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

What does localized tenderness anywhere in the RLQ suggest?

<p>Appendicitis (B)</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 (B)</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 (D)</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 (B)</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 (D)</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 (C)</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 (C)</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 (A)</p> Signup and view all the answers

What is a positive obturator sign indicative of?

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

What is rebound tenderness used to assess?

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

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

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

Which condition involves noncontiguous inflammation of all tissue layers?

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

What is a positive obturator sign indicative of?

<p>Inflamed appendix in the pelvis (A)</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 (C)</p> Signup and view all the answers

What is rebound tenderness used to assess?

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

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

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

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