NSG6020- Gastrointestinal

NSG6020- Gastrointestinal 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