18 Hours Of Progressively in Surgery — 16yo Child | General Surgery | SMLE Q#16460
SMLE Question #16460
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 16-year-old boy presents with 18 hours of progressively worsening right lower quadrant abdominal pain, anorexia, and low-grade fever. Examination shows localized tenderness and guarding at McBurney’s point with rebound tenderness. Abdominal ultrasound demonstrates a non-compressible, dilated appendix with no perforation, abscess, or generalized peritonitis. He is scheduled for urgent laparoscopic appendectomy. How should perioperative antibiotics be administered to minimize postoperative infectious complications?
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