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Question 19: General Surgery MCQWhich of the following is NOT a typical feature of acute appendicitis in pregnancy?%u2022Right lower quadrant pain%u2022Nausea and vomiting%u2022Fever%u2022Leukocytosis%u2022Shifting of McBurney's point upwards as pregnancy progressesAnswer: Right lower quadrant painExplanation: While right lower quadrant pain is typical in nonpregnant patients with appendicitis, in pregnancy the pain may be in a different location. As the pregnancy progresses, the appendix is pushed upwards, shifting McBurney's point. The pain may be in the right upper quadrant or right flank in later pregnancy. Nausea, vomiting, fever, and leukocytosis are still typical features.