TXST NURS 5210 Advanced Health Assessment Practicum:
Practice Test 2 (Units 8-13) - Questions with Correct Answers
100 questions
1. Periumbilical pain migrating to the RLQ is classic for:
A. Cholecystitis
B. Diverticulitis
C. Appendicitis
D. Pancreatitis
Correct Answer: C. Appendicitis
Rationale: Migration.
2. Jaundice with dark urine and pale stools suggests:
A. Hemolysis
B. Gilbert syndrome
C. Cholestatic (obstructive) jaundice
D. Normal
Correct Answer: C. Cholestatic (obstructive) jaundice
Rationale: Biliary obstruction.
3. The Carnett sign helps distinguish:
A. Gallstones from ulcer
B. Hernia from lipoma
C. Abdominal wall pain from visceral pain
D. Ascites from obesity
Correct Answer: C. Abdominal wall pain from visceral pain
Rationale: Tensing abdominal wall.
4. Rovsing's sign is:
A. LLQ pain with RLQ pressure
B. Flank bruising
C. Periumbilical bruising
D. RLQ pain when pressure is applied to the LLQ
Correct Answer: D. RLQ pain when pressure is applied to the LLQ
Rationale: Appendicitis.
5. Costovertebral angle tenderness suggests:
A. Pyelonephritis or renal pathology
B. Appendicitis
C. Cholecystitis
D. Gastritis
Correct Answer: A. Pyelonephritis or renal pathology
Rationale: Kidney.
6. RUQ pain after fatty meals radiating to the right scapula suggests:
A. Appendicitis
B. Biliary colic or cholecystitis
C. Pancreatitis
D. Peptic ulcer always
Correct Answer: B. Biliary colic or cholecystitis
Rationale: Gallbladder.
,7. The correct sequence for the abdominal exam is:
A. Inspection, auscultation, percussion, palpation
B. Inspection, palpation, percussion, auscultation
C. Palpation first
D. Percussion first
Correct Answer: A. Inspection, auscultation, percussion, palpation
Rationale: Avoid altering bowel sounds.
8. Dysphagia to both solids and liquids from the start suggests:
A. Esophageal cancer
B. A motility disorder such as achalasia
C. Stricture
D. Pharyngitis
Correct Answer: B. A motility disorder such as achalasia
Rationale: Motility.
9. An incarcerated hernia that becomes painful, tender and discolored suggests:
A. Normal hernia
B. Reducible hernia
C. Strangulation requiring emergency surgery
D. Lipoma
Correct Answer: C. Strangulation requiring emergency surgery
Rationale: Emergency.
10. Involuntary guarding and rigidity suggest:
A. Anxiety only
B. Peritonitis
C. Gas
D. Normal response
Correct Answer: B. Peritonitis
Rationale: Surgical abdomen.
11. Epigastric pain radiating to the back with elevated lipase suggests:
A. Appendicitis
B. Acute pancreatitis
C. Cholecystitis
D. Diverticulitis
Correct Answer: B. Acute pancreatitis
Rationale: Pancreas.
12. Burning epigastric pain relieved by food suggests:
A. Gastric cancer
B. Appendicitis
C. Duodenal ulcer
D. Cholecystitis
Correct Answer: C. Duodenal ulcer
Rationale: Pattern.
, 13. Normal liver span at the right midclavicular line is approximately:
A. 6-12 cm
B. 1-2 cm
C. 15-20 cm
D. 25 cm
Correct Answer: A. 6-12 cm
Rationale: Percussion.
14. Caput medusae and spider angiomas suggest:
A. Portal hypertension and chronic liver disease
B. Heart failure only
C. Kidney failure
D. Pancreatitis
Correct Answer: A. Portal hypertension and chronic liver disease
Rationale: Cirrhosis.
15. Shifting dullness and a fluid wave suggest:
A. Ascites
B. Constipation
C. Gas
D. Obesity only
Correct Answer: A. Ascites
Rationale: Peritoneal fluid.
16. Dysphagia to solids progressing to liquids suggests:
A. Achalasia
B. GERD only
C. Anxiety
D. Mechanical obstruction such as esophageal cancer
Correct Answer: D. Mechanical obstruction such as esophageal cancer
Rationale: Progressive.
17. Grey Turner's sign (flank ecchymosis) suggests:
A. Cholecystitis
B. Retroperitoneal hemorrhage such as hemorrhagic pancreatitis
C. Gastroenteritis
D. Hernia
Correct Answer: B. Retroperitoneal hemorrhage such as hemorrhagic pancreatitis
Rationale: Bleeding.
18. Acute monoarticular arthritis of the first MTP joint suggests:
A. Osteoarthritis
B. RA
C. Gout (podagra)
D. Plantar fasciitis
Correct Answer: C. Gout (podagra)
Rationale: Uric acid.
