1 A 13 year-old girl presents to the emergency department with a 2-day history of abdominal pain that was initially localized around her umbilicus but now has localized to her right lower quadrant. You diagnose appendicitis. Where is her appendix most likely located and given the timing, is it most likely perforated or not?

2 A 28 year-old gentleman presents with abdominal pain. What questions are important when obtaining the history? (Choose all that apply)

3 A 26-year-old female presents with abdominal pain, a pulse of 105, respiratory rate of 18, blood pressure of 120/70, and a temperature of 36.5 C. Which of these vital signs is abnormal?

4 A 45-year-old male presents with right lower quadrant abdominal pain. With the leg in a straight position, you extend his right hip, which exacerbates his pain. What does this physical exam maneuver indicate?

5 A 32-year-old female presents with right lower quadrant and suprapubic pain. You bend her knee and passively rotate and flex the right hip. What is the name of this physical examination manoeuvre?

6 A 21-year-old female presents with pain and a fever of 38.1 C, and you are trying to differentiate between a pyelonephritis and an appendicitis. What would make you suspect she has a pyelonephritis? (Choose all that apply.)

7 A 54-year-old male presents with abdominal pain, and you are trying to differentiate between a gastroenteritis and an appendicitis. What historical factor would make it more likely he has gastroenteritis?

8 A 39-year-old male presents with abdominal pain and nausea. You are trying to differentiate between gastrointestinal tuberculosis and an appendicitis. What additional systemic symptoms might a patient with gastrointestinal tuberculosis present with when compared to appendicitis? (Choose all that apply)

9 A 33 year old women presents with symptoms of right lower quadrant abdominal pain. You suspect appendicitis. What labs are used to assess the patient status? 

10 A 33-year-old female presents with symptoms that are consistent with an appendicitis. You are considering taking her to surgery and you have availability of ultrasound imaging. What ultrasound sign would be most consistent with simple acute appendicitis?

11 If a 50 kg female with simple appendicitis has a potassium of 3.2 mmol/L and a creatinine of 1.4 mg/dL preoperatively. What should you do prior to operating?

12 You are getting ready to perform an open appendectomy on a patient with an unruptured appendicitis. Where should you center your incision? 

13 You are preparing a patient for surgery for simple acute appendicitis. What should your antibiotic regimen be?

14 You have just completed an open appendectomy for simple appendicitis. Which antibiotic and what duration should the patient be dosed? |type="()"

15 As you are making your abdominal wall incision to evaluate a probable appendicitis, the first muscle layer you encounter is the external oblique muscle. Which way do the right external oblique muscle fibres point?|type="()"

16 During an appendectomy, what is the most appropriate response if you encounter purulent fluid upon entering the abdominal cavity? | type="()"

17 You have safely entered the peritoneal cavity. The first structure you see is a worm-like organ. How do you confirm the identity of the appendix? (choose all that apply).

18 The mesoappendix is the peritoneal fold encasing the appendix. What structure do you clamp, cut and ligate within the mesoappendix during an appendectomy procedure?| type="()"

19 You have completed an appendectomy without any complications. What are typical post-operative orders for a patient with a simple appendicitis? | type “()”