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General Surgery · Acute abdomen
Sample itemWhat is an important sign of peritonitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Guarding and rebound tenderness
The core Acute abdomen principle makes Guarding and rebound tenderness the best answer because it directly explains the stated presentation, investigation, or immediate management priority.
Option by option
A. Normal painless abdomen
Normal painless abdomen does not fit the requested acute abdomen conclusion.
B. Guarding and rebound tenderness (correct)
Correct. Guarding and rebound tenderness follows from the crucial clinical clue in the stem.
C. Isolated wheeze
Isolated wheeze may be relevant in another clinical setting but is not best here.
D. Pupil constriction
Pupil constriction does not address the underlying finding or indicated action.
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.