Abdomen Lab

Question 1

distension from umbilicus to pubic symphysis could mean

Answer 1

ovarian tumor, uterine fibroids, bladder distension, pregnancy

Question 2

distension above umbilicus could mena

Answer 2

cancer or pancreatic cyst

Question 3

lateral asymmetry could be

Answer 3

hernia, tumor, cyst, bowel obstruction, enlarged organ, muscle or soft tissue hematoma

Question 4

ascites

Answer 4

makes skin of abdomen appear to glisten, or gives a taut appearance

Question 5

superficial venous dilation could mean

Answer 5

portal hypertension

Question 6

bulging near the umbilicus could mean

Answer 6

umbilical hernia

Question 7

cullen’s sign

Answer 7

ecchymosis around umbilicus due to internal bleeding

Question 8

grey turne’s sign

Answer 8

ecchymosis of flanks

Question 9

purple straie

Answer 9

symptom of cushing disease

Question 10

rippling movment of abdomen could mean

Answer 10

obstruction

Question 11

marked pulsations in abdomen could mean

Answer 11

increased pulse pressure of abdominal aortic aneurism

Question 12

increased bowl sounds could mean

Answer 12

gastreoenteritis, early bowl obstruction

Question 13

decreased bowel sounds could mean

Answer 13

peritonitis and paralytic ileus

Question 14

bruit in abdomen could mean

Answer 14

turbulence of blood flow, usually seen in vascular disease

Question 15

what is the predominate sound of the abdomen

Answer 15

tympany

Question 16

how do you find the borders of the liver

Answer 16

when the sound switches from tympani to dull

Question 17

how large is the liver normally

Answer 17

6 to 12 cm

Question 18

how may the liver be different in the eldery

Answer 18

smaller, shifted downward

Question 19

what do you suspect if percussion elicits tenderness for the patient

Answer 19

peritonitis

Question 20

guarding is a ____ contraction of muscles

Answer 20

voluntary

Question 21

rigitidy is an ____ contraction of muscles

Answer 21

involuntary

Question 22

normally what happens in abdominal reflexes

Answer 22

umbilicus moves toward the quadrant the doctor touches, abdominal muscles contract

Question 23

no abdominal reflex could mean

Answer 23

disease of pyramidal tract, nerves are damaged

Question 24

when do you do a murphy’s test

Answer 24

abdominal pain in upper quadrants
pain radiates to between the shoulder blades
pathology of gallbladder is suspected

Question 25

steps of murphy's test

Answer 25

pt lays supine palpate right upper quadrant hook fingers under the costal margin about the mid-calvicular line and have the pt take a deep breath

Question 26

normal murphy's sign

Answer 26

pt continues with respiration without a pause

Question 27

positive murphy's sign

Answer 27

patient has inspiration arrest

Question 28

when do you do a McBurney's test

Answer 28

you suspect peritoneal irritation from something like appendicitis

Question 29

how do you do a McBurney's test

Answer 29

pt is supine | palpate on a line going form ASIS to umbilcus

Question 30

normal McBurney's sign

Answer 30

non-tender, pain is not elevated at one specific point

Question 31

postivie McBurney's sign

Answer 31

maximal pain and tenderness caused by the pressure of palpation is at the exact point on line between ASIS and umbilicus

Question 32

How do you do obturator test

Answer 32

pt supine flex hip and knee to 90 internally and externally rotate hip

Question 33

normal obturator test

Answer 33

no increased pain

Question 34

positive obturator test

Answer 34

increased abdominal pain with internal and external rotation

Question 35

how do you do a iliopsoas test

Answer 35

pt supine | with leg straight or slightly bent pt elevates leg against resistant

Question 36

normal iliopsoas test

Answer 36

no increase in abdominal pain

Question 37

positive ilioposas test

Answer 37

increased in pain with hip flexion

Question 38

how do you do a heel jar test

Answer 38

pt stand with knees straight and on their tiptoes, have them drop to flat footed position

Question 39

normal heel jar test

Answer 39

no increased pain

Question 40

positive heel jar test

Answer 40

increased pain

Question 41

rovsing's sign

Answer 41

right lower quadrant pain increased when palpating lower left quadrant.

Question 42

kehr sign

Answer 42

abdominal pain radiating to left shoulder. indicative of spleen problem

Question 43

aaron sign

Answer 43

pain or distress occurs in area of pt's heart or stomach on palpation of mcburney's point

Question 44

aaron sign means

Answer 44

appendicitis

Question 45

ballance sign

Answer 45

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

Question 46

ballance sign means

Answer 46

peritoneal irritation

Question 47

blumberg sign

Answer 47

rebound tenderness

Question 48

blumberg sign means

Answer 48

peritoneal irritation, appendicitis

Question 49

dance sign

Answer 49

absence of bowel sounds in the right lower quadrant

Question 50

dance sign means

Answer 50

intussuscpetion

Question 51

romberg-howship sign

Answer 51

pain down the medial aspect of the thigh to the knees

Question 52

romberg howship sign means

Answer 52

strangulated obturator hernia