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Acute appendicitis — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Acute appendicitisUSMLE Step 3

A 24-year-old man has 18 hours of abdominal pain that began near the umbilicus and migrated to the right lower quadrant. He has anorexia, nausea, temperature 38.1°C, and localized guarding at McBurney point. Pregnancy is not applicable. WBC count is 14,800/mm3. Which of the following is the most appropriate next step in management?

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Correct answer: C — Obtain surgical consultation for appendectomy

Classic acute appendicitis with localized peritonitis requires prompt surgical evaluation and antibiotics.

Reference: ACS/SAGES perioperative care principles and standard surgical management guidance: https://www.facs.org/