**Core Concept**
The question tests knowledge of anatomical relationships between the appendix and surrounding muscles, specifically in the context of a retrocaecal appendix. A retrocaecal appendix is located behind the caecum, near the **psoas major muscle**.
**Why the Correct Answer is Right**
In the case of a retrocaecal appendix, the **psoas major muscle** is the one that can become irritated due to its proximity to the inflamed appendix. This irritation can lead to **psoas irritation sign**, a clinical sign where patients experience pain upon extension of the hip.
**Why Each Wrong Option is Incorrect**
**Option A:** Incorrect because it is not directly related to the typical location of a retrocaecal appendix.
**Option B:** Incorrect as it is not the primary muscle irritated in this scenario.
**Option C:** Incorrect because, although involved in abdominal movements, it's not the specific muscle irritated by a retrocaecal appendix.
**Clinical Pearl / High-Yield Fact**
Remember, a retrocaecal appendix can cause **psoas irritation**, leading to hip pain upon extension, which is a critical clinical correlation for diagnosing appendicitis in such cases.
**Correct Answer:** D. Psoas major muscle
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.