PCS Exam 3 Questions and Answers 100%
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What is in the RUQ? - ANS liver
gallbladder***
pylorus
Duodenum
Hepatic colon flexure
Pancreas head
What is in RLQ? - ANS Cecum
Appendix ***
Ascending colon
Right ovary
What is in LUQ? - ANS Spleen
Splenic flexure of colon
Stomach
Body/tail of pancreas
transverse colon
What is in LLQ? - ANS Sigmoid colon**
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Descending colon
Left ovary
What is in the suprapubic area? - ANS bladder
uterus
Areas of the abdomen - ANS along with 4 quadrants
What should you make sure of before examining abdomen? - ANS -Patient has emptied
bladder
-Pt is supine
-Arms are at side or folded across chest
-Ask pt to show u any painful areas
-Start on their right side
Where to drape a gown before abdominal exam? - ANS at level of pubic symphysis, then
raise gown to below nipple line just above xiphoid process
General steps for abdominal exam - ANS Inspection
Auscultation
Percussion/Palpation
What do you use a bell to hear? - ANS Low frequencies/pitch
-S3,S4
-Mitral stenosis murmur
-Bruits
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What do you use a diaphragm to hear? - ANS High frequencies/pitch
-S1,S2
-Aortic,mitral regurgitation murmur
-Bowel sounds
What are normal bowel sounds? How frequently? - ANS Clicks and gurgles
5-34/min
What is borborygmi? - ANS stomach growling
What can increased bowel sounds indicate? - ANS Diarrhea
Early intestinal obstruction
What can high pitched tinkling indicate? - ANS intestinal obstruction
What can decreased or absent bowel sounds indicate? - ANS ileus
peritonitis
(very bad, surgical emergency if no sounds)
**listen for several minutes before concluding that bowel sounds are completely absent
Auscultate for bruits over the: - ANS Aorta
Renals
Iliacs
Femorals
Use what side to auscultate arteries/bruits? - ANS bell