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General Surgery · Acute abdomen
Sample itemWhat symptom is classically associated with appendicitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Migratory pain to the right lower quadrant
The core Acute abdomen principle makes Migratory pain to the right lower quadrant the best answer because it directly explains the stated presentation, investigation, or immediate management priority.
Option by option
A. Painless jaundice
Painless jaundice does not fit the requested acute abdomen conclusion.
B. Migratory pain to the right lower quadrant (correct)
Correct. Migratory pain to the right lower quadrant follows from the crucial clinical clue in the stem.
C. Bilateral visual blurring
Bilateral visual blurring does not address the underlying finding or indicated action.
D. Chronic hoarseness
Chronic hoarseness may be relevant in another clinical setting but is not best here.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.