Complete Solutions
9. You note that the midclavicular liver span of an adult male patient is 18 cm. With palpation,
you note that the liver is enlarged and nontender. What do these findings suggest?
a. Diverticulitis
b. Ulcerative colitis
c. Hepatitis
d. Cirrhosis d
10. The examiner is unable to palpate the liver or kidney on the patient. Which of the following
techniques will help assess tenderness to these organs?
a. Application of continuous, firm pressure for 3 to 5 minutes
b. Percussion for tympany
c. Percussion for size
d. Indirect fist percussion d
11. Where is pain felt when an obturator muscle test is positive?
,a. Right hip and thigh
b. Right hypogastric area
c. Right lower quadrant and groin
d. Beneath the right shoulder blade b
12. Which of the following techniques is used to confirm the presence of abdominal ascites?
a. Auscultation of fluid movement within the abdominal cavity
b. Palpation of rebound tenderness
c. Palpation of pitting edema on the abdomen
d. Percussion of dullness over dependent areas of the abdomen d
13. Which of the following examination findings is indicative of peritoneal irritation or
appendicitis?
a. Rebound tenderness on palpation
b. Shifting dullness over the abdomen on percussion
c. Bruit heard over the abdominal aorta on auscultation
d. Dullness over the suprapubic area on percussion a
,14. Which finding on a newborn infant suggests a con- genital anomaly?
a. The umbilical cord has one artery and one vein.
b. The umbilical cord is thick.
c. The umbilical cord is thin.
d. There is a small mass around the umbilicus. a
15. A 61-year-old man has a presenting complaint of frequent constipation. He tells the
examiner that there has been a change in his bowel movement habits—he gets constipated
easily, the stool is very "skinny looking," and it is a different color than usual. He denies pain.
What do these symptoms suggest?
a. Diverticulitis
b. Hepatitis B
c. Colon or rectal cancer
d. Pancreatitis c
16. The functional ability of the gastrointestinal tract most severely affected by aging is
a. motility.
, b. metabolism.
c. digestion.
d. catabolism. a
17. Which rule states that the farther away from the navel abdominal pain occurs, the more
likely it is to be of physical importance?
a. Reglan rule
b. Apley rule
c. Applegate rule
d. Romberg rule b
18. Ecchymosis of the flanks associated with pancreatitis is identified as which of the following
signs?
a. Grey Turner
b. Aaron
c. Dance
d. Markle a