Abdomen

Question 1

Initially periumbilical or epigastric, colicky; later becomes localized to RLQ, often at McBurneys point

Answer 1

Appendicitis

Question 2

Onset sudden or gradual; pain generalized or localized, dull or severe and unrelenting; guarding; pain on deep inspiration

Answer 2

Peritonitis

Question 3

Severe, unrelenting RUQ or epigastric pain; may be referred to right sub scapular area

Answer 3

Cholecystitis

Question 4

Dramatic, sudden, excruciating LUQ, epigastric, or umbilical pain; may be present in one or both flanks; may be refereed to left shoulder and penetrates to back

Answer 4

Pancreatitis

Question 5

Lower quadrant, worse on left

Answer 5

Salpingitis

Question 6

Lower quadrant, increases with activity

Answer 6

Pelvic inflammatory disease

Question 7

Epigastric, radiating down left side of abdomen especial after eating; may be referred to back

Answer 7

Diverticulitis

Question 8

Abrupt RUQ may be referred to shoulders

Answer 8

Perforated gastric or duodenal ulcer

Question 9

Abrupt, severe, colicky, spasmodic; referred to epigastrium, umbilicus

Answer 9

Intestinal obstruction

Question 10

Referred to hypogastrium and umbilicus

Answer 10

Volvulus

Question 11

Steady throbbing midline over aneurysm; may penetrate to back, flank

Answer 11

Leaking abdominal aneurysm

Question 12

Episodic, severe, RUQ, or epigastrium lasting 15 minutes to several hours may be lower

Answer 12

Biliary stones, colic

Question 13

Guarding, tenderness; + iliopsoas and + obturator signs, RLQ skin hyperesthesia; anorexia, nausea, or vomiting after onset of pain; low grade fever; + Aaron, Rovsing, Markle, and McBurney signs

Answer 13

Appendicitis

Question 14

Shallow respiration; + Blumberg, Markle, and Balance signs; reduced or absent bowel sounds, nausea and vomiting; + obturator & iliopsoas signs

Answer 14

Peritonitis

Question 15

RUQ tenderness and rigidity, + Murphy sign, palpable gallbladder, anorexia, vomiting, fever, possible jaundice

Answer 15

Cholecystitis

Question 16

Epigastric tenderness, vomiting, fever, shock; + Gray Turner sign; + Cullen sign; both signs occur 2 to 3 days after onset

Answer 16

Pancreatitis

Question 17

Nausea, vomiting, fever, suprapubic tenderness, rigid abdomen, pain on pelvic examination

Answer 17

Salpingitis

Question 18

Tender adnexa and cervix, cervical discharge, dyspareunia

Answer 18

Pelvic inflammatory disease

Question 19

Flatulence, borborygmus, diarrhea, dysuria, tenderness on palpation

Answer 19

Diverticulitis

Question 20

Abdominal free air and distention with increased resonance over liver; tenderness in epigastrium or RUQ; rigid abdominal wall, rebound tenderness

Answer 20

Perforated gastric or duodenal ulcer

Question 21

Distention, minimal rebound tenderness, vomiting, localized tenderness, visible peristalsis; bowel sounds absent (with paralytic obstruction) or hyperactive high pitched (with mechanical obstruction)

Answer 21

Intestinal obstruction

Question 22

Distention, nausea, vomiting, guarding, sigmoid loop volvulus may be palpable

Answer 22

Volvulus

Question 23

Nausea, vomiting, abdominal mass, bruit

Answer 23

leaking abdominal aneurysm

Question 24

RUQ tenderness, soft abdominal wall, anorexia, vomiting, jaundice, subnormal temperature

Answer 24

Biliary stones, colic

Question 25

intense; flank, extending to groin and genitals; may be episodic

Answer 25

renal calculi

Question 26

lower quadrant; referred to shoulder; with rupture is agonizing

Answer 26

ectopic pregnancy

Question 27

lower quadrant, steady, increases with cough or motion

Answer 27

ruptured ovarian cyst

Question 28

intense; LUQ, radiating to left shoulder; may worsen with foot of bed elevated

Answer 28

splenic rupture

Question 29

fever, hematuria; + Kehr sign

Answer 29

renal calculi

Question 30

hypogastric tenderness, symptoms of pregnancy, spotting, irregular menses, soft abdominal wall, mass on bimanual pelvic examination; ruptured; shock, rigid abdominal wall, distention; + Kehr and Cullen signs

Answer 30

Ectopic pregnancy

Question 31

Vomiting, low grade fever, anorexia, tenderness on pelvic examination

Answer 31

Ruptured ovarian cyst

Question 32

Shock, pallor, lowered temperature

Answer 32

splenic rupture

Question 33

Hypogastric pain; crampy, variable, infrequent associated with bowel function

Answer 33

irritable bowl syndrome

Question 34

crampy pain after drinking milk or eating milk products

Answer 34

lactose intolerance

Question 35

localized pain

Answer 35

diverticular disease

Question 36

colicky or dull and steady pain that doesn't progress or worsen

Answer 36

constipation

Question 37

pain related to menses, intercourse

Answer 37

uterine fibroids

Question 38

localized pain that increases with exertion or lifting

Answer 38

hernia

Question 39

burning or gnawing pain in midepigastrium, worsens with recumbency and certain foods

