A 50-year-old man with a history of peptic ulcer disease presents with sudden onset severe epigastric pain, described as 'like being stabbed'. On exam...

Question

A 50-year-old man with a history of peptic ulcer disease presents with sudden onset severe epigastric pain, described as 'like being stabbed'. On examination, he is lying still, pale, and sweaty. His abdomen is rigid ('board-like') with generalised tenderness and guarding. Bowel sounds are absent. What is the most likely diagnosis?

Accepted Answer

Perforated peptic ulcer

Answer

Acute pancreatitis

Answer

Acute cholecystitis

Answer

Intestinal obstruction

Answer

Ruptured abdominal aortic aneurysm

ukmla MCQ (SBA): Perforated Peptic Ulcer