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Appendicitis — ABFM Board MCQ

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EasyGI/HepatologyAppendicitisABFM Board

A 19-year-old man has periumbilical pain that migrated to the right lower quadrant with anorexia and nausea. He has localized tenderness at McBurney point and mild leukocytosis. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Urgent surgical evaluation with abdominal imaging as appropriate

Clinical features suggest appendicitis; urgent surgical assessment and imaging are appropriate to reduce perforation risk.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html