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Femoroacetabular impingement syndrome — MRCGP AKT MCQ

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HardHip and GroinFemoroacetabular impingement syndromeMRCGP AKT

A woman at 22 weeks’ gestation has migrating periumbilical-to-right-sided abdominal pain, vomiting, focal guarding and fever. What is the safest action?

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Correct answer: D — Arrange urgent surgical and obstetric assessment for appendicitis

The best answer is “Arrange urgent surgical and obstetric assessment for appendicitis”. Appendicitis remains a surgical emergency in pregnancy and anatomical displacement can alter the site of tenderness. Fever, migration and guarding require urgent surgical and obstetric assessment with pregnancy-appropriate imaging. Empirical UTI treatment, laxatives or reassurance risks perforation and maternal-fetal harm.

Reference: NHS: Appendicitis: https://www.nhs.uk/conditions/appendicitis/