Acute abdomen: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Acute abdomen

Sample item

Which clinical migration of pain is classically described in acute appendicitis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Periumbilical pain moving to the right iliac fossa

Appendicitis often begins with vague visceral periumbilical pain before parietal peritoneal irritation localizes the pain to the right iliac fossa, often with anorexia, nausea, and low-grade fever.

Option by option

  • A. Left shoulder pain moving to the groin

    Left shoulder to groin migration does not describe appendiceal inflammation.

  • B. Suprapubic pain moving to the scalp

    Suprapubic-to-scalp pain is not a recognized appendicitis pattern.

  • C. Epigastric pain moving to the jaw

    Pain radiating to the jaw suggests a cardiac ischemic pattern.

  • D. Periumbilical pain moving to the right iliac fossa (correct)

    Correct: this migration is the classic appendicitis pain sequence.

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.

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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is D, Periumbilical pain moving to the right iliac fossa. Appendicitis often begins with vague visceral periumbilical pain before parietal peritoneal irritation localizes the pain to the right iliac fossa, often with anorexia, nausea, and low-grade fever.

Why is "Left shoulder pain moving to the groin" not the answer?

Left shoulder to groin migration does not describe appendiceal inflammation.

Why is "Suprapubic pain moving to the scalp" not the answer?

Suprapubic-to-scalp pain is not a recognized appendicitis pattern.

Why is "Epigastric pain moving to the jaw" not the answer?

Pain radiating to the jaw suggests a cardiac ischemic pattern.

What concept does this question test?

It tests Acute abdomen in General Surgery. The correct option holds because: Correct: this migration is the classic appendicitis pain sequence.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Acute abdomen?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.