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623 Adult - Appendicitis - NP Certification, Fitzgerald 4th ed. Exam Questions and Answers
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623 Adult - Appendicitis - NP Certification, Fitzgerald 4th ed. Exam Questions and Answers
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623 Adult - Appendicitis - NPCertification, Fitzgerald 4th ed. Exam
Questions and Answers
d. marked febrile response - Answer-all of the following are typically noted in a young
adult with the dx of acute appendicitis EXCEPT:
a. epigastric pain
b. positive oburator sign
c. rebound tenderness
d. marked febrile response
c. total WBCs 16,500mm3; neutrophils 66%; bands 8%; lymphocytes 22% - Answer-a
26 y/o man presents with acute abdominal pain. as part of the eval for acute
appendicitis, you order a WBC count with differential and anticipate the following
results:
a. total WBCs 4500 mm3; neutrophils 35%; bands 2%; lymphocytes 45%
b. total WBCs 14,000 mm3; neutrophils 55%; bands 3%; lymphocytes 38%
c. total WBCs 16,500 mm3; neutrophils 66%; bands 8%; lymphocytes 22%
d. total WBCs 18,100 mm3; neutrophils 55%; bands 3%; lymphocytes 28%
a. the presentation can differ according to the anatomical location of the appendix -
Answer-you see a 72 y/o woman who reports vomiting and abdominal cramping
occurring over the past 24 hrs. In evaluating a pt with suspected appendicitis, the
clinician considers that:
a. the presentation can differ according to the anatomical location of the appendix
b. this is a common reason for acute abdominal pain in elderly pts
c. vomiting before onset of abdominal pain is often seen
d. the presentation is markedly different from the presentation of pelvic inflammatory
disease
a. passive extension of the hip - Answer-the psoas sign can be best described as
abdominal pain elicited by:
a. passive extension of the hip
b. passive flexion and internal rotation of the hip
c. deep palpation
d. asking the pt to cough
b. passive flexion and internal rotation of the hip - Answer-the obturator sign can be best
described as abdominal pain elicited by:
a. passive extension of the hip
b. passive flexion and internal rotation of the hip
c. deep palpation
d. asking the pt to cough
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