Peritonitis & Intra-peritoneal Abscess MCQ Quiz | Peritoneum

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?