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General Surgery · Acute abdomen
Sample itemWhat may be seen on upright chest radiograph with a perforated hollow viscus?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Free subdiaphragmatic air
The key Acute abdomen principle supports Free subdiaphragmatic air; this option most directly explains the clinical pattern, diagnostic priority, or initial management principle given in the stem.
Option by option
A. Cardiomegaly
Cardiomegaly has a different clinical context and is not the best answer here.
B. Rib fracture only
Rib fracture only does not address the diagnosis or priority described.
C. Free subdiaphragmatic air (correct)
Correct. Free subdiaphragmatic air is directly supported by the key information.
D. Pleural effusion only
Pleural effusion only does not match the stated acute abdomen feature.
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.