Practice Test 2 (Units 8-13) - Questions with Correct Answers
100 questions
1. Periumbilical pain migrating to the RLQ is classic for:
A. Cholecystitis
B. Diverticulitis
C. Appendicitis
D. Pancreatitis
Correct Answer: C. Appendicitis
Rationale: Migration.
2. Jaundice with dark urine and pale stools suggests:
A. Hemolysis
B. Gilbert syndrome
C. Cholestatic (obstructive) jaundice
D. Normal
Correct Answer: C. Cholestatic (obstructive) jaundice
Rationale: Biliary obstruction.
3. The Carnett sign helps distinguish:
A. Gallstones from ulcer
B. Hernia from lipoma
C. Abdominal wall pain from visceral pain
D. Ascites from obesity
Correct Answer: C. Abdominal wall pain from visceral pain
Rationale: Tensing abdominal wall.
4. Rovsing's sign is:
A. LLQ pain with RLQ pressure
B. Flank bruising
C. Periumbilical bruising
D. RLQ pain when pressure is applied to the LLQ
Correct Answer: D. RLQ pain when pressure is applied to the LLQ
Rationale: Appendicitis.
5. Costovertebral angle tenderness suggests:
A. Pyelonephritis or renal pathology
B. Appendicitis
C. Cholecystitis
D. Gastritis
Correct Answer: A. Pyelonephritis or renal pathology
Rationale: Kidney.
6. RUQ pain after fatty meals radiating to the right scapula suggests:
A. Appendicitis
B. Biliary colic or cholecystitis
C. Pancreatitis
D. Peptic ulcer always
Correct Answer: B. Biliary colic or cholecystitis
Rationale: Gallbladder.
,7. The correct sequence for the abdominal exam is:
A. Inspection, auscultation, percussion, palpation
B. Inspection, palpation, percussion, auscultation
C. Palpation first
D. Percussion first
Correct Answer: A. Inspection, auscultation, percussion, palpation
Rationale: Avoid altering bowel sounds.
8. Dysphagia to both solids and liquids from the start suggests:
A. Esophageal cancer
B. A motility disorder such as achalasia
C. Stricture
D. Pharyngitis
Correct Answer: B. A motility disorder such as achalasia
Rationale: Motility.
9. An incarcerated hernia that becomes painful, tender and discolored suggests:
A. Normal hernia
B. Reducible hernia
C. Strangulation requiring emergency surgery
D. Lipoma
Correct Answer: C. Strangulation requiring emergency surgery
Rationale: Emergency.
10. Involuntary guarding and rigidity suggest:
A. Anxiety only
B. Peritonitis
C. Gas
D. Normal response
Correct Answer: B. Peritonitis
Rationale: Surgical abdomen.
11. Epigastric pain radiating to the back with elevated lipase suggests:
A. Appendicitis
B. Acute pancreatitis
C. Cholecystitis
D. Diverticulitis
Correct Answer: B. Acute pancreatitis
Rationale: Pancreas.
12. Burning epigastric pain relieved by food suggests:
A. Gastric cancer
B. Appendicitis
C. Duodenal ulcer
D. Cholecystitis
Correct Answer: C. Duodenal ulcer
Rationale: Pattern.
, 13. Normal liver span at the right midclavicular line is approximately:
A. 6-12 cm
B. 1-2 cm
C. 15-20 cm
D. 25 cm
Correct Answer: A. 6-12 cm
Rationale: Percussion.
14. Caput medusae and spider angiomas suggest:
A. Portal hypertension and chronic liver disease
B. Heart failure only
C. Kidney failure
D. Pancreatitis
Correct Answer: A. Portal hypertension and chronic liver disease
Rationale: Cirrhosis.
15. Shifting dullness and a fluid wave suggest:
A. Ascites
B. Constipation
C. Gas
D. Obesity only
Correct Answer: A. Ascites
Rationale: Peritoneal fluid.
16. Dysphagia to solids progressing to liquids suggests:
A. Achalasia
B. GERD only
C. Anxiety
D. Mechanical obstruction such as esophageal cancer
Correct Answer: D. Mechanical obstruction such as esophageal cancer
Rationale: Progressive.
17. Grey Turner's sign (flank ecchymosis) suggests:
A. Cholecystitis
B. Retroperitoneal hemorrhage such as hemorrhagic pancreatitis
C. Gastroenteritis
D. Hernia
Correct Answer: B. Retroperitoneal hemorrhage such as hemorrhagic pancreatitis
Rationale: Bleeding.
18. Acute monoarticular arthritis of the first MTP joint suggests:
A. Osteoarthritis
B. RA
C. Gout (podagra)
D. Plantar fasciitis
Correct Answer: C. Gout (podagra)
Rationale: Uric acid.
