GI Quiz 6
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Questions and Answers

What is the significance of RLQ (right lower quadrant) abdominal pain combined with nausea, vomiting, and loss of appetite?

  • It suggests ruptured ovarian follicle
  • It is a sign of ectopic pregnancy
  • It is suspicious for appendicitis (correct)
  • It indicates pelvic inflammatory disease (PID)

    • Where is McBurney point located?

  • At the center of the abdomen
  • At the level of the xiphoid process
  • In the left lower quadrant
  • 2 in from the anterior superior iliac spine on a line drawn from that process to the umbilicus (correct)

    • What does a positive Rovsing sign indicate?

  • Pain in the umbilical region during palpation
  • Pain in the RLQ during left-sided pressure (correct)
  • Pain in the epigastric region during palpation
  • Pain in the LLQ during right-sided pressure

    • How is the psoas sign assessed?

    <p>Place your hand just above the patient’s right knee and ask the patient to raise that thigh against your hand</p> Signup and view all the answers

    What does localized tenderness anywhere in the RLQ suggest?

    <p>Appendicitis</p> Signup and view all the answers

    What is the significance of involuntary muscular rigidity and signs of peritoneal inflammation?

    <p>They may replace early voluntary guarding</p> Signup and view all the answers

    What is the action for assessing referred rebound tenderness?

    <p>Press deeply and evenly in the LLQ, then quickly withdraw your fingers</p> Signup and view all the answers

    What is the significance of RLQ pain on quick withdrawal or deferred rebound tenderness?

    <p>It suggests appendicitis</p> Signup and view all the answers

    What is the significance of pain in the RLQ during left-sided pressure?

    <p>It is a positive Rovsing sign</p> Signup and view all the answers

    What is the significance of assessing the psoas sign?

    <p>To check for inflammation in the iliopsoas muscle</p> Signup and view all the answers

    What is the significance of pain in the RLQ, even in the right flank?

    <p>It suggests appendicitis</p> Signup and view all the answers

    Which muscle is implicated if a patient experiences increased abdominal pain when the thigh at the hip is flexed?

    <p>Psoas muscle</p> Signup and view all the answers

    What is a positive obturator sign indicative of?

    <p>Inflamed appendix in the pelvis</p> Signup and view all the answers

    What is the significance of guarding in peritonitis?

    <p>It is a voluntary contraction of the abdominal wall</p> Signup and view all the answers

    What is rebound tenderness used to assess?

    <p>Peritoneal inflammation</p> Signup and view all the answers

    What may an exaggerated 'pot-belly appearance' indicate?

    <p>Malabsorption from celiac disease</p> Signup and view all the answers

    Which condition involves noncontiguous inflammation of all tissue layers?

    <p>Crohn disease</p> Signup and view all the answers

    What may pain in the LLQ accompanied by diarrhea in a patient with a history of constipation suggest?

    <p>Diverticulitis</p> Signup and view all the answers

    What does a positive psoas sign suggest?

    <p>Irritation of the right psoas muscle by an inflamed retrocecal appendix</p> Signup and view all the answers

    What is a positive obturator sign indicative of?

    <p>Inflamed appendix in the pelvis</p> Signup and view all the answers

    What is the significance of guarding in peritonitis?

    <p>It is a voluntary contraction of the abdominal wall</p> Signup and view all the answers

    What is rebound tenderness used to assess?

    <p>Peritoneal inflammation</p> Signup and view all the answers

    What may an exaggerated 'pot-belly appearance' indicate?

    <p>Malabsorption from celiac disease</p> Signup and view all the answers

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