{"id":5548,"date":"2024-08-28T13:58:09","date_gmt":"2024-08-28T13:58:09","guid":{"rendered":"https:\/\/staycurrent.md\/pediatricsurgery\/?p=5548"},"modified":"2024-08-28T13:58:11","modified_gmt":"2024-08-28T13:58:11","slug":"test-quiz","status":"publish","type":"post","link":"https:\/\/staycurrent.md\/pediatricsurgery\/test-quiz\/","title":{"rendered":"Test Quiz"},"content":{"rendered":"<script>\n                            if (window.qmn_quiz_data === undefined) {\n                                    window.qmn_quiz_data = new Object();\n                            }\n                    <\/script><script>window.qmn_quiz_data[\"6\"] = {\"quiz_id\":\"6\",\"quiz_name\":\"Test Quiz\",\"disable_answer\":0,\"ajax_show_correct\":0,\"progress_bar\":\"1\",\"contact_info_location\":\"0\",\"qpages\":{\"1\":{\"id\":\"1\",\"quizID\":\"6\",\"pagekey\":\"qothVMLP\",\"hide_prevbtn\":\"0\"},\"2\":{\"id\":\"2\",\"quizID\":\"6\",\"pagekey\":\"cSFRznHq\",\"hide_prevbtn\":\"0\"},\"3\":{\"id\":\"3\",\"quizID\":\"6\",\"pagekey\":\"pQ3kOTqC\",\"hide_prevbtn\":\"0\"}},\"skip_validation_time_expire\":0,\"timer_limit_val\":0,\"disable_scroll_next_previous_click\":0,\"disable_first_page\":\"0\",\"enable_result_after_timer_end\":0,\"enable_quick_result_mc\":0,\"end_quiz_if_wrong\":0,\"form_disable_autofill\":0,\"disable_mathjax\":0,\"enable_quick_correct_answer_info\":\"0\",\"quick_result_correct_answer_text\":\"Correct! You have selected correct answer.\",\"quick_result_wrong_answer_text\":\"Wrong! You have selected wrong answer.\",\"quiz_processing_message\":\"\",\"quiz_limit_choice\":\"Limit of choice is reached.\",\"not_allow_after_expired_time\":0,\"scheduled_time_end\":false,\"error_messages\":{\"email_error_text\":\"Not a valid e-mail address!\",\"number_error_text\":\"This field must be a number!\",\"incorrect_error_text\":\"The entered text is not correct!\",\"empty_error_text\":\"Please complete all required fields!\",\"url_error_text\":\"The entered URL is not valid!\",\"minlength_error_text\":\"Required atleast %minlength% characters.\",\"maxlength_error_text\":\"Maximum %maxlength% characters allowed.\",\"recaptcha_error_text\":\"ReCaptcha is missing\"},\"first_page\":true}\n                    <\/script><script src=https:\/\/staycurrent.md\/pediatricsurgery\/wp-content\/plugins\/qsm-analysis\/js\/plotly.min.js><\/script><div class='qsm-quiz-container qsm-quiz-container-6 qmn_quiz_container mlw_qmn_quiz  quiz_theme_default  '>\n\t\t\t\t\t<form name=\"quizForm6\" id=\"quizForm6\" action=\"\/pediatricsurgery\/wp-json\/wp\/v2\/posts\/5548\" method=\"POST\" class=\"qsm-quiz-form qmn_quiz_form mlw_quiz_form\" novalidate enctype=\"multipart\/form-data\">\n\t\t\t\t<input type=\"hidden\" name=\"qsm_hidden_questions\" id=\"qsm_hidden_questions\" value=\"\">\n\t\t\t\t<input type=\"hidden\" name=\"qsm_nonce\" id=\"qsm_nonce_6\" value=\"baf73f96fc\">\n\t\t\t\t<input type=\"hidden\" name=\"qsm_unique_key\" id=\"qsm_unique_key_6\" value=\"6acb45878013d\">\n\t\t\t\t<div id=\"mlw_error_message\" class=\"qsm-error-message qmn_error_message_section\"><\/div>\n\t\t\t\t<span id=\"mlw_top_of_quiz\"><\/span>\n\t\t\t\t\t\t\t<section class=\"qsm-page \">\n\t\t\t\t<div class=\"quiz_section quiz_begin\">\n\t\t\t\t\t<div class='qsm-before-message mlw_qmn_message_before'>\n\t\t\t<p>Welcome to your Test Quiz<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/section>\n\t\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page  qsm-page-1\"\n\t\t\t\t\t\tdata-pid=\"1\" data-qpid=\"1\" data-prevbtn=\"0\" style='display: none;'>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class='quiz_section qsm-question-wrapper question-type-0 question-section-id-35 ' data-qid='35'>\n\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>What is your next step? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><iframe src=\"https:\/\/www.youtube.com\/embed\/PrxpxtpbMt0?si=dvlMRDrG7foC7Yn3&amp;start=0;end=153\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"\"><\/iframe><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question35-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question35\" id=\"question35_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question35_1\">\n\t\t\t\t\tOrder CBC\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question35-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question35\" id=\"question35_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question35_2\">\n\t\t\t\t\tDischarge\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question35_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question35\" id=\"question35_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page  qsm-page-2\"\n\t\t\t\t\t\tdata-pid=\"2\" data-qpid=\"2\" data-prevbtn=\"0\" style='display: none;'>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class='quiz_section qsm-question-wrapper question-type-0 question-section-id-36 ' data-qid='36'>\n\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Would you give him fluids? