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

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

<p>Peptic ulcer disease (A)</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 (D)</p> Signup and view all the answers

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

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

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

<p>Extravasation of contrast (C)</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 (A)</p> Signup and view all the answers

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

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

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

<p>Acute pancreatitis (D)</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 (A)</p> Signup and view all the answers

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

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

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

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

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

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

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

<p>Costovertebral angle tenderness (B)</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 (B)</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 (C)</p> Signup and view all the answers

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

<p>Ovarian cyst complication (B)</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 (A)</p> Signup and view all the answers

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

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

What physical finding is characteristic of an abdominal abscess?

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

Which physical finding is indicative of intestinal obstruction?

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

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

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

What physical finding may indicate bleeding due to hypovolemia?

<p>Pallor and cold clammy extremities (D)</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) (A)</p> Signup and view all the answers

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