often causes restlessness, unlike peritonitis, where patients lie still.
Colicky pain (e.g., from kidney stones or bowel obstruction) often causes restlessness, unlike peritonitis, where patients lie still.
#15. A patient with acute abdominal pain has “coffee-ground” emesis. What is the most likely source? ? Coffee-ground emesis indicates upper GI bleeding (e.g., peptic ulcer).
Coffee-ground emesis indicates upper GI bleeding (e.g., peptic ulcer).
#16. A 45-year-old man arrives at the emergency department with sudden, excruciating pain in his upper abdomen that radiates to his back. He appears diaphoretic and is vomiting. Lab tests reveal elevated serum lipase. What is the most likely diagnosis? ? Sudden-onset epigastric pain radiating to the back, vomiting, and elevated lipase strongly suggest acute pancreatitis.
Sudden-onset epigastric pain radiating to the back, vomiting, and elevated lipase strongly suggest acute pancreatitis.
#17. A patient with acute abdominal pain has a history of alcohol abuse. What complication is most likely? ? Alcohol abuse is a major risk factor for pancreatitis.
Alcohol abuse is a major risk factor for pancreatitis.
#18. A patient with sudden-onset, sharp right upper quadrant pain has jaundice and fever. What is the most likely diagnosis? ? RUQ pain + jaundice + fever (Charcot’s triad) suggests ascending cholangitis, a medical emergency.
RUQ pain + jaundice + fever (Charcot’s triad) suggests ascending cholangitis, a medical emergency.
#19. A patient with acute abdominal pain has “dance of the diaphragm” on X-ray. What does this indicate? ? "Dance of the diaphragm" (exaggerated movement due to free air) suggests pneumoperitoneum (e.g., perforated ulcer).
“Dance of the diaphragm” (exaggerated movement due to free air) suggests pneumoperitoneum (e.g., perforated ulcer).
#20. A patient with acute abdominal pain has a positive psoas sign. What does this indicate? ? Psoas sign (pain on hip extension) suggests retrocecal appendicitis.
Psoas sign (pain on hip extension) suggests retrocecal appendicitis.
#21. A patient with abdominal pain has “thumbprinting” on abdominal X-ray. What pathology does this suggest? ? Thumbprinting (due to submucosal edema) is seen in bowel ischemia.
Thumbprinting (due to submucosal edema) is seen in bowel ischemia.
#22. A patient with acute abdominal pain has a history of prior abdominal surgery. What is the most common cause of obstruction in this case? ? Post-surgical adhesions are the leading cause of small bowel obstruction.
Post-surgical adhesions are the leading cause of small bowel obstruction.
#23. A patient with abdominal pain has absent bowel sounds and a rigid abdomen. What is the most concerning diagnosis? ? Absent bowel sounds + rigidity indicate peritonitis, often due to perforation or severe infection.
Absent bowel sounds + rigidity indicate peritonitis, often due to perforation or severe infection.
#24. A patient with chronic NSAID use presents with sudden, severe epigastric pain and rebound tenderness. What is the most likely complication? ? NSAIDs increase ulcer risk, and sudden severe pain + rebound tenderness suggests perforation.
NSAIDs increase ulcer risk, and sudden severe pain + rebound tenderness suggests perforation.
#25. A patient with acute abdominal pain has guarding but no rebound tenderness. What does this suggest? ? Guarding without rebound may indicate early peritoneal inflammation before full-blown peritonitis develops.
Guarding without rebound may indicate early peritoneal inflammation before full-blown peritonitis develops.