Diverticulitis Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 63-year-old man presents to the emergency department with a three-day history of worsening lower abdominal pain, nausea, and fever reaching 38.9°C (102.0°F). The patient has had two episodes of diverticulitis in the past two years, which were treated with oral antibiotics. Past medical history is significant for diabetes mellitus. Temperature is 39.0 °C (102.2°F), blood pressure is 112/68 mmHg, pulse is 96/min, and respirations are 20/min. There is localized tenderness to palpation over the left lower quadrant. Serum white blood cell count is elevated. CT scan of the abdomen and pelvis with IV and oral contrast shows a 2.2-centimeter abscess around the sigmoid colon and multiple colonic inflamed diverticula with localized bowel wall thickening and pericolonic fat stranding. Which of the following is the most appropriate next step in management?

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Perform CT-guided percutaneous drainage of the abscess and initiate IV antibiotics

Discharge on oral antibiotics, pain medications, clear liquid diet, and schedule a follow-up with outpatient surgery clinic in three days

Schedule an urgent partial colectomy

Admit to the hospital for bowel rest, IV antibiotics, and supportive care

Discharge on pain medications, clear liquid diet, and schedule a follow-up with outpatient surgery clinic after three days