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General Surgery · Surgical emergencies
Sample itemWhich feature should raise concern for perforated viscus?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Sudden severe abdominal pain with a rigid abdomen
Perforation can release gastrointestinal contents into the peritoneum, causing sudden severe pain, guarding, rigidity, sepsis, and a need for urgent resuscitation and surgical assessment.
Option by option
A. Mild itch after a new soap
Soap-related itch is a dermatologic reaction.
B. Sudden severe abdominal pain with a rigid abdomen (correct)
Correct: sudden rigid abdomen suggests peritonitis from perforation.
C. Isolated tinnitus after loud music
Tinnitus does not indicate abdominal perforation.
D. A stable painless lipoma
A lipoma is usually benign and painless.
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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