Surgery MCQ 43
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A 26-year old woman in her first trimester of pregnancy presents with a 2-day history of right lower quadrant pain and fever. Physical examination reveals a tender, palpable, right lower quadrant mass. There is no evidence of peritonitis or systemic sepsis. Laboratory evaluation is remarkable for mild leukocytosis, and abdominal ultrasound demonstrates an inflammatory mass but no evidence of abscess. As the surgeon on call, your recommendation would be:
Intravenous hydration, antibiotic prophylaxis, and urgent appendectomy
Intravenous hydration, antibiotics, bowel rest, and interval appendectomy in 4 to 6 weeks
Intravenous hydration, antibiotics, and appendectomy if no improvement in 12 to 24 hours
Intravenous hydration, antibiotics, and interval appendectomy when fever has subsided, leukocyte count has returned to normal, and the patient is pain free
Emergent obstetrical consultation for evaluation and treatment of possible ectopic pregnancy
Category: Surgery MCQs
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