MRCP UK EXAMINATIONS

ABDOMINAL

ABDOMINAL STATION

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
SELECT ALL THAT APPLY. Which of the following is/are used to assess for acute appendicitis?
A
McBurney point
B
Murphy sign
C
Rovsing sign
D
Psoas sign
E
Obturator sign
Explanation: 

Detailed explanation-1: -To assess for the obturator sign, position the patient supine with their right knee bent and leg bent at the hip. Rotate the leg internally at the hip, causing the internal obturator muscle to stretch providing indirect pressure over the appendix.

Detailed explanation-2: -The obturator test is positive due to conditions that irritate the obturator internus muscle such as inflammatory fluid in the pelvis, abscess, or perforated appendix. An inflamed appendix located in the pelvic brim may cause a positive test when apposed against the obturator internus muscle.

Detailed explanation-3: -The most specific physical findings in appendicitis are rebound tenderness, pain on percussion, rigidity, and guarding. Although RLQ tenderness is present in 96% of patients, this is a nonspecific finding.

Detailed explanation-4: -Blood test to check for signs of infection. Urine test to rule out a urinary tract infection. Imaging tests, such as an abdominal ultrasound or CT scan, to view the inside of your abdomen. 02-Mar-2021

There is 1 question to complete.