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><iframe src=\"https:\/\/www.youtube.com\/embed\/PrxpxtpbMt0?si=-v1cAce1AgbF8S5l&amp;start=153;end=247\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"\"><\/iframe><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question36-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question36\" id=\"question36_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question36_1\">\n\t\t\t\t\tYes\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question36-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question36\" id=\"question36_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question36_2\">\n\t\t\t\t\tNo\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question36_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question36\" id=\"question36_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page  qsm-page-3\"\n\t\t\t\t\t\tdata-pid=\"3\" data-qpid=\"3\" data-prevbtn=\"0\" style='display: none;'>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class='quiz_section qsm-question-wrapper question-type-0 question-section-id-37 ' data-qid='37'>\n\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>What would you do <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><p>Please read the following guidelines carefully, then answer the question.<\/p> <p><a href=\"https:\/\/staycurrent.md\/pediatricsurgery\/wp-content\/uploads\/sites\/2\/2024\/08\/s13017-020-00306-3.pdf\" class=\"pdfemb-viewer\" style=\"\" data-width=\"max\" data-height=\"max\" data-toolbar=\"bottom\" data-toolbar-fixed=\"off\">s13017-020-00306-3<\/a><\/p> <p>&nbsp;<\/p> <p>A 28-year-old male patient presents to the emergency department with a 24-hour history of right lower quadrant abdominal pain, nausea, and low-grade fever. On physical examination, he has localized tenderness in the right lower quadrant with a positive Rovsing's sign. His laboratory results show an elevated white blood cell count (WBC) of 14,000\/mm\u00b3. The clinical team is considering whether to proceed with imaging or decide on a management plan based on clinical findings alone.<\/p> <p><strong>Question:<\/strong><br \/>Based on the WSES Jerusalem guidelines for diagnosing acute appendicitis, what is the most appropriate next step in the management of this patient?<\/p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question37-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question37\" id=\"question37_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question37_1\">\n\t\t\t\t\tProceed with a CT scan of the abdomen to confirm the diagnosis of acute appendicitis.\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question37-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question37\" id=\"question37_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question37_2\">\n\t\t\t\t\tUse a clinical scoring system (such as the Alvarado or AIR score) to determine the risk level and decide on the need for imaging or surgery.\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question37-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question37\" id=\"question37_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question37_3\">\n\t\t\t\t\tAdmit the patient for observation and perform serial abdominal examinations without further imaging.\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question37-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question37\" id=\"question37_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question37_4\">\n\t\t\t\t\tProceed directly to laparoscopic appendectomy based on the clinical presentation and elevated WBC count.\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question37-5 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question37\" id=\"question37_5\" value=\"4\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question37_5\">\n\t\t\t\t\tStart non-operative management with antibiotics and reassess the patient in 24 hours.\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question37_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" 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