In what percent of patients is the appendix retrocecal?
5%
10%
15%
25%
Where are the lymphoid follicles within the appendix?
Subserosa
Submucosa
Mucosa
Under longitudinal muscle
Which tends to occur first in appendicitis; vomiting or abdominal pain?
Pain
Vomiting
T or F: in very young children or very anxious children, Seconal at a dose of 2 mg per pound IM prior to examination with suspected appendicitis is often helpful?
True
False
How is the psoas sign tested?
Extension of right hip with left side down
Extension of left hip with right side down
Flexion of the left hip with right side down
Flexion of the right hip with the left side down
Where is McBurney's point?
2/3rds of the way up from anterior iliac spine to umbilicus
Half of the way up from anterior iliac spine to umbilicus
1/3rd of the way up from anterior iliac spine to umbilicus
What percent of patients with appendicitis will have a fecolith?
5%
10%
15%
25%
During an ultrasound study for suspected appendicitis, what is the upper limit of normal diameter for the appendix?
4 mm
6 mm
8 mm
10 mm
What percentage of patients seen for suspected appendicitis will have perforation at the time of diagnosis?
Less than 10%
20 – 30%
30 – 50%
60 – 70%
What is the treatment of primary peritonitis?
Laparoscopy and irrigation
Laparatomy and appendectomy
Laparotomy and drainage
IV Antibiotics
Which is true regarding the duration of symptoms and the possibility of perforation in children with appendicitis?
Persistent sx more than 24 hrs – 50% perforated
Persistent sx than 36 hrs – 50% perforated
Persistent sx more than 48 hrs – 50% perforated
What is the incidence of wound infection in perforated versus nonperforated appendicitis?
50 fold increase if perforated
20 fold increase if perforated
10 fold increase if perforated
5 fold increase if perforated
What is the incidence of adhesive bowel obstruction after appendicitis?