Acute Abdomen

Question 1

How does the pain change in appendicitis, typically?

Answer 1

Starts centrally > moves to RIF

Question 2

What diseases are tested for in an STI screen?

Answer 2

Chlamydia
Gonorrhoea
HIV
Syphilis

Question 3

If a HIV test is negative, when should you retest?

Answer 3

In 6 months

Question 4

To which gastrointestinal structure is the right ovary very close?

Answer 4

Appendix

Question 5

How do you test for cervical excitation?

Answer 5

Rock cervix gently in bimanual exam > pain > positive

Question 6

What is the typical pain of endometriosis?

Answer 6

Excrutiating periods, with pain starting a couple of days before

Question 7

What sort of urine sample is required for chlamydia and gonorrhoea investigations?

Answer 7

Should not have urinated for 3 hours

1st stream sample

Question 8

Is it normal to have a little free fluid in the pelvis?

Answer 8

Yes

Question 9

If you’ve done an exploratory laparoscopy, querying appendicitis, and the appendix is normal, should you still remove it?

Answer 9

Yes

• Once you’ve told them you’re removing their appendix, you should
• Scar highly suggestive that appendix already removed