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General Surgery · Acute abdomen
Sample itemWhat sign suggests peritonitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Guarding and rebound tenderness
Peritoneal inflammation causes involuntary guarding, rebound tenderness, and pain with movement because the parietal peritoneum is highly sensitive.
Option by option
A. Isolated wheeze
Wheeze is a lower-airway sign.
B. Miosis
Miosis is a pupillary finding.
C. Painless soft abdomen
A soft painless abdomen argues against peritonitis.
D. Guarding and rebound tenderness (correct)
Correct: guarding and rebound are peritoneal irritation signs.
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.