GI Assessment

Question 1

Expected findings for lips (3)

Answer 1

Lips are deeper and pinker than facial skin, moist, and have no cracks or lesions

Question 2

3 expected findings for teeth

Answer 2

Teeth are smooth and white. No diseased, absent, loose, or abnormally positioned teeth. Note dentures if any

Question 3

Expected findings for gums

Answer 3

Pink or coral with a dotted surface, no redness or inflammation, no cuts or lesions

Question 4

When inspected mouth, don’t forget to note

Answer 4

Tongue piercings

Question 5

Pallor comes with ___ and ___

Answer 5

Shock and anemia

Question 6

Cyanosis occurs with ___ and ___

Answer 6

Hypoxemia and chilling

Question 7

Cherry red lips occur with ____

Answer 7

Carbon monoxide poisoning

Question 8

Lesions could be a sign of ___

Answer 8

Herpes simplex

Question 9

Discolored teeth appear brown with excessive ___

Answer 9

Fluoride use

Question 10

Discolored teeth appear yellow with excessive

Answer 10

Tobacco use

Question 11

If gums bleed with slight pressure, patient may have ____

Answer 11

Gingivitis

Question 12

Dark lines in gums indicate what?

Answer 12

Bismuth poisoning

Question 13

Tonsil size number chart

Answer 13

0 is absent
1+ is normal
2+ is halfway between tonsillar pillars and uvula
3+ tonsils are touching the uvula
4+ tonsils are touching each other

Question 14

Uvula must hang ___

Answer 14

Midline

Question 15

2 expected findings of tonsils

Answer 15

Pink like everything else; surface may have indentations or small crypts

Question 16

White membrane covering the tonsils indicates ___, ___, and ___

Answer 16

Mono, leukemia, and diphtheria

Question 17

Red tonsils with no hyper trophy indicate ___

Answer 17

Viral pharyngitis

Question 18

___ shows red and enlarged tonsils

Answer 18

Strep

Question 19

Tonsils are bright red and swollen with what?

Answer 19

Acute infections

Question 20

Expected abdomen contour?

Answer 20

Flat or rounded

Question 21

Unexpected abdomen contour?

Answer 21

Protuberant or scaphoid

Question 22

Protuberant abdomen indicates what?

Answer 22

Abdominal distensión

Question 23

Bulging or masses come with ___ or ___

Answer 23

Hernias or enlarged liver

Question 24

Silvery white, linear, jagged marks about 1-6 cm long

Answer 24

Striae, a common pigment change

Question 25

Spider angiomas occur with ____

Answer 25

Portal hypertension

Question 26

Striae look purple or blue with ___

Answer 26

Cushing syndrome

Question 27

When measuring abdominal girth, use a tape measure on the ____ section of the patient’s abdomen

Answer 27

Largest

Question 28

Measuring abdominal girth is performed on patients with ___

Answer 28

Ascites

Question 29

A patient with hypertension, cirrhosis, ascites, or vena caval obstruction may have ___, ___ ___ in their abdomen skin assessment

Answer 29

Prominent, dilated veins

Question 30

Steps to abdominal assessment

Answer 30

Inspection, auscultation, percussion, then palpation

Question 31

What order of abdominal quadrants do we assess?

Answer 31

RLQ > RUQ > LUQ > LLQ

Question 32

3 types of bowel sounds

Answer 32

Normoactive, hypoactive, And hyperactive

Question 33

Normoactive is what and how often does it happen?

Answer 33

High pitched, gurgling sounds with light crackles Expected is 5-30 sounds per minute

Question 34

You must hear a bowel sound every ___ to ___ seconds

Answer 34

2-12

Question 35

Unexpected bowel sounds

Answer 35

Hyperactive and hypoactive

Question 36

Hypoactive is when you have ?

Answer 36

Less than 5 gurgles per minute (hypO = lOw)

Question 37

Hyperactive is when you have?

Answer 37

More than 30 sounds per minute

Question 38

Hyperactive sounds are ___, ___, ___, and signal ___

Answer 38

Loud, high pitched, rushing, and signal increased motility

Question 39

Hypoactive or absent sounds follow ___ or with ___

Answer 39

Abdominal surgery or with inflammation of the peritoneum

Question 40

Less than 5 noises per minute mean patient could have ___

Answer 40

Constipation

Question 41

A type of hyperactive bowel sound; “stomach growling”

Answer 41

Borborygmus

Question 42

Use ___ of stethoscope to auscultate vascular sounds in the abdomen

Answer 42

Bell

Question 43

When auscultating for vascular sounds, check over ___, ___, ___, and ___

Answer 43

Aorta, renal arteries, iliac, and femoral arteries

Question 44

Expected findings for vascular sounds?

Answer 44

There should be NO vascular sounds or bruits

Question 45

Systolic bruits occur with ___, ___, or ___

Answer 45

Stenosis, partial occlusion, or aneurysm of an artery

Question 46

What sound do you hear over hollow organs such as intestines and stomach?

Answer 46

Tympany

Question 47

What sound do you hear over solid organs (liver) or masses?

Answer 47

Dullness

Question 48

A full bladder, adipose tissue, fluid, or a mass creates a ___ sound when percussing

Answer 48

Dull

Question 49

Percuss the kidney at the ___ rib

Answer 49

12th

Question 50

When percussing costovertebral angle tenderness, person should feel the thud but no pain. Sharp pain occurs with ___

Answer 50

Inflammation of the kidney

Question 51

Light palpation is how deep?

Answer 51

0.5 - 1 inches

Question 52

When palpating, what are the expected findings of the abdomen?

Answer 52

Abdomen should be soft and nontender, with possible voluntary guarding

Question 53

Light palpation tells us about the persons ___, ___, ___, and if there are any ___

Answer 53

Skin surface, tenderness, overall musculature, masses

Question 54

Deep palpation is how deep?

Answer 54

2.5 - 3 inches

Question 55

Leaving baby bottle in crib causes what

Answer 55

Tooth decay

Question 56

Protuberant abdomen while laying or standing up is seen in children of which ages?

Answer 56

4 - 7

Question 57

Children do more belly breathing until about age ___

Answer 57

7

Question 58

True or false: older adults have a decreased saliva production causing a dry mouth

Answer 58

True

Question 59

Name two things a decrease in GI motility causes

Answer 59

Constipation and increased gas

Question 60

A condition in which the blood doesn’t have enough healthy red blood cells

Answer 60

Anemia

Question 61

An abnormally low concentration of oxygen in the blood

Answer 61

Hypoxemia

Question 62

Excess abdominal fluid is also known as ___

Answer 62

Ascites