Abd kate

Question 0

Auscultate what for bruits?

Answer 0

renal and iliac aa.

Question 1

Order of abdominal examination

Answer 1

Inspect
Auscultate
Percuss
Palpate

Question 2

shifting dullness test

Answer 2

percuss abdomen w/ pt supine, then w/ pt. rolled on their side- check for shifting dullness w/ percussion- indicates fluid movement

Question 3

fluid wave test

Answer 3

for ascites

stabilize mid-abdomen w/ hand, tap one side & feel for transmitted impulse on the other side

Question 4

RLQ pain when flexing right hip against resistance

Answer 4

psoas sign

Question 5

RLQ pain upon internal rotation of the right leg

Answer 5

obturator sign

Question 6

referred rebound tenderness in the RLQ upon pressure to the LLQ

Answer 6

Rovsing’s sign

Question 7

pain on palpation of right intercostal margin w/ inspiration

Answer 7

Murphy’s sign

Question 8

Murphy’s sign indicates?

Answer 8

gall bladder or liver inflammation

Question 9

abdominal inspection for? (4)

Answer 9

striae
dilated veins
diastasis recti
hernias, bulges

Question 10

high-pitched, tinkling bowel sounds

Answer 10

obstruction

Question 11

hyperactive bowel sounds indicate (2)

Answer 11

gastroenteritis

obstruction

Question 12

paralytic ileus

Answer 12

little to no bowel activity after several minutes

Question 13

aortic bruit could indicate? (2)

Answer 13

aneurism

dissection

Question 14

renal aa. bruit?

Answer 14

stenosis –> systematic hypertension

Question 15

procedure for percussing for liver size (3 notes)

Answer 15

top down, bottom up
mid-clavicular line
6-12 cm

Question 16

splenomegaly causes (5)

Answer 16

mononucleosis
hematologic disorders
cirrhosis
cysts
other infection

Question 17

upper abdominal reflexes

Answer 17

T 7,8,9

Question 18

lower abdominal reflexes

Answer 18

T 11,12

Question 19

cremasteric reflexes

Answer 19

T12, L1, L2

Question 20

palpate abdominal aorta for?

Answer 20

size,

pulsations

Question 21

abdominal aorta indications for aneurism?

Answer 21

> 3 cm, intense pulsations

Question 22

palpate abdominal quadrants for?

Answer 22

Pain!

Question 23

explosive, excruciating pain could indicate? (5)

Answer 23

coronary occlusion
bilary colic
ruptured aneurism
renal colic
stone

Question 24

severe, constant abd pain could indicate? (3)

Answer 24

acute pancreatitis
bowel strangulation
mesenteric thrombosis

Question 25

gradual-onset, steady abd pain could indicate? (3)

Answer 25

cholecysitis
PID
appendicitis

Question 26

intermittent, colicky abd pain could indicate? (2)

Answer 26

bowel obstruction

subacute pancreatitis