Diverticulitis
Appendicitis
Names and Signs
In the OR
Trials and Tumors
Final Jeopardy
100

Diverticulitis associated with an abscess, free perforation, fistula, or stricture is considered this.

What is complicated diverticulitis?

100

In adults, the most common cause of appendiceal luminal obstruction is this.

What is a fecalith?

100

Right lower quadrant pain elicited by palpation of the left lower quadrant.

What is Rovsing sign?

100

This is the treatment of choice after successful nonoperative management of complicated diverticulitis.

What is elective sigmoid colectomy?

100

According to the STOP-IT trial, after source control of perforated appendicitis, antibiotics should continue for this many days.

What is four days?

100

The most common cause of recurrent diverticulitis after sigmoidectomy is this.

What is failure to remove all diseased sigmoid colon?

200

A contained microperforation of a colonic diverticulum leads to this.

What is uncomplicated diverticulitis?

200

In children, the most common cause of appendiceal luminal obstruction is this.

What is mucosa-associated lymphoid tissue (MALT) hypertrophy?

200

A point located two-thirds of the distance from the umbilicus to the anterior superior iliac spine.

What is McBurney point?

200

During sigmoid colectomy, this critical structure is at risk of injury.

What is the ureter?

200

According to the CODA trial, antibiotics alone had similar complication rates to surgery in patients without this finding.

What is an appendicolith?  

300

Purulent peritonitis is this classification of diverticulitis.

What is Hinchey III?

300

A patient with right lower quadrant pain followed by transient symptom relief, then fever, rigors, and chills, likely has this.

What is perforated appendicitis?

300

Pain with extension of the right hip

What is the psoas sign?

300

For perforated diverticulitis requiring emergency surgery, this operation is considered the safest strategy.

What is Hartmann procedure (resection of the perforated colon with end colostomy)?

300

A 60-year-old treated nonoperatively for complicated appendicitis should undergo, in addition to interval appendectomy, this procedure.

What is colonoscopy?

400

In early-stage uncomplicated diverticulitis, this therapy may be omitted.

What are antibiotics?

400

Months to years of intermittent right lower quadrant pain suggests this diagnosis.

What is chronic appendicitis?

400

Pain with internal rotation of the flexed right hip.

What is the obturator sign?

400

For laparoscopic appendectomy, the patient is placed in this position.

What is Trendelenburg with the right side up?

400

A patient with a 1.5 cm appendiceal adenocarcinoma incidentally discovered after appendectomy should undergo this operation.

What is a right hemicolectomy?

500

Historically, elective surgery was recommended after more than this many episodes of diverticulitis.

What is two episodes?

500

In a pregnant patient with acute appendicitis, this is the treatment of choice.

What is appendectomy?

500

This is a fatty appendage at the ileocecal junction .

 What is the ligament of Treves.

500

During laparoscopy for suspected appendicitis, if the appendix is normal, these two conditions should be ruled out (besides ovarian and fallopian tube pathology).

What are Crohn disease and Meckel diverticulum?

500

A patient with a 0.8-cm appendiceal neuroendocrine tumor incidentally discovered after appendectomy requires this treatment.

What is no further surgery?