GI

Question 1

Order of GI examination

Answer 1

Inspection
Auscultation
Percussion
Palpation

Question 2

Looking for during abdominal inspection

Answer 2

skin characteristics
symmetry
surface motion
masses
hernias

Question 3

Where do you listen for friction rubs?

Answer 3

liver or spleen

Question 4

In Epigastric region

Answer 4

pylorus
duodenum
pancreas
portion of liver

Question 5

umbilical region

Answer 5

omentum
mesentery
lower part of duodenum
jejunum & ileum

Question 6

left lumbar region

Answer 6

descending colon
lower half of left kidney
portions of jejunum & ileum

Question 7

left inguinal region

Answer 7

sigmoid colon
left ureter
left spermatic cord
left ovary

Question 8

right inguinal region

Answer 8

cecum
appendix
distal ileum
R ureter
R spermatic cord
R ovary

Question 9

presence of scarring should alert to the possibility of

Answer 9

adhesions

Question 10

limited abdominal movement associated with respiration in adult males

Answer 10

peritonitis

Question 11

loud prolonged gurgles

Answer 11

boborygmi

Question 12

tinkling bowel sounds

Answer 12

intestinal fluid & air under pressure = early obstruction

Question 13

decreased bowel sounds

Answer 13

peritonitis

paralytic ileus

Question 14

abdominal friction rub indicates

Answer 14

inflammation of the peritoneal surface of the organ from tumor, infection or infarct

Question 15

What is assessed by percussion of the R and L costovertebral angles?

Answer 15

kidney tenderness

Question 16

Light palpation in all 4 abdominal quadrants assesses

Answer 16

guarding (muscle resistance)
tenderness
masses

Question 17

Deep palpation is to identify

Answer 17

ID liver border
ID bulges/masses around umbilicus
uncover gallbladder enlargement
splenomegaly
enlargement or tenderness of kidneys
identify aortic pulsations
deep abdominal masses

Question 18

soft, low-pitched sound that is continuous and may be heard epigastric & around the umbilicus

Answer 18

venous hum

Question 19

midsternal liver span

Answer 19

4-8 cm

Question 20

midclavicular vertical liver span

Answer 20

6-12 cm

Question 21

dullness from L ribs 6-10

Answer 21

spleen

Question 22

inflamed gallbladder pain with examination that abruptly halts inspiration

Answer 22

Murphy sign

Question 23

pain or distress in the area of the patient’s heart or stomach on palpation of the McBurney’s point; associated with appendicitis

Answer 23

Aaron sign

Question 24

fixed dullness to percussion on the left flank & dullness on the right flank that disappears with change in position; associated with peritoneal irritation

Answer 24

Ballance sign

Question 25

rebound tenderness associated with peritoneal irritation or appendicitis

Answer 25

Blumberg sign

Question 26

ecchymosis around umbilicus associated with pancreatitis, hemoperitoneum, pregnancy

Answer 26

Cullen sign

Question 27

absence of bowel sounds in RLQ associated with intussusception

Answer 27

Dance sign

Question 28

Which kidney is more palpable?

Answer 28

right

Question 29

prominent lateral pulsation of the abdominal aorta

Answer 29

aortic aneurysm

Question 30

What can be felt easily in a patient with ascites?

Answer 30

fluid wave

Question 31

rebound tenderness over RLQ that suggests appendicitis

Answer 31

McBurney sign

Question 32

pain related to intercourse or menses

Answer 32

uterine fibroids

Question 33

burning abdominal pain

Answer 33

peptic ulcer

Question 34

colicky pain

Answer 34

appendicitis; renal stone

Question 35

Ecchymosis of flanks associated with pancreatitis

Answer 35

Grey Turner sign

Question 36

abdominal pain radiating to left shoulder associated with splenic rupture

Answer 36

Kehr sign

Question 37

RLQ pain intensified by LLQ palpation associated with appendicitis

Answer 37

Rovsing

Question 38

examine conjunctiva to evaluate

Answer 38

pallor = anemia

Question 39

examine the sclerae for

Answer 39

jaundice = hyperbilirubinemia

Question 40

perianal tags are common with

Answer 40

Crohn's disease | Cobblestone mucosa on colonoscopy

Question 41

associated with sclerosing cholangitis and bloody, frequent watery diarrhea

Answer 41

UC