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Acute appendicitis — USMLE Step 3 MCQ

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

A 19-year-old man has abdominal pain that began near the umbilicus and migrated to the right lower quadrant. He has anorexia, nausea, low-grade fever, McBurney point tenderness, and pain with passive right hip extension. Which of the following is the most likely diagnosis?

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Correct answer: AAcute appendicitis

Migratory pain, anorexia, fever, McBurney tenderness, and psoas sign suggest acute appendicitis.

Reference: ACS appendicitis management principles