Abdominal CT: appendicitis: practice question

A Radiology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Radiology · Abdominal CT: appendicitis

Sample item

Which CT finding most strongly supports acute appendicitis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Dilated blind-ending tubular structure with wall enhancement and periappendiceal fat stranding

CT appendicitis findings include an enlarged noncompressible appendix, wall enhancement, periappendiceal inflammation, and sometimes appendicolith or abscess. Imaging is interpreted alongside clinical findings.

Option by option

  • A. Dilated blind-ending tubular structure with wall enhancement and periappendiceal fat stranding (correct)

    Correct. Inflamed enlarged appendix with surrounding fat stranding is classic.

  • B. Gas in the urinary bladder after catheterization

    Bladder gas can occur after instrumentation and is unrelated to appendicitis.

  • C. Diffuse fatty liver only

    Fatty liver does not explain focal right-lower-quadrant inflammation.

  • D. A simple renal cyst

    A simple renal cyst is usually incidental.

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.

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Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is A, Dilated blind-ending tubular structure with wall enhancement and periappendiceal fat stranding. CT appendicitis findings include an enlarged noncompressible appendix, wall enhancement, periappendiceal inflammation, and sometimes appendicolith or abscess.

Why is "Gas in the urinary bladder after catheterization" not the answer?

Bladder gas can occur after instrumentation and is unrelated to appendicitis.

Why is "Diffuse fatty liver only" not the answer?

Fatty liver does not explain focal right-lower-quadrant inflammation.

Why is "A simple renal cyst" not the answer?

A simple renal cyst is usually incidental.

What concept does this question test?

It tests Abdominal CT: appendicitis in Radiology. Imaging is interpreted alongside clinical findings.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Abdominal CT: appendicitis?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.