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

A patient has migrating pain from the periumbilical region to the right lower quadrant with anorexia. Which diagnosis is most likely?

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

The answer and the reasoning

C. Acute appendicitis

Appendicitis commonly begins with visceral periumbilical pain and later localises to the right iliac fossa as parietal peritoneum becomes inflamed.

Option by option

  • A. Sigmoid volvulus

    Volvulus usually causes obstruction and distension.

  • B. Renal colic only

    Renal colic typically radiates toward the groin.

  • C. Acute appendicitis (correct)

    Correct: migrating right lower quadrant pain is classic appendicitis.

  • D. Acute pancreatitis

    Pancreatitis usually causes upper abdominal pain.

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.

More General Surgery questions

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is C, Acute appendicitis. Appendicitis commonly begins with visceral periumbilical pain and later localises to the right iliac fossa as parietal peritoneum becomes inflamed.

Why is "Sigmoid volvulus" not the answer?

Volvulus usually causes obstruction and distension.

Why is "Renal colic only" not the answer?

Renal colic typically radiates toward the groin.

Why is "Acute pancreatitis" not the answer?

Pancreatitis usually causes upper abdominal pain.

What concept does this question test?

It tests Acute abdomen in General Surgery. The correct option holds because: Correct: migrating right lower quadrant pain is classic appendicitis.

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.