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General Surgery · Acute abdomen
Sample itemWhich sign supports peritonitis on abdominal examination?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Involuntary guarding with rebound tenderness
Peritoneal inflammation causes guarding and pain when pressure is released, indicating an acute abdominal process that may need urgent surgical assessment.
Option by option
A. Involuntary guarding with rebound tenderness (correct)
Correct: guarding and rebound indicate peritoneal irritation.
B. Painless ankle oedema
Ankle oedema is not an abdominal examination sign.
C. Soft non-tender abdomen
A soft nontender abdomen argues against peritonitis.
D. Normal visual acuity
Visual acuity is unrelated to peritoneal disease.
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.