NR509 Abdomen Questions with 100% Correct
Answers
Colon cancer screening 50-75 stool-based testing
FIT annually, occult annually, FIT-DNA 1-3yrs
Colon cancer screening 50-75 direct visualization
colonoscopy q10y, sigmoidoscopy q5y, flexible sigmoidoscopy q10y with FIT q3y
Appendicits signs
McBurney, psoas, Rovsing, obturator
RUQ organs
liver, gallbladder, pylorus, duodenum, hepatic flexure of colon, head of pancreas
RLQ organs
cecum, appendix, ascending colon, terminal ileum, right ovary
LLQ organs
sigmoid colon, descending colon, left ovary
LUQ organs
spleen, splenic flexure of colon, stomach, body/tail of pancreas
Periumbilical visceral pain
early acute appendicitis, gradually changes to RLQ parietal pain
Duodenal/pancreatic referred pain
back
, Biliary tree referred pain
right scapular region/posterior thorax
Warrants endoscopy
uncomplicated GERD + fail empiric therapy, >55y, alarm symptoms: early satiety, weight
loss, anemia, risk factors for gastric cancer, etc
Diverticulitis
LLQ pain, diarrhea (previously constipation), fever/leukocytosis, no colonoscopy acutely
IBS diagnosis
intermittent pain 12wk of preceding 12mo defecation relief, change in BM frequency/form
(loose, watery, pellet-like)
Steatorrhea
celiac sprue malabsorption, pancreatic insufficiency, small bowel bacterial overgrowth
Friction rub
hepatoma, gonococcal infection around liver, splenic infarction, pancreatic carcinoma
Liver percussion technique
midclavicular, down from nipple line and up from umbilicus
Normal liver span
4-8cm midsternal, 6-12cm midclavicular
Liver palpation
3cm below right coastal margin midclavicular line
Answers
Colon cancer screening 50-75 stool-based testing
FIT annually, occult annually, FIT-DNA 1-3yrs
Colon cancer screening 50-75 direct visualization
colonoscopy q10y, sigmoidoscopy q5y, flexible sigmoidoscopy q10y with FIT q3y
Appendicits signs
McBurney, psoas, Rovsing, obturator
RUQ organs
liver, gallbladder, pylorus, duodenum, hepatic flexure of colon, head of pancreas
RLQ organs
cecum, appendix, ascending colon, terminal ileum, right ovary
LLQ organs
sigmoid colon, descending colon, left ovary
LUQ organs
spleen, splenic flexure of colon, stomach, body/tail of pancreas
Periumbilical visceral pain
early acute appendicitis, gradually changes to RLQ parietal pain
Duodenal/pancreatic referred pain
back
, Biliary tree referred pain
right scapular region/posterior thorax
Warrants endoscopy
uncomplicated GERD + fail empiric therapy, >55y, alarm symptoms: early satiety, weight
loss, anemia, risk factors for gastric cancer, etc
Diverticulitis
LLQ pain, diarrhea (previously constipation), fever/leukocytosis, no colonoscopy acutely
IBS diagnosis
intermittent pain 12wk of preceding 12mo defecation relief, change in BM frequency/form
(loose, watery, pellet-like)
Steatorrhea
celiac sprue malabsorption, pancreatic insufficiency, small bowel bacterial overgrowth
Friction rub
hepatoma, gonococcal infection around liver, splenic infarction, pancreatic carcinoma
Liver percussion technique
midclavicular, down from nipple line and up from umbilicus
Normal liver span
4-8cm midsternal, 6-12cm midclavicular
Liver palpation
3cm below right coastal margin midclavicular line
