Week 6 - Abdomen - FNP NSC 832 Questions and Correct
Answers |Already Graded A+||Brand New Version!!!
Abdomen - CORRECT ANSWER -Lies between thorax and pelvis, bordered superiorly by
inferior surface of the dome of the diaphragm (5th anterior ICS), posteriorly by lumbar vertebrae,
anterolaterally by flexible multilayered wall of muscles, sheet-like tendons (rectus abdominis,
transversus abdominis, internal/ext oblique)
Abdominopelvic cavity - CORRECT ANSWER -Between thoracic diaphragm and pelvic
diaphragm
2 cavities: abdominal and pelvic cavity
Houses most digestive organs, spleen, parts of urogenital system
RUQ - CORRECT ANSWER -Liver, gallbladder, pylorus, duodenum, hepatic flexure of colon,
pancreas head
LUQ - CORRECT ANSWER -Spleen, splenic flexure of colon, stomach, body/tail of pancreas
LLQ - CORRECT ANSWER -Sigmoid colon, descending colon, left ovary
RLQ - CORRECT ANSWER -Cecum, appendix, ascending colon, terminal ileum, right ovary
Costovertebral angle (CVA) - CORRECT ANSWER -Formed by border of 12th rib and
transverse processes of upper lumbar vertebrae, defines where to elicit for kidney tenderness
Visceral Pain - CORRECT ANSWER -When hollow abd organs such as intestine or biliary tree
contract unusually forcefully or are distended or stretched
- Nonspecific, difficult to localize
, - Palpable near mmidline
- May be ischemic
- Gnawing, cramping, or aching
- With progression, sweating, pallor, n/v, restlessness may follow
- RUQ: liver distention - hepatitis, biliary
- RLQ: periumbilical early acute appendicitis
- Pain disproportionate to findings, suspect intestinal mesenteric ischemia
Somatic (parietal) pain - CORRECT ANSWER -- Inflammation of parietal peritoneum --
peritonitis - localized or diffuse
- Steady aching pain more severe than visceral
- Aggravated by movement, coughing
Referred pain - CORRECT ANSWER -- Felt in more distant sites that are innervated at the same
spinal levels as affected structure
- Duodenal or pancreatic origin - refers to back
- Pain from biliary tree - to R scapular region or R posterior thorax
- Pleuritic pain or inferior wall MI - epigastric area
- Can refer to abd from chest, spine, or pelvis
Early satiety or fullness - CORRECT ANSWER -Consider diabetic gastroparesis, anticholinergic
meds, gastric outlet obstruction and gastric CA
Xerostomia - CORRECT ANSWER -Insufficient saliva
Common in > 70 yo
Oropharyngeal dysphagia - CORRECT ANSWER -- Delay in initiating swallowing
- Postnasal regurg
Answers |Already Graded A+||Brand New Version!!!
Abdomen - CORRECT ANSWER -Lies between thorax and pelvis, bordered superiorly by
inferior surface of the dome of the diaphragm (5th anterior ICS), posteriorly by lumbar vertebrae,
anterolaterally by flexible multilayered wall of muscles, sheet-like tendons (rectus abdominis,
transversus abdominis, internal/ext oblique)
Abdominopelvic cavity - CORRECT ANSWER -Between thoracic diaphragm and pelvic
diaphragm
2 cavities: abdominal and pelvic cavity
Houses most digestive organs, spleen, parts of urogenital system
RUQ - CORRECT ANSWER -Liver, gallbladder, pylorus, duodenum, hepatic flexure of colon,
pancreas head
LUQ - CORRECT ANSWER -Spleen, splenic flexure of colon, stomach, body/tail of pancreas
LLQ - CORRECT ANSWER -Sigmoid colon, descending colon, left ovary
RLQ - CORRECT ANSWER -Cecum, appendix, ascending colon, terminal ileum, right ovary
Costovertebral angle (CVA) - CORRECT ANSWER -Formed by border of 12th rib and
transverse processes of upper lumbar vertebrae, defines where to elicit for kidney tenderness
Visceral Pain - CORRECT ANSWER -When hollow abd organs such as intestine or biliary tree
contract unusually forcefully or are distended or stretched
- Nonspecific, difficult to localize
, - Palpable near mmidline
- May be ischemic
- Gnawing, cramping, or aching
- With progression, sweating, pallor, n/v, restlessness may follow
- RUQ: liver distention - hepatitis, biliary
- RLQ: periumbilical early acute appendicitis
- Pain disproportionate to findings, suspect intestinal mesenteric ischemia
Somatic (parietal) pain - CORRECT ANSWER -- Inflammation of parietal peritoneum --
peritonitis - localized or diffuse
- Steady aching pain more severe than visceral
- Aggravated by movement, coughing
Referred pain - CORRECT ANSWER -- Felt in more distant sites that are innervated at the same
spinal levels as affected structure
- Duodenal or pancreatic origin - refers to back
- Pain from biliary tree - to R scapular region or R posterior thorax
- Pleuritic pain or inferior wall MI - epigastric area
- Can refer to abd from chest, spine, or pelvis
Early satiety or fullness - CORRECT ANSWER -Consider diabetic gastroparesis, anticholinergic
meds, gastric outlet obstruction and gastric CA
Xerostomia - CORRECT ANSWER -Insufficient saliva
Common in > 70 yo
Oropharyngeal dysphagia - CORRECT ANSWER -- Delay in initiating swallowing
- Postnasal regurg
