NR 509 Final
NR 509 Final Exam Questions
Containing 304 Terms with Definitive
Solutions Updated 2024-2025.
What are you auscultating on abdomen? - Answer: Bowel sounds x4 quadrants
(may be absent with perforation, peritonitis and BO)
Bruits (abdominal aorta, R/L renal, R/L iliac)
, NR 509 Final
What are you percussing on abdomen? - Answer: All 4 quadrants for dullness,
tympany, flatness
Liver size
Which abdominal organs are tympanic? - Answer: Stomach
Small intestine
Large intestine
Which abdominal organs are dull? - Answer: the DENSE ones (d for dull and
dense)
Liver
Spleen
Intestines filled with stool
What are you palpating in abdomen? - Answer: Masses
Tenderness
Liver edge
Spleen
What two conditions require special maneuvers when assessing abdomen? -
Answer: Appendicitis (McBurney Point tenderness)
Cholecystitis (Positive Murphy's)
, NR 509 Final
What causes visceral pain? - Answer: Hollow organs (intestine or biliary tree)
forcefully contract and become distended or stretched
Solid organs (liver/spleen) can generate same pain when they swell against their
capsules [alcoholic hepatitis]
Visceral periumbilical in early acute appendicitis
What does visceral pain feel like? - Answer: Difficult to localize
Gnawing, cramping, aching
Associated symptoms: sweating, pallor, N/V, restless
What causes somatic pain? What does it feel like? - Answer: Pain caused by
inflammation of the parietal peritoneum
localized or diffuse
steady aching
more severe than visceral
aggravated by movement
What does GERD feel like? - Answer: rising retrosternal burning pain
may occur with coughing
What makes GERD worse? - Answer: alcohol
chocolate
, NR 509 Final
citrus
peppermint
coffee
bending over or lying after eating
What are 2 common causes of peptic ulcer disease? - Answer: H. Pylori
NSAIDs
Gastric vs duodenal ulcers - Answer: gastric ulcer pain right after eating
duodenal ulcer pain occurs hours after eating
Both:
GERD
hematemesis
melena
Treatment for PUD - Answer: Stop irritating factors (Alcohol, NSAIDs, smoking)
PPIs, H2RA, antacids
Abx for treatment of H.pylori
6 maneuvers for appendicitis - Answer: McBurney Point tenderness on direct
palpation - slowly apply pressure and quickly release to see if rebound tenderness
Rovsing - RLQ rebound tenderness when LLQ palpated
Psoas - Raise thigh (flexion) to contract psoas muscle (pain = positive sign)
NR 509 Final Exam Questions
Containing 304 Terms with Definitive
Solutions Updated 2024-2025.
What are you auscultating on abdomen? - Answer: Bowel sounds x4 quadrants
(may be absent with perforation, peritonitis and BO)
Bruits (abdominal aorta, R/L renal, R/L iliac)
, NR 509 Final
What are you percussing on abdomen? - Answer: All 4 quadrants for dullness,
tympany, flatness
Liver size
Which abdominal organs are tympanic? - Answer: Stomach
Small intestine
Large intestine
Which abdominal organs are dull? - Answer: the DENSE ones (d for dull and
dense)
Liver
Spleen
Intestines filled with stool
What are you palpating in abdomen? - Answer: Masses
Tenderness
Liver edge
Spleen
What two conditions require special maneuvers when assessing abdomen? -
Answer: Appendicitis (McBurney Point tenderness)
Cholecystitis (Positive Murphy's)
, NR 509 Final
What causes visceral pain? - Answer: Hollow organs (intestine or biliary tree)
forcefully contract and become distended or stretched
Solid organs (liver/spleen) can generate same pain when they swell against their
capsules [alcoholic hepatitis]
Visceral periumbilical in early acute appendicitis
What does visceral pain feel like? - Answer: Difficult to localize
Gnawing, cramping, aching
Associated symptoms: sweating, pallor, N/V, restless
What causes somatic pain? What does it feel like? - Answer: Pain caused by
inflammation of the parietal peritoneum
localized or diffuse
steady aching
more severe than visceral
aggravated by movement
What does GERD feel like? - Answer: rising retrosternal burning pain
may occur with coughing
What makes GERD worse? - Answer: alcohol
chocolate
, NR 509 Final
citrus
peppermint
coffee
bending over or lying after eating
What are 2 common causes of peptic ulcer disease? - Answer: H. Pylori
NSAIDs
Gastric vs duodenal ulcers - Answer: gastric ulcer pain right after eating
duodenal ulcer pain occurs hours after eating
Both:
GERD
hematemesis
melena
Treatment for PUD - Answer: Stop irritating factors (Alcohol, NSAIDs, smoking)
PPIs, H2RA, antacids
Abx for treatment of H.pylori
6 maneuvers for appendicitis - Answer: McBurney Point tenderness on direct
palpation - slowly apply pressure and quickly release to see if rebound tenderness
Rovsing - RLQ rebound tenderness when LLQ palpated
Psoas - Raise thigh (flexion) to contract psoas muscle (pain = positive sign)
