49 Questions
Where is McBurney Point located?
Between the umbilicus and right anterior superior iliac spine
What is the purpose of the Heel Jar (Markle) test?
To assess for appendicitis
Which condition is indicated by pain with palpation at McBurney Point?
Appendicitis
Which medical sign involves pain upon extension of the right thigh?
Psoas sign
Which sign in the abdomen is associated with flexing and internally rotating the right hip?
Obturator sign
Which test requires the patient to stand on tiptoes and then drop to their heels while the examiner strikes the patient's heel with their fist?
Heel Jar (Markle) test
Which of the following is the correct way to perform the Rebound Tenderness test?
Press gently and deeply into the abdomen in a region remote from the focus of pain, then rapidly withdraw the hand/fingers.
What is the correct way to perform the Psoas Sign test for appendicitis?
Have the patient extend their leg at the hip against resistance while in the lateral decubitus position.
Which of the following is the correct way to perform the Obturator Sign test for appendicitis?
Have the patient flex their right leg at the hip to 90 degrees, then grasp the leg just above the knee and at the ankle and internally rotate the hip.
Where is the McBurney Point located on the abdomen?
In the right lower quadrant, approximately one-third of the way from the umbilicus to the anterior superior iliac spine.
What is the purpose of the Heel Jar Test?
To assess for rebound tenderness in the abdomen.
Which of the following is the MOST important step in performing the Psoas Sign test for appendicitis?
Having the patient extend their leg at the hip against resistance.
Which abdominal examination test assesses for pain upon internal rotation of the right thigh?
Obturator sign
Which abdominal examination test assesses for pain upon sudden release of deep palpation in the right lower quadrant?
Rebound tenderness
Which abdominal examination test assesses for pain upon extension of the right leg while the patient is lying on their left side?
Psoas sign
Which abdominal examination test involves flexing the patient's right hip against resistance to elicit pain in the right lower quadrant?
Psoas sign
Which abdominal examination test is performed by striking the patient's heel while they are lying supine?
Heel jar test
Which abdominal examination test examines for tenderness at McBurney's point in cases of suspected appendicitis?
Rebound tenderness
Which of the following is the most accurate description of rebound tenderness?
Pain that intensifies when the examiner quickly releases pressure on the abdomen
What is the Psoas Sign used to assess?
Appendicitis
Which of the following is the best description of the Obturator Sign?
Pain upon internal rotation of the hip due to inflammation of the obturator internus muscle
What is the purpose of the Heel Jar Test in abdominal examination?
To assess for peritoneal inflammation
Where is McBurney's Point located, and what is its significance?
Right lower quadrant, indicative of appendicitis
Which of the following is the correct order of steps in performing an abdominal examination?
Inspection, auscultation, percussion, palpation
Which of the following is the most accurate description of the Psoas Sign?
Involuntary flexion of the right hip and knee due to spasm of the iliopsoas muscle, indicating potential retrocecal appendicitis.
What is the Obturator Sign used to assess?
Pain or discomfort elicited by internal rotation of the flexed right thigh, which may indicate an inflamed obturator internus muscle due to appendicitis.
Which of the following is the most accurate description of the Heel Jar Test?
Applying sudden pressure to the heel of the patient's foot while their knee is extended, to assess for potential hip fracture or dislocation.
Which of the following is the most accurate description of McBurney's Point?
A point in the right lower quadrant, approximately one-third of the way from the anterior superior iliac spine to the umbilicus, where tenderness may indicate appendicitis.
Which of the following is the most accurate description of rebound tenderness?
Tenderness that increases after the examiner's hand is removed from the abdomen, suggesting peritoneal inflammation.
Which of the following is the correct sequence for performing the abdominal examination?
Inspection, percussion, auscultation, palpation.
What is the purpose of percussing the costovertebral angle (CVA) during the abdominal exam?
To elicit the Psoas Sign and evaluate for potential appendicitis.
Which of the following is the most accurate description of the Obturator Sign?
Pain or discomfort in the lower abdomen or groin upon flexion and internal rotation of the hip, suggesting pelvic pathology.
What is the purpose of the Heel Jar Test during the abdominal exam?
To assess for rebound tenderness and potential peritonitis.
What is the significance of McBurney's Point during the abdominal exam?
It is the location of the appendix base, and tenderness here is a classic sign of appendicitis.
What is the appropriate maneuver to assess the liver during palpation?
Pressing inward and downwards with the right hand
How should the spleen be assessed during an abdominal exam?
Palpate inward with right hand towards the axilla
What is the correct method to palpate the kidneys during an abdominal examination?
Pressing palms together to capture kidneys above the hands
How should one assess the width of the abdominal aorta during palpation?
Span width of aorta with fingertips and palpate gently
What is a key aspect to consider during a genitourinary system exam?
Auscultate for friction rubs along with prostate assessment
What is the expected percussion sound over the spleen during an abdominal examination?
Dull
In the context of abdominal examination, what is the significance of percussion over the costovertebral angle?
Assess for tenderness over kidneys
What is the primary aim of percussing in all 4 quadrants during an abdominal exam?
Detect fluid masses in the abdomen
How would you describe the expected sound when percussing over solid areas during an abdominal examination?
Dull
When performing an abdominal exam, what does the presence of borborygmi indicate?
Increased peristalsis
Which of the following is the proper technique for palpating the liver?
With the patient supine, place your left hand behind the patient's back and your right hand in the right upper quadrant, pressing gently and having the patient take a deep breath
Which of the following is the correct method for palpating the spleen?
Have the patient lie on their right side and palpate along the left midaxillary line
Which of the following techniques is used to palpate the kidneys?
Palpation along the costovertebral angles while the patient is seated
How is the abdominal aorta palpated during a physical examination?
With the patient supine, palpate deeply in the periumbilical region using the flat portion of your fingers
Which of the following is the proper technique for examining the male genitourinary system?
Inspect the external genitalia, then perform a digital rectal exam to palpate the prostate
Test your knowledge of medical tests and procedures with this quiz. Learn about the Markle Test, McBurney Point, and other diagnostic techniques related to peritoneal signs and abdominal pain.
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