clinical examination abdomen

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Questions and Answers

During palpation, it is important to start with light superficial palpation away from any site of pain.

  • True (correct)
  • False

Which technique can be used to determine if a mass is superficial and in the abdominal wall rather than within the abdominal cavity?

  • Moderate palpation
  • Testing abdominal muscle tone (correct)
  • Deep palpation
  • Palpation of specific organs and structures

Which point is used to determine the projection of pain originating from the gallbladder?

  • Mc Barny's point
  • Bazy's points
  • Murphy's point (correct)
  • Raumond's point

When palpating the liver, it is normally not palpable and should be assessed using bimanual palpation.

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

Which technique is used to assess the size and density of organs in the abdomen and detect the presence of fluid or solid masses?

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

What is the predominant sound heard during percussion of the abdomen?

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

Which level of the abdomen is located in the epigastrium?

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

Which region is included in the right upper quadrant of the abdomen?

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

What does an expanded abdomen indicate?

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

What does the absence of bowel sounds imply?

<p>All of the above (D)</p> Signup and view all the answers

Where can venous murmurs in cirrhosis of the liver be heard?

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

What does a rubbing sound in the abdomen indicate?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is the correct sequence of the core examination skills during the abdominal examination?

<p>Inspection, auscultation, percussion, palpation (C)</p> Signup and view all the answers

During the abdominal examination, what should the examiner pay careful attention to?

<p>The patient's comfort level (A)</p> Signup and view all the answers

When is the abdominal examination performed?

<p>Only when a patient presents with signs or symptoms of an abdominal disease process (C)</p> Signup and view all the answers

What are the additional procedures used during the abdominal examination?

<p>Percussion and auscultation (A)</p> Signup and view all the answers

Who is the author of the text?

<p>Prof.dr.Gordana Kamceva Mihailova FMN – UGD, Shtip (C)</p> Signup and view all the answers

What is the year mentioned in the text?

<p>2023 (D)</p> Signup and view all the answers

Which organ lies under the left diaphragmatic dome behind the mid-axillary line?

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

What physical finding suggests the presence of ascites?

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

Which pain point is located at the angle between the linea paravertebralis and the twelfth rib?

<p>Costo-vertebral pain point (A)</p> Signup and view all the answers

Where are Lanz's points located?

<p>In the projection of the junction of the middle with the outer thirds of the line passing through the two spinae iliacae anterior superior (D)</p> Signup and view all the answers

What is the correct position for a rectal examination?

<p>Left lateral position (D)</p> Signup and view all the answers

What should be done if anal spasm occurs during a rectal examination?

<p>Use a local anaesthetic suppository or gel (A)</p> Signup and view all the answers

During a rectal examination, what should be assessed in men?

<p>The size, shape, and consistency of the prostate (A)</p> Signup and view all the answers

What should be assessed in women during a rectal examination?

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

When should the rectal examination be repeated if the rectum contains feces?

<p>After the patient has defecated (C)</p> Signup and view all the answers

What should be assessed during percussion in a physical examination of the kidneys?

<p>The pain sensitivity of the kidneys (D)</p> Signup and view all the answers

What is the normal finding for succussio renalis in a physical examination of the kidneys?

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

What is the purpose of auscultating the renal arteries during a physical examination of the kidneys?

<p>To listen for a systolic murmur in the groin area (C)</p> Signup and view all the answers

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