A 34-year-old woman presents with acute right lower quadrant pain, guarding and rebound tenderness, fever 38.8°C and leukocytosis. Pregnancy test is n...

Question

A 34-year-old woman presents with acute right lower quadrant pain, guarding and rebound tenderness, fever 38.8°C and leukocytosis. Pregnancy test is negative. What is the most appropriate next step?

Accepted Answer

Arrange urgent surgical assessment for suspected appendicitis

Answer

Discharge with oral antibiotics and review in a week

Answer

Order abdominal ultrasound only and delay referral

Answer

Treat as irritable bowel syndrome

Answer

Start high-dose opioids and observe in clinic

ca-mccqe1 MCQ (SBA): Acute appendicitis

A 34-year-old woman presents with acute right lower quadrant pain, guarding and rebound tenderness, fever 38.8°C and leukocytosis. Pregnancy test is negative. What is the most appropriate next step?