shape
Questions on colon and rectum
gastric surgery exam questinons
Liver MCQ
Small intestine MCQ
Pancreas MCQ
Appendix and appendicitis
Spleen MCQ
Aiims questions
Welcome to our website of surgery Multiple Choice questions (MCQ).This web site is for surgical students  to help them prepare for various enterance examinations.

Answers and explanations are provided after a set of 5 questions and we have used  Standard text books for refrences.
Questions on Appendix and appendicitis
Q1. Which of the following is the least common position of appendix?

a) Retroileal
b) Retroceacal
c) Postileal
d) Pelvic


Q2. Most Common malignancy of appendix is?

a) Carcinoid Tumor
b) Adenocarcinoma
c) Squmaous Cell carcinoma
d) MIxed Cellularity


Q3. All are features of Acute Appendicitis on Ultrasound examination except?

a) A compressible blind ending tube
b) Diameter of more than 7 mm
c) Loss of submucosal echogenicity
d)

Q4. What is not true as differentail diagnosis for appendicits in the elderly

a) Adenocarcinoma appendix
b) Diverticulitis
c) Pyelonephritis
d) Colitis


Q5. Not true about appendicitis in pregnancy?

a) Risk of appendicitis in pregnancy remains the same as in non pregnant woman of same age group.
b) Appendicitis ocurs more commonly in the 1st two trimesters.
c) The effect of negative laparotomy for appendicitis in pregnant patient is significant
d)  Early appendectomy is the appropriate therapy in suspected appendicitis during all stages of pregnancy.













Answers

1.a
Retroileal position of appendix is the least common. It  is seen in only 0.2% of all cases.
Most common position of appendix  is retrocaecal 65% followed by Pelvic (20%).
Other common positions are  preileal and post ileal.


2. b
It was previously believed that carcinoid tumors are the most common tumors of the appendix ( Sabiston 17th) but now data from SEER ( Surveillane, epidimology and End results) show that mucinous adenocarcinomas are more common.
Sabiston 18th page 1344.

3.

All these are true

4.a
Altough adenocarcinoma of appendix can present as appendicitis, it is never kept as a differential diagnosis when appendicits is contemplated

5. c
The risk of negative laparotomy in suspected appendicitis in pregnancy is minor. However a ruptured appendicitis could be catastrophic. Early diagnosis and surgery for appendicitis should be performed in pregnancy.
There may be diagnostic confusion as during the third trimester of pregnancy, the cecum and appendix are displaced laterally and are rotated by the enlarged uterus. Pain occurs more laterally in the flank, leading to delay in diagnosis and an increased incidence of perforation.


Surgery MCQ on bariatric surgery
Properties on Weight loss
Cardiac Surgery MCQ
Biliary System MCQ
Liver transplant MCQ
Thyroid Surgery MCQ
Surgeons online questions small intestine
Other Resources
Surgery Blog
Surgery Pictures
Operative steps
Top5 MCQs of the week
Links
Your website here



Portal hypertension
Surgeons online questions intestine
Home
Large Intestine
Large Intestine 2
Large Intestine 3
Ulcerative Colitis
Duodenum
Endocrine tumors
Famous Surgeons
Immune mechanism small intestine
Recently added: 

We are Surgeons- The facebook group
Join the group to get faster updates and
questions

Non surgical management of liver tumors
TACE

GastroIntestinal Stromal Tumors
GIST


Surgeons online questions small intestine
Rectum
Chrnoic Pancreatitis
Cholangiocarcinoma
Laparoscopic Colon Surgery
Operative steps
Top5 MCQs of the week
Links