ROSH Gastrointestinal Practice Exam

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Study for the ROSH Gastrointestinal Exam. Prepare with flashcards and multiple choice questions, each offering hints and explanations. Ensure success on your exam!

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Which of the following is a classic symptom of appendicitis?

Severe chest pain
Right flank pain
Periumbilical pain
Lower back pain

The correct answer is: Periumbilical pain

Periumbilical pain is considered a classic symptom of appendicitis. This type of pain typically begins around the belly button and is often described as vague or diffuse. It generally precedes the development of more localized pain in the right lower quadrant as the inflammation of the appendix progresses. In appendicitis, as the condition worsens, the sensation often shifts from the periumbilical area to the right lower quadrant, which can become sharp and intense, following the path of the nerve supply. Recognizing this initial pain is crucial for early diagnosis and treatment. While severe chest pain, right flank pain, and lower back pain can occur in various abdominal conditions, they are not characteristic of appendicitis. Therefore, understanding the progression of symptoms, starting from periumbilical pain to right lower quadrant pain, is essential in identifying appendicitis.