Peritonitis & Intra-peritoneal Abscess MCQ Quiz | Peritoneum

Welcome to this specialized quiz on Peritonitis and Intra-peritoneal Abscesses, a critical topic within the MBBS surgery curriculum. This quiz is designed to test your understanding of the etiology, pathophysiology, clinical presentation, diagnosis, and management of these conditions. Covering everything from Spontaneous Bacterial Peritonitis (SBP) in cirrhotic patients to the complexities of tertiary peritonitis and the localization of abscesses, these 25 questions will challenge your clinical acumen. After submitting your answers, you will receive your score and a detailed review of each question with the correct answers highlighted. For your future reference and study, you can also download all the questions and their correct answers in a convenient PDF format. Good luck!

1. A 60-year-old male with alcoholic cirrhosis presents with fever, abdominal distension, and confusion. Diagnostic paracentesis of ascitic fluid is most likely to confirm Spontaneous Bacterial Peritonitis (SBP) if it shows:

2. The most common cause of secondary bacterial peritonitis is:

3. A patient presents with generalized abdominal pain, rigidity, and rebound tenderness. An erect chest X-ray reveals free air under the diaphragm. What is the most likely diagnosis?

4. The most common organisms isolated from secondary peritonitis are a mix of:

5. What is tertiary peritonitis?

6. The most common site for an intra-abdominal abscess is:

7. A patient develops a fever and localized abdominal pain 7 days after an appendectomy for a perforated appendix. What is the most appropriate next investigation?

8. The Ochsner-Sherren regimen is a conservative management approach used for which condition?

9. The management of a large, well-defined pelvic abscess is best achieved by:

10. A “doughy” abdomen is a characteristic, though uncommon, finding in which type of peritonitis?

11. A key principle in the management of secondary peritonitis is “source control”. This primarily refers to:

12. A subphrenic abscess on the right side might present with referred pain to which area?

13. Which of the following is NOT a component of initial management for a patient with septic shock due to generalized peritonitis?

14. Fitz-Hugh-Curtis syndrome, a perihepatitis, is a complication of which condition?

15. The lesser sac is an anatomical space that can collect fluid or form an abscess, most commonly as a complication of:

16. Primary peritonitis differs from secondary peritonitis in that it:

17. Which clinical sign is most specific for peritoneal irritation?

18. The “double-bubble” sign on an abdominal X-ray of a neonate is classic for duodenal atresia. If this perforates, what type of peritonitis would result?

19. In a patient with diverticulitis, a pericolic abscess is classified under which Hinchey stage?

20. Which of the following is an indication for immediate surgery in a patient being managed conservatively for an appendicular mass?

21. In tertiary peritonitis, the most commonly isolated organisms are often:

22. The Pouch of Douglas (recto-uterine pouch in females, recto-vesical in males) is a common site for abscess formation because it is:

23. A 45-year-old female on continuous ambulatory peritoneal dialysis (CAPD) presents with cloudy dialysate fluid and abdominal pain. This is most likely due to:

24. What is the role of the greater omentum in intraperitoneal infection?

25. A patient who underwent laparotomy for a perforated sigmoid diverticulum is planned for a “second-look” laparotomy. This approach is most often used in which situation?