NSG6020- Gastrointestinal Exam
Questions and Answers
A 9 month old who has been a healthy, thriving infant presents with a poor
appetite, two episodes of vomiting, three bloody stools with mucus and
knees drawn to the abdomen with screaming. These are clinical
manifestations of: - -Intussusception
-Abdominal percussion is performed to assess: - -Density of tissues and
organs
-When performing a digital rectal exam, a soft, pedunculate lesion is
palpated. This finding is most likely: - -A rectal polyp
-Which type of hepatitis is most commonly transmitted from infected
mothers to infants at the time of birth? - -Hepatitis B
-A patient presents with complaints of bright red stool over the past week.
This symptom could be consistent with: - -Cancer of the sigmoid colon
-An infant weighed 8 pounds at birth. According to the principles of normal
growth and development, how much should he weigh at 12 month of age? -
-24 pounds
-When examining the buttocks and rectum, a small tuft of hair surrounded
by a halo of erythema was observed at the sacral area. This finding is most
likely: - -A pilonidal cyst
-An enlarged liver with a firm, non-tender edge may be suggestive of - -
Cirrhosis
-A 30 year old male presents with generalized abdominal pain. With flex ion
of the legs at the hip an increase in his abdominal pain is noted. This finding
elicited a positive - -Psoas sign
-Of the fiver percussion notes, which one produces a drum-like sound heard
over air filled structures during the abdominal examination? - -Tympanic
-A patient was instructed to point to the location of his pain. he pointed to
just below the sternoclavicular notch which likely indicates: - -Esophageal
dysphasia
-Bowel sounds maybe decreased in the presence of: - -Peritonitis
, -When performing a rectal exam, a purple tape bloody discharge mixed with
fecal matter is oozing from the recut,. This finding is most consistent with a: -
-Anorectal fistula
-A feeling of constantly needing to pass stool is termed: - -tenesmus
-Risk factors associated with Hepatitis A include all the following except: - -
Exposure to needle sticks
-When performing an examination of the rectal area, a linear tear at the
anal opening as observed. This could be indicative of: - -An anal fissure
-Ecchymosis of the abdominal wall is usually seen in persons with: - -
Intraperitoneal Hemorrhage
-Which of the following symptoms are indicators of dehydration in a four-
year-old child? - -Thirst and urine specific gravity of 1.038
-A patient presents with right upper quadrant and upper abdominal pain.
Acute cholecystitis is suspected because o=the pain radiates to the: - -Right
scapula area
-A patient complains of severe epigastric pain that radiates to the posterior
trunk and entire abdomen. This type of pain can be suggestive of: - -Acute
pancreatitis
-Peritoneal inflammation produces abdominal pain and tenderness. What
technique can be used to assess a tender abdomen suspected to be
secondary to peritoneal inflammation? - -Ask the patient to cough prior to
palpation
-During palpation of the abdomen, right lower quadrant pain is elicited by
applying pressure to the left side of the abdomen. This technique elicited a
positive: - -Rovsing's sign
-A patient presents with complaints of burning sensation in the eternal area.
He states it is aggravated by alcohol, chocolate, and coffee. This finding is: -
-Heartburn
-When there is a sudden obstruction caused by a gallstone in the common
bile duct or the cystic duct, the pain is usually felt in the: - -Epigastric or
right upper quadrant with radiation to the right scapula and shoulder
-Indicators of oropharyngeal dysphagia include all of the following
symptoms except: - -Vomiting
Questions and Answers
A 9 month old who has been a healthy, thriving infant presents with a poor
appetite, two episodes of vomiting, three bloody stools with mucus and
knees drawn to the abdomen with screaming. These are clinical
manifestations of: - -Intussusception
-Abdominal percussion is performed to assess: - -Density of tissues and
organs
-When performing a digital rectal exam, a soft, pedunculate lesion is
palpated. This finding is most likely: - -A rectal polyp
-Which type of hepatitis is most commonly transmitted from infected
mothers to infants at the time of birth? - -Hepatitis B
-A patient presents with complaints of bright red stool over the past week.
This symptom could be consistent with: - -Cancer of the sigmoid colon
-An infant weighed 8 pounds at birth. According to the principles of normal
growth and development, how much should he weigh at 12 month of age? -
-24 pounds
-When examining the buttocks and rectum, a small tuft of hair surrounded
by a halo of erythema was observed at the sacral area. This finding is most
likely: - -A pilonidal cyst
-An enlarged liver with a firm, non-tender edge may be suggestive of - -
Cirrhosis
-A 30 year old male presents with generalized abdominal pain. With flex ion
of the legs at the hip an increase in his abdominal pain is noted. This finding
elicited a positive - -Psoas sign
-Of the fiver percussion notes, which one produces a drum-like sound heard
over air filled structures during the abdominal examination? - -Tympanic
-A patient was instructed to point to the location of his pain. he pointed to
just below the sternoclavicular notch which likely indicates: - -Esophageal
dysphasia
-Bowel sounds maybe decreased in the presence of: - -Peritonitis
, -When performing a rectal exam, a purple tape bloody discharge mixed with
fecal matter is oozing from the recut,. This finding is most consistent with a: -
-Anorectal fistula
-A feeling of constantly needing to pass stool is termed: - -tenesmus
-Risk factors associated with Hepatitis A include all the following except: - -
Exposure to needle sticks
-When performing an examination of the rectal area, a linear tear at the
anal opening as observed. This could be indicative of: - -An anal fissure
-Ecchymosis of the abdominal wall is usually seen in persons with: - -
Intraperitoneal Hemorrhage
-Which of the following symptoms are indicators of dehydration in a four-
year-old child? - -Thirst and urine specific gravity of 1.038
-A patient presents with right upper quadrant and upper abdominal pain.
Acute cholecystitis is suspected because o=the pain radiates to the: - -Right
scapula area
-A patient complains of severe epigastric pain that radiates to the posterior
trunk and entire abdomen. This type of pain can be suggestive of: - -Acute
pancreatitis
-Peritoneal inflammation produces abdominal pain and tenderness. What
technique can be used to assess a tender abdomen suspected to be
secondary to peritoneal inflammation? - -Ask the patient to cough prior to
palpation
-During palpation of the abdomen, right lower quadrant pain is elicited by
applying pressure to the left side of the abdomen. This technique elicited a
positive: - -Rovsing's sign
-A patient presents with complaints of burning sensation in the eternal area.
He states it is aggravated by alcohol, chocolate, and coffee. This finding is: -
-Heartburn
-When there is a sudden obstruction caused by a gallstone in the common
bile duct or the cystic duct, the pain is usually felt in the: - -Epigastric or
right upper quadrant with radiation to the right scapula and shoulder
-Indicators of oropharyngeal dysphagia include all of the following
symptoms except: - -Vomiting
