QuestionSBA
QuestionChoice
This is not the correct answer. Blumberg's sign, more commonly known as rebound tenderness, is positive when there is pain upon removal of pressure rather than applying pressure to the abdomen, where the latter is known as abdominal tenderness. Positive rebound tenderness is classically elicited in peritonitis.
10027434
d
Blumber's sign
QuestionChoice
This is not the correct answer. The McBurney's sign is classically elicited in acute appendicitis, where applying slow pressure and releasing over the McBurney's point located one-third of the distance between the anterior superior iliac spine and the umbilicus in the right lower quadrant will result in pain if positive.
10027432
b
McBurney's sign
QuestionChoice
This is not the correct answer. Psoas sign is positive if the pain is felt when the examiner asks patients to actively extend their right hip against the examiner's hand while the patient is lying on their pack. This indicates iliopsoas muscle group irritation, which occurs specifically when the appendix is inflamed in the retrocaecal orientation as the iliopsoas muscle group is located retroperitoneally.
10027435
e
Psoas sign
QuestionChoice
This is not the correct answer. The Rovsing sign is positive when pain is elicited in the right lower quadrant when palpating the left lower quadrant and is classically elicited in acute appendicitis.
10027433
c
Rovsing sign
QuestionChoice
This is the correct answer. This patient is presenting with clinical features of acute cholecystitis. The classic sign elicited in these patients is the Murphy's sign, where a positive finding means there is pain when palpating the right subcostal area while the patient is asked to take in and hold a deep breath. This indicates gall bladder hypersensitivity, where pain occurs on inspiration as the inflamed gall bladder comes into contact with the surface under the examiner's hand.
10027431
a
Murphy's sign
Concept
Chapter
2693
5978
Cholecystitis
Topic
135
General surgery
17884
A 28-year-old woman presents in the A&E with right upper quadrant pain, jaundice and fever. The doctor palpates the region where the costal margin meets the rectus abdominis on the right side, which induces pain. This indicates a positive sign.

What is the name of this sign?
a