NUR631 ADVANCED HEALTH
ASSESSMENT EXAM 2 TESTBANK
OVER 250 QUESTIONS AND
ANSWERS
What are examples of things that can cause visceral pain?
Intestine, biliary tree, liver disease
What are examples of things that can cause parietal pain?
Appendicitis, peritonitis
What are examples of things that can cause referred pain?
Cholecystitis
What are examples of things that can cause colicky pain?
Renal stones
What diagnosis would you consider for a 50 YEAR OLD SMOKER with heart
burn and abdominal pain?
Colon cancer
,How high is the bilirubin level when the patient is starting to develop
physical jaundice?
2.5 or higher
______________ bilirubin is unconjugated, which means that it has not been
metabolized by the liver or made into a water soluble form of bilirubin
Indirect bilirubin
________________ is processed bilirubin that is water soluble
Direct bilirubin
What are some of the causes of elevated indirect bilirubin levels?
- hemolysis
- heart failure
- Gilbert syndrome
- neonates
- hyperthyroidism
- chronic hepatitis & advanced liver cirrhosis
What are some of the causes of elevated direct bilirubin levels?
- choledocholithiasis
,- tumors
- AIDS
- acute/chronic pancreatitis
- viral hepatitis
- alcoholic hepaitits
- biliary tree cholangitis
- sepsis
- TPN
- postoperative cholestasis
- sickle cell disease
- pregnancy
- end stage liver disease
What does a history of fever, chills and RUQ pain indicate?
Acute cholangitis
What does RUQ pain with a history of anorexia, malaise and myalgias
indicate?
Viral hepatitis
What is the terminology for when the gallbladder is so distended that you
can palpate it?
Courvoiser Sign
, What is the terminology for inspiratory arrest that occurs when you are
putting pressure on the RUQ due to inflammed gallbladder?
Murphey's Sign
What is the order in which you should perform an abdominal physical exam?
1. inspection
2. auscultation
3. percussion
4. palpation
What diagnosis would you consider for a 30 year old with heart burn, early
satiety, burping and generalized abdominal pain?
Dyspepsia related to gastritis
Which liver enzyme is specific for hepatocytes?
ALT
Which liver enzyme is more specific to alcohol, statins and tylenol use?
AST
ASSESSMENT EXAM 2 TESTBANK
OVER 250 QUESTIONS AND
ANSWERS
What are examples of things that can cause visceral pain?
Intestine, biliary tree, liver disease
What are examples of things that can cause parietal pain?
Appendicitis, peritonitis
What are examples of things that can cause referred pain?
Cholecystitis
What are examples of things that can cause colicky pain?
Renal stones
What diagnosis would you consider for a 50 YEAR OLD SMOKER with heart
burn and abdominal pain?
Colon cancer
,How high is the bilirubin level when the patient is starting to develop
physical jaundice?
2.5 or higher
______________ bilirubin is unconjugated, which means that it has not been
metabolized by the liver or made into a water soluble form of bilirubin
Indirect bilirubin
________________ is processed bilirubin that is water soluble
Direct bilirubin
What are some of the causes of elevated indirect bilirubin levels?
- hemolysis
- heart failure
- Gilbert syndrome
- neonates
- hyperthyroidism
- chronic hepatitis & advanced liver cirrhosis
What are some of the causes of elevated direct bilirubin levels?
- choledocholithiasis
,- tumors
- AIDS
- acute/chronic pancreatitis
- viral hepatitis
- alcoholic hepaitits
- biliary tree cholangitis
- sepsis
- TPN
- postoperative cholestasis
- sickle cell disease
- pregnancy
- end stage liver disease
What does a history of fever, chills and RUQ pain indicate?
Acute cholangitis
What does RUQ pain with a history of anorexia, malaise and myalgias
indicate?
Viral hepatitis
What is the terminology for when the gallbladder is so distended that you
can palpate it?
Courvoiser Sign
, What is the terminology for inspiratory arrest that occurs when you are
putting pressure on the RUQ due to inflammed gallbladder?
Murphey's Sign
What is the order in which you should perform an abdominal physical exam?
1. inspection
2. auscultation
3. percussion
4. palpation
What diagnosis would you consider for a 30 year old with heart burn, early
satiety, burping and generalized abdominal pain?
Dyspepsia related to gastritis
Which liver enzyme is specific for hepatocytes?
ALT
Which liver enzyme is more specific to alcohol, statins and tylenol use?
AST
