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Which of the following can be noted through inspection of a patient's abdomen?
A. Fluid waves and abdominal rigidity.
B. Umbilical eversion and Murphy sign.
C. Venous pattern, peristaltic waves, and abdominal contour.
D. Peritoneal irritation, general tympany, and peristaltic waves. - ANSWER C. Venous
pattern, peristaltic waves, and abdominal contour.
Select the sequence of techniques used during an examination of the abdomen.
A. percussion, inspection, palpation, auscultation
B. inspection, palpation, percussion, auscultation
C. inspection, auscultation, percussion, palpation
D. auscultation, inspection, palpation, percussion - ANSWER C. inspection, auscultation,
percussion, palpation
Right upper quadrant tenderness may indicate pathology in the:
A. Liver, pancreas, or ascending colon.
B. Liver and stomach.
C. Sigmoid colon, spleen, or rectum.
D. Appendix or ileocecal valves. - ANSWER A. Liver, pancreas, or ascending colon.
The absence of bowel sounds is established after listening for:
A. 1 full minute.
B. 3 full minutes.
C. 5 full minutes.
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,D. None of the above. - ANSWER C. 5 full minutes.
Hyperactive bowel sounds are:
A. High-pitched.
B. Rushing.
C. Tinkling.
D. All of the above. - ANSWER D. All of the above.
Auscultation of the abdomen may reveal bruits of the ___________ arteries.
A. Aortic, renal, iliac, and femoral.
B. Jugular, aortic, carotid, and femoral.
C. Pulmonic, aortic, and portal.
D. Renal, iliac, internal jugular, and basilic. - ANSWER A. Aortic, renal, iliac, and femoral.
The left upper quadrant (LUQ) contains the:
A. Liver.
B. Appendix.
C. Left ovary.
D. Spleen. - ANSWER D. Spleen.
Shifting dullness is a test for:
A. Ascites.
B. Splenic enlargement.
C. Inflammation of the kidney.
D. Hepatomegaly. - ANSWER A. Ascites.
Auscultating the abdomen is begun in the right lower quadrant (RLQ) because:
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, A. Bowel sounds are always normally present here.
B. Peristalsis through the descending colon is usually active.
C. This is the location of the pyloric sphincter.
D. Vascular sounds are best heard in this area. - ANSWER A. Bowel sounds are always
normally present here.
Tenderness during abdominal palpation is expected when palpating the:
A. Lived edge.
B. Spleen.
C. Sigmoid colon.
D. Kidneys. - ANSWER C. Sigmoid colon.
A woman has striae on the abdomen. Which color indicates long-standing striae?
A. Pink.
B. Blue.
C. Purple-blue.
D. Silvery white. - ANSWER D. Silvery white.
A positive Murphy sign is best described as:
A. The pain felt when the examiner's hand is rapidly removed from an inflamed appendix.
B. Pain felt when taking a deep breath when the examiner's fingers are on the approximate
location of the inflamed gallbladder.
C. A sharp pain felt by the patient when one hand of the examiner is used to thump the
other at the costovertebral angle.
D. This is not a valid examination technique. - ANSWER B. Pain felt when taking a deep
breath when the examiner's fingers are on the approximate location of the inflamed
gallbladder.
A positive Blumberg sign indicates:
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