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Question 22: General Surgery MCQWHAT IS THE MOST APPROPRIATE INITIAL INVESTIGATION FOR A PATIENT PRESENTING WITH RIGHT ILIAC FOSSA PAIN AND SUSPECTED APPENDICITIS?ANSWER: ULTRASOUND EXPLANATION: ULTRASOUND IS TYPICALLY THE MOST APPROPRIATE INITIAL INVESTIGATION FOR SUSPECTED APPENDICITIS, ESPECIALLY IN YOUNG PATIENTS AND WOMEN OF CHILDBEARING AGE. IT'S READILY AVAILABLE, NON-INVASIVE, AND DOES NOT INVOLVE RADIATION EXPOSURE. IF ULTRASOUND IS INCONCLUSIVE, CT SCAN MAY BE CONSIDERED, PARTICULARLY IN OLDER PATIENTS OR THOSE WITH ATYPICAL PRESENTATIONS.