NR 509 Final exam questions with complete solution-2024

What are you auscultating on abdomen? - Correct Answer Bowel sounds x4 quadrants (may be absent with perforation, peritonitis and BO) Bruits (abdominal aorta, R/L renal, R/L iliac) What are you percussing on abdomen? - Correct Answer All 4 quadrants for dullness, tympany, flatness Liver size Which abdominal organs are tympanic? - Correct Answer Stomach Small intestine Large intestine Which abdominal organs are dull? - Correct Answer the DENSE ones (d for dull and dense) Liver Spleen Intestines filled with stool What are you palpating in abdomen? - Correct Answer Masses Tenderness Liver edge Spleen What two conditions require special maneuvers when assessing abdomen? - Correct Answer Appendicitis (McBurney Point tenderness) Cholecystitis (Positive Murphy's) What causes visceral pain? - Correct 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? - Correct Answer Difficult to localize Gnawing, cramping, aching Associated symptoms: sweating, pallor, N/V, restless What causes somatic pain? What does it feel like? - Correct 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? - Correct Answer rising retrosternal burning pain may occur with coughing What makes GERD worse? - Correct Answer alcohol chocolate citrus peppermint coffee bending over or lying after eating What are 2 common causes of peptic ulcer disease? - Correct Answer H. Pylori NSAIDs Gastric vs duodenal ulcers - Correct Answer gastric ulcer pain right after eating duodenal ulcer pain occurs hours after eating Both: GERD hematemesis melena Treatment for PUD