Answer 39

esophagitis/gastroesophageal reflux disease

Question 40

burning or gnawing pain

Answer 40

peptic ulcer

Question 41

constant burning pain in epigastrium

Answer 41

gastritis

Question 42

unremarkable physical examination. Pain associated with gas, bloating, distention; relief with passage of flatus, feces

Answer 42

Irritable bowel syndrome

Question 43

associated with diarrhea; unremarkable physical examination

Answer 43

lactose intolerance

Question 44

abdominal tenderness, fever

Answer 44

diverticular disease

Question 45

fecal mass palpable myomas

Answer 45

uterine fibroids

Question 46

hernia on physical examination

Answer 46

hernia

Question 47

may have epigastric tenderness on palpation

Answer 47

peptic ulcer

Question 48

May be accompanied by nausea, vomiting, diarrhea, or fever. Unremarkable physical examination

Answer 48

Gastritis

Question 49

Burning sensation

Answer 49

peptic ulcer

Question 50

Cramping

Answer 50

biliary colic, gastroenteritis

Question 51

Colicky

Answer 51

appendicitis with impacted feces; renal stone

Question 52

Aching

Answer 52

appendices irritation

Question 53

knifelike

Answer 53

pancreatitis

Question 54

Ripping, tearing

Answer 54

Aortic dissection

Question 55

Gradual onset

Answer 55

infection

Question 56

Sudden onset

Answer 56

duodenal ulcer, acute pancreatitis, obstruction, perforation

Question 57

Duodenal ulcers, hepatitis, hepatomegaly, lower lobe pneumonia, and cholecystitis are found in what abdominal quadrant?

Answer 57

RUQ

Question 58

Appendicitis, salpingitis, ovarian cyst, ruptured ectopic pregnancy, tube-ovarian abscess, renal/uretal stone, strangulated hernia, mocked diverticulitis, regional ileitis, and perforated cecum are found in what quadrant?

Answer 58

RLQ

Question 59

Intestinal obstruction, acute pancreatitis, early appendicitis, mesenteric thrombosis, aortic aneurysm, and diverticulitis are found in what abdominal area?

Answer 59

Periumbilical

Question 60

Ruptured spleen, gastric ulcer, aortic aneurysm, perforated colon, lower lobe pneumonia are found in what quadrant?

Answer 60

LUQ

Question 61

Sigmoid diverticulitis, salpingitis, ovarian cyst, ruptured ectopic pregnancy, tube-ovarian abscess, renal/uretal stone, strangulated hernia, perforated colon, regional ileitis, ulcerative colitis

Answer 61

LLQ

Question 62

Pain or distress occurs in are of patients heart or stomach on palpation of McBurneys point

Answer 62

Aaron sign

Question 63

what does Aarons sign indicate

Answer 63

appendicitis

Question 64

Fixed dullness to percussion in left flank and dullness in right flank that disappears on change of position

Answer 64

balance sign

Question 65

what does balance sign indicate

Answer 65

peritoneal irritation

Question 66

rebound tenderness

Answer 66

blumberg

Question 67

what does blumbergs test indicate

Answer 67

peritoneal irritation and appendicitis

Question 68

ecchymosis around umbilicus

Answer 68

hemoperitoneum; pancreatitis; ectopic pregnancy

Question 69

absence of bowl sounds in RLQ

Answer 69

dance sign

Question 70

what does dance sign indicate

Answer 70

intussusception

Question 71

ecchymosis of flanks

Answer 71

grey turner sign

Question 72

What does grey turner sign indicate?

Answer 72

hemoperitoneum, pancreatitis

Question 73

Abdominal pain radiating to left shoulder

Answer 73

Kehr sign

Question 74

what does kehr sign indicate?

Answer 74

spleen rupture, renal calculi, or ectopic pregnancy

Question 75

patient stand with straightened knees, then raises up on toes, relaxes, and allows heels to hit floor, thus jarring body. Action will cause abdominal pain if positive

Answer 75

marble (heel jar) sign

Question 76

what does marble (heel jar) sign indicate?

Answer 76

peritoneal irritation, appendicite

Question 77

rebound tenderness and sharp pain when mcburnesys point is palpated

Answer 77

mcburney sign

Question 78

what does mcburneys sign indicate?

Answer 78

appendicitis

Question 79

abrupt cessation of inspiration on palpation of gallbladder

Answer 79

murphy sign

Question 80

what does murphy sign indicate?

Answer 80

cholecystitis

Question 81

pain down the medial aspect of the thigh to the knees

Answer 81

romberg-howship sign

Question 82

what does roberg-howship sign indicate

Answer 82

strangulated obturator hernia

Question 83

RLQ pain intensified by LLQ palpation

Answer 83

Rovsing sign

Question 84

what does rovsing sign indicate?

Answer 84

peritoneal irritation and appendicitis