NU 216 Abdomen Exam Questions with Correct Answers

NU 216 Abdomen Exam Questions with Correct Answers referred pain of the gallbladder - Answer-right scapula chole prefix - Answer-gallbladder referred pain of kidney stone - Answer-groin referred pain of liver - Answer-right shoulder referred pain of appendix - Answer-starts at umbilicus & moves to RLQ Referred pain of pancreas - Answer-left shoulder and lower back Sequence for assessing the abdomen - Answer-1. Inspection 2. Auscultation 3. Percussion 4. Palpation considerations for inspecting abdomen - Answer-contour symmetry umbilicus skin -lesions, moles, piercing, scar pulsation/movement hair demeanor -guarding, wincing Contours of the abdomen - Answer-Flat Scaphoid -concave -seen in pts with malnutrition Rounded Protuberant -convex -ascites, pregnancy normla bowel sounds - Answer-gurgling, high pitched irregular 5-30 / min borborygmus - Answer-the rumbling noise caused by the movement of gas in the intestine -extreme amount of bowel sounds hypoactive bowel sounds - Answer-less than 5 /minute hyperactive bowel sounds - Answer-more than 30/ minute vascular bowel sounds location - Answer-aorta left/right renal artery left/right iliac artery left/right femoral artery looks for presence of bruits how do you listen for bruits? - Answer-with bell of stethoscope general tympany - Answer-Percuss in all 4 quadrants to determine the prevailing amount of tympany and dullness Move clockwise: RLQ, RUQ, LUQ, LLQ what should be heard when percussing organs - Answer-dullness splenic dullness - Answer-Percuss the lowest costal interspace in the left anterior axillary line. This area is normally tympanic Ask pt to take deep breath and percuss area again. Dullness in this area is sign of splenic enlargement