Emergency Medical Technician (EMT) Practice Test

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What are the signs and symptoms of appendicitis?

Dull pain at umbilicus in early stages; RLQ pain at McBurney point later; Positive Markle test
Open wound in GI tract; Breakdown of protective lining leading to bleeding/perforation
Burning pain in LUQ; Hematemesis; Hematochezia; Melena
High blood pressure; Diabetes; Blurred vision; Headaches; Edema

The correct answer is: Dull pain at umbilicus in early stages; RLQ pain at McBurney point later; Positive Markle test

The signs and symptoms of appendicitis typically begin with a dull pain around the umbilicus, which reflects the early stage of the condition. As the inflammation progresses, the pain often shifts to the right lower quadrant (RLQ) of the abdomen, particularly at a specific point known as McBurney's point, which is located about one-third of the distance from the anterior superior iliac spine to the umbilicus. This shift in pain is a classic indicator of appendicitis. Additionally, a positive Markle test, which involves the patient standing on their toes and then dropping down on their heels, can elicit pain in the RLQ, further suggesting appendicitis. Recognizing these specific symptoms is crucial for timely diagnosis and intervention, as appendicitis can lead to serious complications such as perforation if not addressed promptly. Thus, this set of symptoms encapsulates key clinical indicators of appendicitis effectively.