NUR 5354 Exam 2 Study Guide with
correct answers newest review
Suprapubic pain - ANS Pain located in the lower abdomen that accompanies cystitis and acute
urinary retention
ulcerative colitis (UC) - ANS a chronic inflammatory bowel disease (IBD) characterized by
diffuse mucosal inflammation in colon and mostly rectum; bloody diarrhea hallmark
Crohn's disease - ANS a chronic IBD and autoimmune disorder characterized by full thickness
inflammation and ulceration; cobblestone appearance
McBurney's point - ANS A point on the right side of the abdomen, about two-thirds of the
distance between the umbilicus and the anterior bony prominence of the hip; test for
appendicitis
GERD - ANS d/t relaxation or incompetence of the lower esophageal sphincter
GERD s/s - ANS Heartburn, regurgitation. Symptoms worse lying down, and pts complain of a
bitter taste in their mouth. Hoarseness and chronic cough.
Psoas sign - ANS RLQ pain with extension of right thigh indicative of appendicitis
Obturator sign - ANS RLQ pain on passive internal rotation of the right flexed thigh indicative of
appendicitis
Rovsing's sign - ANS Pain is felt in the RLQ when the left lower quadrant is deeply palpated;
may be present in appendicitis.
Murphy's sign - ANS Increased tenderness during inspiration upon palpation of the RUQ; seen
in acute cholecystitis.
What is the primary cause of acute appendicitis? - ANS Obstruction by fecal material or other
foreign matter.
What are the potential complications of acute appendicitis? - ANS Inflammation, ischemia,
perforation, and localized or generalized peritonitis.
shifting dullness test - ANS After percussing the abdomen for suspected ascites the pt is
moved to a lat decub position and repercussed. If positive, the areas of tympany and dullness
will have shifted due to the shift of the fluid in the abdomen
, Fluid wave test - ANS A wave of fluid is felt against the fingertips pressed along the flank as the
fluid is pushed from one side of the abdomen to the other by tapping sharply along the opposite
flank; may indicate ascites
Lipoma - ANS a benign, slow-growing fatty tumor located in the subQ tissue between the skin
and the muscle layer; soft, lobulated and non-tender
Acute appendicitis is a surgical emergency. - ANS Acute appendicitis is a surgical emergency.
Acute diverticulitis - ANS Obstruction of a diverticulum can lead to inflammation and result in
the development of an abscess and perforation
Acute diverticulitis pain location - ANS LLQ pain or epigastric pain that radiates down the left
side of the abdomen, especially after eating. May also radiate to the back
Acute pancreatitis causes - ANS I GET SMASHED
Idiopathic
Gallstone
Ethanol
Trauma
Steroids
Mumps
Autoimmune disease
Scorpion sting
Hypercalcemia
ERCP procedure
Drugs (sulfas, diuretics)
CF
Acute pancreatitis s&s - ANS Abrupt onset of deep epigastric pain, with radiation to the back.
N/V, Sweating, Weakness, Fever, Abdominal tenderness, Distention
Ulcer pain - ANS epigastric pain occurs one to four hours after meals and is relieved by food,
H2 blockers, and antacids. May awaken pt from sleep
Ventral hernias - ANS Localized bulges of intestines in the abdominal wall
Incisional hernia - ANS is a protrusion through a surgical incision.
Umbilical Hernia - ANS is a protrusion through a defective umbilical ring. It is most common in
infants, but it can also occur in adults
correct answers newest review
Suprapubic pain - ANS Pain located in the lower abdomen that accompanies cystitis and acute
urinary retention
ulcerative colitis (UC) - ANS a chronic inflammatory bowel disease (IBD) characterized by
diffuse mucosal inflammation in colon and mostly rectum; bloody diarrhea hallmark
Crohn's disease - ANS a chronic IBD and autoimmune disorder characterized by full thickness
inflammation and ulceration; cobblestone appearance
McBurney's point - ANS A point on the right side of the abdomen, about two-thirds of the
distance between the umbilicus and the anterior bony prominence of the hip; test for
appendicitis
GERD - ANS d/t relaxation or incompetence of the lower esophageal sphincter
GERD s/s - ANS Heartburn, regurgitation. Symptoms worse lying down, and pts complain of a
bitter taste in their mouth. Hoarseness and chronic cough.
Psoas sign - ANS RLQ pain with extension of right thigh indicative of appendicitis
Obturator sign - ANS RLQ pain on passive internal rotation of the right flexed thigh indicative of
appendicitis
Rovsing's sign - ANS Pain is felt in the RLQ when the left lower quadrant is deeply palpated;
may be present in appendicitis.
Murphy's sign - ANS Increased tenderness during inspiration upon palpation of the RUQ; seen
in acute cholecystitis.
What is the primary cause of acute appendicitis? - ANS Obstruction by fecal material or other
foreign matter.
What are the potential complications of acute appendicitis? - ANS Inflammation, ischemia,
perforation, and localized or generalized peritonitis.
shifting dullness test - ANS After percussing the abdomen for suspected ascites the pt is
moved to a lat decub position and repercussed. If positive, the areas of tympany and dullness
will have shifted due to the shift of the fluid in the abdomen
, Fluid wave test - ANS A wave of fluid is felt against the fingertips pressed along the flank as the
fluid is pushed from one side of the abdomen to the other by tapping sharply along the opposite
flank; may indicate ascites
Lipoma - ANS a benign, slow-growing fatty tumor located in the subQ tissue between the skin
and the muscle layer; soft, lobulated and non-tender
Acute appendicitis is a surgical emergency. - ANS Acute appendicitis is a surgical emergency.
Acute diverticulitis - ANS Obstruction of a diverticulum can lead to inflammation and result in
the development of an abscess and perforation
Acute diverticulitis pain location - ANS LLQ pain or epigastric pain that radiates down the left
side of the abdomen, especially after eating. May also radiate to the back
Acute pancreatitis causes - ANS I GET SMASHED
Idiopathic
Gallstone
Ethanol
Trauma
Steroids
Mumps
Autoimmune disease
Scorpion sting
Hypercalcemia
ERCP procedure
Drugs (sulfas, diuretics)
CF
Acute pancreatitis s&s - ANS Abrupt onset of deep epigastric pain, with radiation to the back.
N/V, Sweating, Weakness, Fever, Abdominal tenderness, Distention
Ulcer pain - ANS epigastric pain occurs one to four hours after meals and is relieved by food,
H2 blockers, and antacids. May awaken pt from sleep
Ventral hernias - ANS Localized bulges of intestines in the abdominal wall
Incisional hernia - ANS is a protrusion through a surgical incision.
Umbilical Hernia - ANS is a protrusion through a defective umbilical ring. It is most common in
infants, but it can also occur in adults
