NR509 week 5 2026/2027
Expert Verifed Ace the Test
abdomen examination - ANSWER ✔✔inspection, auscultation,
percussion, palpation
have the patient comfortable and supine with arms to their sides and an
empty bladder
abdomen percussion: tympanic - ANSWER ✔✔stomach, small
intestines, large intestines
drums-> drums are hollow
abdomen percussion: dull - ANSWER ✔✔liver, spleen, occasionally
intestines if there are large amounts of stool
thing
,dense
visceral pain - ANSWER ✔✔dull. poorly localized, felt in the midline.
occurs when noxious stimuli affects a viscus, for instance the stomach or
intestines. tension, stretching, and ischemia stimulate visceral pain
fibers. tissue congestion and inflammation likely sensitizes the nerve
endings and lower the threshold for stimuli. while pain from foregut
structures is generally felt in the epigastrium, midgut structures cause
periumbilical pain. handout structures causes lower abdominal pain.
gnawing, cramping, aching
systemic: sweating, pallor, n/v, restlessness
caused by stretched or distended hollow organs, difficult to localize
somatic/parietal pain - ANSWER ✔✔usually sharp, intense, discrete,
and localized. tends to aggravate on coughing or movement. arises from
noxious stimulation of the parietal peritoneum. pain is resulting from
ischemia, inflammation, or stretching of the parietal peritoneum is
transmitted to specific dorsal root ganglia on the same side and at the
same dermatomal level as the origin of the pain.
steady, aching, aggravated by movement
,caused by inflammation of the peritoneum, localized or widespread
appendicitis - ANSWER ✔✔visceral pain (appendix)
periumbilical pain (early) gradually changes to parietal pain in the RLQ
from inflammation of the adjacent parietal peritoneum
stomatitis - ANSWER ✔✔somatic pain (oral mucosa)
surgical incision pain - ANSWER ✔✔somatic pain (localized to
incision site)
IBS - ANSWER ✔✔visceral pain (bowels)
menstrual cramps - ANSWER ✔✔visceral pain (uterus)
pain from an abdominal hematoma - ANSWER ✔✔somatic pain
(localized)
RUQ - ANSWER ✔✔liver, gallbladder, pylorus, duodenum, hepatic
flexure of colon, head of pancreas
LUQ - ANSWER ✔✔spleen, splenic flexure of colon, stomach, body
and tail of pancreas
3
COPYRIGHT©JOSHCLAY 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, RLQ - ANSWER ✔✔cecum, appendix, ascending colon, terminal
ileum, right ovary
LLQ - ANSWER ✔✔sigmoid colon, descending colon, left ovary
acute abdominal pain - ANSWER ✔✔appendicitis, cholecystitis,
intestinal obstruction, gerd, nephrolithiasis, uti. peritonitis, diverticulitis
chronic abdominal pain - ANSWER ✔✔ibs, ibd, gerd, pud, cancer
heartburn - ANSWER ✔✔a symptom rather than a condition or
disease, occurs when the stomach acid flows up into the oesophagus
(acid reflux)
heartburn s/s - ANSWER ✔✔burning pain in the upper or middle
chest, burning sensation in the throat, a foul or acidic taste in the mouth,
worsening pain when laying down or bending over, difficultly swallowing,
feeling of food sticking in the middle of the chest or throat, coughing,
sore throat
heartburn causes - ANSWER ✔✔pregnancy, certain medications,
distal hernia, obesity, certain foods or drinks, stress, GERD
heartburn treatment - ANSWER ✔✔lifestyle changes, avoid common
triggers (spicy and fatty foods, caffeine, alcohol, smoking), limit portion
sizes, eat slowly, maintain a healthy weight, exercising regularly
Expert Verifed Ace the Test
abdomen examination - ANSWER ✔✔inspection, auscultation,
percussion, palpation
have the patient comfortable and supine with arms to their sides and an
empty bladder
abdomen percussion: tympanic - ANSWER ✔✔stomach, small
intestines, large intestines
drums-> drums are hollow
abdomen percussion: dull - ANSWER ✔✔liver, spleen, occasionally
intestines if there are large amounts of stool
thing
,dense
visceral pain - ANSWER ✔✔dull. poorly localized, felt in the midline.
occurs when noxious stimuli affects a viscus, for instance the stomach or
intestines. tension, stretching, and ischemia stimulate visceral pain
fibers. tissue congestion and inflammation likely sensitizes the nerve
endings and lower the threshold for stimuli. while pain from foregut
structures is generally felt in the epigastrium, midgut structures cause
periumbilical pain. handout structures causes lower abdominal pain.
gnawing, cramping, aching
systemic: sweating, pallor, n/v, restlessness
caused by stretched or distended hollow organs, difficult to localize
somatic/parietal pain - ANSWER ✔✔usually sharp, intense, discrete,
and localized. tends to aggravate on coughing or movement. arises from
noxious stimulation of the parietal peritoneum. pain is resulting from
ischemia, inflammation, or stretching of the parietal peritoneum is
transmitted to specific dorsal root ganglia on the same side and at the
same dermatomal level as the origin of the pain.
steady, aching, aggravated by movement
,caused by inflammation of the peritoneum, localized or widespread
appendicitis - ANSWER ✔✔visceral pain (appendix)
periumbilical pain (early) gradually changes to parietal pain in the RLQ
from inflammation of the adjacent parietal peritoneum
stomatitis - ANSWER ✔✔somatic pain (oral mucosa)
surgical incision pain - ANSWER ✔✔somatic pain (localized to
incision site)
IBS - ANSWER ✔✔visceral pain (bowels)
menstrual cramps - ANSWER ✔✔visceral pain (uterus)
pain from an abdominal hematoma - ANSWER ✔✔somatic pain
(localized)
RUQ - ANSWER ✔✔liver, gallbladder, pylorus, duodenum, hepatic
flexure of colon, head of pancreas
LUQ - ANSWER ✔✔spleen, splenic flexure of colon, stomach, body
and tail of pancreas
3
COPYRIGHT©JOSHCLAY 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, RLQ - ANSWER ✔✔cecum, appendix, ascending colon, terminal
ileum, right ovary
LLQ - ANSWER ✔✔sigmoid colon, descending colon, left ovary
acute abdominal pain - ANSWER ✔✔appendicitis, cholecystitis,
intestinal obstruction, gerd, nephrolithiasis, uti. peritonitis, diverticulitis
chronic abdominal pain - ANSWER ✔✔ibs, ibd, gerd, pud, cancer
heartburn - ANSWER ✔✔a symptom rather than a condition or
disease, occurs when the stomach acid flows up into the oesophagus
(acid reflux)
heartburn s/s - ANSWER ✔✔burning pain in the upper or middle
chest, burning sensation in the throat, a foul or acidic taste in the mouth,
worsening pain when laying down or bending over, difficultly swallowing,
feeling of food sticking in the middle of the chest or throat, coughing,
sore throat
heartburn causes - ANSWER ✔✔pregnancy, certain medications,
distal hernia, obesity, certain foods or drinks, stress, GERD
heartburn treatment - ANSWER ✔✔lifestyle changes, avoid common
triggers (spicy and fatty foods, caffeine, alcohol, smoking), limit portion
sizes, eat slowly, maintain a healthy weight, exercising regularly
