This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
TRUE about the appendicular rupture is/are all, EXCEPT: 
Select and explain. 
A. Common in extremes of age, B. Common in peoples with fecolith obstruction, C. Early antibiotics prevent rupture, D. Appendicectomy is done always in presence of rupture
C: Early antibiotics prevent rupture
Answer: C: Early antibiotics prevent rupture 
Explanation: "Early antibiotics don't prevent rupture, that's why immediate appendectomy is the recommended treatment of acute appendicitis". Appendicular rupture Rupture occur most frequently distal to the point of luminal obstruction along the antimesenteric border of appendix. Rupture should be suspected in the presence of fever >39 degree Centigrade and WBC count > 18,000/ mm^3 Risk Factor for perforation of appendix Extreme of age < 5 year and > 65 years Immunosuppression Diabetes mellitus Fecalith obstruction Pelvic appendix Previous abdominal surgery Ref: Schwaz 9/e, Page 1078.