Crucial Exams

BCEN CEN Practice Question

A 32-year-old woman is brought to the emergency department after a high-speed motor-vehicle collision. She is hemodynamically stable but complains of worsening diffuse abdominal pain. On inspection, the abdomen is mildly distended. Which physical examination finding would most strongly suggest a gastrointestinal perforation requiring immediate surgical consultation?

  • Ecchymosis in the flanks (Grey Turner sign)

  • Localized ecchymosis across the lower abdomen (seatbelt sign)

  • High-pitched, tinkling bowel sounds without tenderness

  • Diffuse abdominal guarding with rebound tenderness

BCEN CEN
Gastrointestinal, Genitourinary, Gynecology, and Obstetrical
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