Acute abdomen: appendicitis: 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: appendicitis

Sample item

Pain that begins peri-umbilically and later localises to the right iliac fossa is typical of what condition?

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

The answer and the reasoning

A. Acute appendicitis

Early appendiceal visceral pain is poorly localised near the umbilicus; parietal peritoneal irritation later localises pain to the right lower quadrant.

Option by option

  • A. Acute appendicitis (correct)

    Correct. The migration pattern is classic appendicitis.

  • B. Acute cholecystitis

    Cholecystitis produces right-upper-quadrant pain.

  • C. Perforated peptic ulcer

    Perforated ulcer causes sudden epigastric pain and peritonitis.

  • D. Sigmoid diverticulitis

    Sigmoid diverticulitis commonly causes left-lower-quadrant 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.

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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is A, Acute appendicitis. Early appendiceal visceral pain is poorly localised near the umbilicus; parietal peritoneal irritation later localises pain to the right lower quadrant.

Why is "Acute cholecystitis" not the answer?

Cholecystitis produces right-upper-quadrant pain.

Why is "Perforated peptic ulcer" not the answer?

Perforated ulcer causes sudden epigastric pain and peritonitis.

Why is "Sigmoid diverticulitis" not the answer?

Sigmoid diverticulitis commonly causes left-lower-quadrant pain.

What concept does this question test?

It tests Acute abdomen: appendicitis in General Surgery. The correct option holds because: Correct. The migration pattern 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: appendicitis?

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.