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General Surgery · Acute abdomen
Sample itemWhat presentation can suggest a perforated viscus?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Sudden severe pain with peritonitis
The key Acute abdomen principle supports Sudden severe pain with peritonitis; this option most directly explains the clinical pattern, diagnostic priority, or initial management principle given in the stem.
Option by option
A. Painless hearing loss
Painless hearing loss has a different clinical context and is not the best answer here.
B. Mild seasonal sneezing
Mild seasonal sneezing does not address the diagnosis or priority described.
C. Chronic itchy rash
Chronic itchy rash does not match the stated acute abdomen feature.
D. Sudden severe pain with peritonitis (correct)
Correct. Sudden severe pain with peritonitis is directly supported by the key information.
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.