🏥 USMLE Exam Prep

Acute appendicitis typically presents with pain that:

A Starts in the left lower quadrant
B Begins periumbilically then migrates to the right lower quadrant (McBurney point)
C Is always in the back
D Occurs only at night

✓ Correct Answer: Option B

Classic appendicitis: visceral pain (periumbilical) → somatic pain (RLQ at McBurney point as parietal peritoneum becomes inflamed). Anorexia, nausea, low-grade fever. CT for diagnosis, surgery for treatment.

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