CMS E-learning modules week 8-12

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Questions and Answers

What is the rationale behind auscultating in all four quadrants of the abdomen when listening for bowel sounds?

  • Normoactive sounds are detected in the right lower quadrants, but tend to become hypoactive in the lower left quadrant.
  • The majority of medical schools continue to teach abdominal auscultation in all four quadrants. (correct)
  • Absent bowel sounds are an important diagnostic finding for peritonitis, which is an emergent condition.
  • The research has found significant differences in sounds in different areas of the abdomen.

Which of the following is not a method for relaxing the patient’s abdominal muscles prior to or during deep palpation of the abdomen?

  • Ensuring the clinician’s hands are warm.
  • Having the patient’s arms at their sides.
  • Encouraging the patient to breathe deeply. (correct)
  • Having the clinician’s knees bent.

Which of the following is correct when assessing the size of a patient’s liver?

  • Liver span on the midclavicular line is 4-8 cm.
  • The lower edge of a healthy liver is typically palpated on the midclavicular line below the level of the umbilicus.
  • The third intercostal space is typically dull when percussed in a healthy liver.
  • A healthy liver may not be palpable upon patient inspiration if it doesn’t extend beyond the costal margin. (correct)

A patient presents with abdominal pain. Upon observation, you notice a distended abdomen with bulging flanks. Which of the following would be the most correct physical exam technique to help you determine if this patient has ascites?

<p>Percussing the center of the abdomen to the flank until dullness is heard, then have the patient roll onto their side and percuss again at that same location. (D)</p> Signup and view all the answers

What is the correct location of McBurney’s Point?

<p>Two thirds of the way along a line drawn from the umbilicus to the anterior superior iliac spine. (B)</p> Signup and view all the answers

The isthmus of the thyroid gland lies directly underneath which hard landmark?

<p>Cricoid cartilage (B)</p> Signup and view all the answers

Which lymph nodes are often not palpable?

<p>Deep Cervical Lymph Nodes. (B)</p> Signup and view all the answers

Which statement is incorrect concerning lymph nodes?

<p>Tender lymph nodes suggest malignancy. (C)</p> Signup and view all the answers

What anatomical borders make the Traube's space?

<p>6th rib, left costal margin, anterior axillary line. (A)</p> Signup and view all the answers

What indicates a positive Castell's sign?

<p>Change of tympany to dullness upon inspiration. (A)</p> Signup and view all the answers

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