34 Questions
What is the primary purpose of emptying the bladder before a physical examination of the abdomen?
To avoid chilling and tensing of muscles
What is the term for the protrusion of abdominal viscera through an abnormal opening in the muscle wall?
Hernia
Why should the stethoscope endpiece be warmed before examining the abdomen?
To avoid muscle guarding
What is the term for a hard nodule in the umbilicus that occurs with metastatic cancer of the stomach, large intestine, or ovary?
Sister Mary Joseph nodule
What is the purpose of inspecting the symmetry of the abdomen during a physical examination?
To note any localized bulging or asymmetric shape
What is the correct order of examination during a physical examination of the abdomen?
Inspection, palpation, percussion, auscultation
What is the reason for the change in percussion note from tympanic to dull as you reach the fluid level?
The change in density of the abdominal contents
What is the significance of the umbilicus in rebound tenderness?
It is the site of initial pain
What is the purpose of asking the patient to raise their right thigh against your hand in the psoas sign?
To contract the psoas muscle
What is the purpose of rolling the patient onto their right side during the shifting dullness test?
To allow the fluid to gravitate to the dependent side
What is the characteristic of a normal response in rebound tenderness?
No pain on release of pressure
What is the purpose of percussing down the side of the abdomen during the shifting dullness test?
To detect the presence of ascites
What is the primary concern related to appetite in this context?
Loss of appetite
What is the primary purpose of palpating the abdomen?
To delineate the liver edge, kidneys, and abdominal masses
During palpation of the liver, which of the following is NOT a normal finding?
Feeling a mass in the RUQ
What is the significance of inquiring about food intolerance?
To identify foods that trigger digestive issues
What is the purpose of the hooking technique in palpating the liver?
To feel the liver edge bump the fingertips
Why is it essential to ask about nausea and vomiting?
To identify the severity of digestive issues
What is the purpose of inquiring about bowel habits?
To assess the patient's overall digestive health
What is the primary reason for palpating the spleen?
To diagnose splenomegaly
Why is it crucial to ask about medication use?
To identify potential medication interactions
What is the characteristic of an enlarged spleen?
It is soft and friable
What is the purpose of the 'duckbill' position in palpating the right kidney?
To press the two hands together firmly
What is the significance of inquiring about the patient's vices?
To identify potential contributors to digestive issues
In an adult, what is a common condition associated with the development of a hernia?
Chronic intrathoracic pressure
What is the purpose of the fluid wave test in assessing for ascites?
To identify the presence of fluid in the abdomen
What is the result of a positive fluid wave test?
A distinct tap on the left hand
What is the characteristic presentation of a diastasis recti?
A midline longitudinal ridge
What is the recommended course of action for a mos hernia in a child?
Observing for spontaneous resolution by 1 year
What is the normal width of the aortic pulsation in the adult?
2.5 to 4 cm
What is the diagnostic maneuver used to reveal an incisional hernia?
Increasing intra-abdominal pressure by a sit-up
What is the result of a negative fluid wave test?
No change in the abdomen
What is the significance of a diastasis recti?
It is not clinically significant
What is the characteristic presentation of an epigastric hernia?
A small, fatty nodule at the midline epigastrium
Evaluate your digestive health by answering questions about your appetite, weight, and swallowing difficulties. This quiz helps identify potential issues with your gastrointestinal system.
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