Physical Findings in Abdominal Conditions Quiz
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Questions and Answers

What is the most common cause of acute abdomen?

  • Acute cholecystitis
  • Nonspecific abdominal pain
  • Bowel obstruction (correct)
  • Appendicitis
  • Which condition is characterized by sudden spontaneous abdominal pain and may require surgical treatment?

  • Nonspecific abdominal pain
  • Ruptured ectopic pregnancy (correct)
  • Diverticulitis
  • Myocardial infarction
  • What is the common location of pain for visceral pain associated with acute abdomen?

  • Right upper quadrant
  • Left lower quadrant
  • Epigastrium (correct)
  • Left upper quadrant
  • Which condition presents with abdominal pain that is not well-localized, dull, and slow in onset, typically in the midline?

    <p>Nonspecific abdominal pain</p> Signup and view all the answers

    Which condition can mimic the symptoms of acute abdomen but does not originate from a non-traumatic disorder?

    <p>Myocardial infarction</p> Signup and view all the answers

    Which of the following is not a common cause of acute abdomen?

    <p>Peptic ulcer disease</p> Signup and view all the answers

    What is the definitive surgical treatment for a ruptured aortic aneurysm in the context of acute abdomen?

    <p>Exploratory laparotomy</p> Signup and view all the answers

    Which clinical finding indicates the need for emergency surgical treatment in acute abdomen?

    <p>Generalized peritonitis</p> Signup and view all the answers

    In the context of acute abdomen, what radiological finding suggests acute mesenteric ischemia?

    <p>Extravasation of contrast</p> Signup and view all the answers

    What is the preoperative management approach for a patient with acute abdomen and suspicion of intestinal ischemia?

    <p>Consider nasogastric tube and urinary catheter</p> Signup and view all the answers

    Which type of pain is characterized by acute, sharp, and better localized pain?

    <p>Parietal pain</p> Signup and view all the answers

    In which condition does pain typically proceed vomiting as an associated symptom?

    <p>Acute pancreatitis</p> Signup and view all the answers

    Which condition is characterized by pain that shifts from the epigastrium to the right shoulder?

    <p>Biliary colic</p> Signup and view all the answers

    What condition is associated with rapid onset of severe constant pain?

    <p>Acute cholangitis</p> Signup and view all the answers

    Which condition is likely to cause blood-stained diarrhea as an associated symptom?

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

    What type of physical examination technique involves tapping on the abdomen to elicit pain?

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

    Which sign is associated with tenderness in the right lower quadrant of the abdomen and is indicative of appendicitis?

    <p>McBurney sign</p> Signup and view all the answers

    In the context of acute abdomen, which condition is associated with intestinal tissue death due to reduced blood supply?

    <p>Intestinal ischemia</p> Signup and view all the answers

    Which of the following is a common cause of acute abdomen characterized by inflammation of the abdominal organs?

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

    Which physical finding is indicative of an underlying abscess in the abdomen?

    <p>Costovertebral angle tenderness</p> Signup and view all the answers

    Which imaging study is typically used as a routine exam in patients not clearly indicated for surgery?

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

    What is one of the most misdiagnosed conditions in older patients presenting with acute abdomen?

    <p>Acute cholecystitis</p> Signup and view all the answers

    In young women, which condition is often mistaken for acute appendicitis?

    <p>Ovarian cyst complication</p> Signup and view all the answers

    What is a common medical (non-surgical) cause of acute abdomen related to endocrine and metabolic issues?

    <p>Diabetic crisis</p> Signup and view all the answers

    Which imaging study is often used in the diagnosis of liver and biliary pathologies?

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

    What physical finding is characteristic of an abdominal abscess?

    <p>Diminished bowel sounds</p> Signup and view all the answers

    Which physical finding is indicative of intestinal obstruction?

    <p>Distention with hyperperistalsis leading to a quiet abdomen</p> Signup and view all the answers

    What laboratory test is essential in cases of suspected intestinal ischemia/strangulation?

    <p>Arterial blood gases</p> Signup and view all the answers

    What physical finding may indicate bleeding due to hypovolemia?

    <p>Pallor and cold clammy extremities</p> Signup and view all the answers

    Which imaging study is not typically used in the evaluation of acute abdomen?

    <p>Concentrated urine (specific gravity)</p> Signup and view all the answers

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