BATES Chapter 11: The Abdomen Complete Solutions

BATES Chapter 11: The Abdomen Complete Solutions 1. What liver dysfunction is indicated by visceral pain in the right upper quadrant (RUQ) and liver distention? A) Hepatitis A B) Alcoholic hepatitis C) Cirrhosis D) Hepatitis B Correct answer: B) Alcoholic hepatitis 2. What does RUQ and upper abdominal pain typically signify? A) Cholecystitis B) Pancreatitis C) Appendicitis D) Diverticulitis Correct answer: A) Cholecystitis 3. What occurs when visceral periumbical pain changes to parietal pain in the right lower quadrant (RLQ)? A) Acute appendicitis B) Cholecystitis C) Pancreatitis D) Diverticulitis Correct answer: A) Acute appendicitis 4. What does pain in the RLQ during left-sided pressure suggest? A) A positive Rovsing's sign or appendicitis B) A positive Murphy's sign or pancreatitis C) A negative Rovsing's sign or cholecystitis D) A negative Murphy's sign or diverticulitis Correct answer: A) A positive Rovsing's sign or appendicitis 5. What is suggested by a positive psoas sign, which is pain when the patient raises their thigh against resistance? A) Irritation of the psoas muscle from an inflamed appendix B) Irritation of the obturator muscle from an inflamed appendix C) Irritation of the quadriceps muscle from a Baker's cyst D) Irritation of the hamstring muscle from a torn ACL Correct answer: A) Irritation of the psoas muscle from an inflamed appendix 6. What does a positive Murphy's sign, which is a sharp increase in tenderness with sudden stop in inspiratory effort when hooking the left thumb under the costal margin in RUQ, suggest? A) Acute cholecystitis B) Pancreatitis C) Diverticulitis D) Appendicitis Correct answer: A) Acute cholecystitis RLQ pain or pain that migrates from the periumbilical region, combined w/abdominal wall rigidity on palpation and rebound tenderness is most likely what? ️Appendicitis (in women, other causes could include PID, ruptured ovarian follicle, or ectopic pregnancy) LLQ pain without palpable mass a/w what? ️Diverticulitis