An 18-year-old man presents with periumbilical pain, vomiting, and abdominal cramping over the past 48 hours. Physic

Question 1

An 18-year-old man presents with periumbilical pain, vomiting, and abdominal cramping over the past 48 hours. Physical examination reveals rebound tenderness and laboratory analysis shows the presence of bandemia and a total WBC of 28,000 mm3. To support the diagnosis of acute appendicitis with suspected appendiceal rupture, you consider obtaining the following abdominal imaging study:

Question options:

1) Magnetic resonance image (MRI).

2) Computed tomography (CT) scan.

3) Ultrasound.

4) Flat plate.

Question 2

Gina is 2 years old and presents with a 3-day history of fever, crankiness, and congested cough. Her respiratory rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted at the right lung base. Skin turgor is normal, and she is wearing a wet diaper. She is alert, resisting the examination as age appropriate, and engages in eye contact. Temperature is 38.3° C (101° F). Gina's diagnostic evaluation should include:

Question options: