Abdomen

Question 0

Cullen’s sign

Answer 0

Blue tint at umbilicus

Sign of abdominal bleeding

Question 1

Mnemonic for female pain

Answer 1

A : appendix
E: ectopic pregnancy
I: inflammatory 
O: ovarian 
U: urinary

Question 2

Diastasis rectis

Answer 2

Separation of the abdominal muscles in infants

Normal

Question 3

Celiac disease

Answer 3

Exaggerated potbelly from malabsorption

Question 4

Sister Mary Joseph nodule

Answer 4

Nodule at umbilicus related to poor outcomes

Question 5

What percussion sound is normal in the abdomen?

Answer 5

Tympany

Question 6

Liver span

Answer 6

6-12 cm
Change from resonance to dullness= top border
Chane from tympani to dullness= lower border

Question 7

Spleen

Answer 7

Percuss l side posterior to MAL
Resonance to dullness to resonance with deep breath
Deep breath

Question 8

Costovertebral angle tenderness

Answer 8

12th rib at CVA
HIT
no pain normal
Pain= kidney

Question 9

Fluid wave

Answer 9

Ascities test

Question 10

Rebound tenderness

Answer 10

McBurney’s point
Peritoneal inflammation APPENDICITIS
Push and quickly release

Question 11

Rovsing sign

Answer 11

Press deep for 5 sec LLQ= pain RRL

APPENDICITIS

Question 12

Murphys sign

Answer 12

Palate liver margin at inspiration = pain

CHOLECYSTITIS

Question 13

Iliopsoas muscle test

Answer 13

Pain RLQ after raising thigh against resistance

APPENDICITIS

Question 14

Obturator test

Answer 14

Flex rotate hip

APPENDICITIS OR ABCESS

Question 15

Colon cancer

Answer 15

2nd leading cause of death in usa

Test via FOBT, flex sigmoidoscopy or DCBE

SCREEN at 40yomor 10yrs younger than earliest positive Cancer in family

Question 16

Hereditary nonpolyposis colorectal cancer

Answer 16

Screening at 21
Colonoscopy Q1-2yrs
Genetic counseling

Question 17

Familial adenomatous polyposis

Answer 17

SCREEN AT PUBERTY

Flex sigmoidoscopy/colonoscopy Q1-2yrs

Question 18

Ulcerative colitis

Answer 18

Colonoscopy with biopsy Q1-2yrs
7-8yrs post pan colitis
12-15yrs post left side colitis