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veins were noted especially in the mid and upper abdomen. This condition is associated with: A patient is experiencing a dull achy pain in the epigastric area with eating. This type pain is consistent with: a gastric ulcer. A patient presents with right upper quadrant and upper abdom...
veins were noted especially in the mid and upper abdomen. This condition is associated with: A patient is experiencing a dull achy pain in the epigastric area with eating. This type pain is consistent with: a gastric ulcer. A patient presents with right upper quadrant and upper abdominal pain. Acute cholecystitis is suspected because the pain radiates to the: right scapula area. When performing an examination of the rectal area, a linear tear at the anal opening was observed. This could be indicative of: an anal fissure. Which type of hepatitis is most commonly transmitted from infected mothers to infants at the time of birth? Hepatitis B When examining the abdomen, which of the following symptoms would be suggestive of appendicitis? Pain localized halfway between the umbilicus and the right iliac crest When assessing a preschooler's mouth, the number of deciduous teeth seen should be: 16-20. Which of the following symptoms are indicators of dehydration in a four-year-old Thirst and urine specific gravity of 1.038 child? A positive obturator sign would elicit pain in the: right hypogastric area. A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with: cancer of the sigmoid colon. Stools that appear black, tarry, and sticky are referred to as: melena. Abdominal percussion is performed to assess: density of tissues and organs. When performing a digital rectal exam, a soft, pedunculated lesion is palpated. This finding is most likely: a rectal polyp. A 30-year-old male presents with generalized abdominal pain. With flexion of the legs at the hip an increase in his abdominal pain is noted. This finding elicited a positive: psoas sign. A patient was instructed to point to the location of his pain. He pointed to just below the sternoclavicular notch which likely indicates: esophageal dysphagia. Which one of the following symptoms is seen in infants with pyloric stenosis? Visible peristalsis When performing a rectal exam, a purulent bloody anorectal fistula. discharge mixed with fecal matter is oozing from the rectum. This finding is most consistent with a: A 9-month-old who has been a healthy, thriving infant presents with a poor appetite, two episodes of vomiting, three bloody stools with mucus and knees drawn to the abdomen with screaming. These are clinical manifestations of: intussusception. Helminths can be transmitted by: the bite of a blood-sucking insect. During palpation of the abdomen, right lower quadrant pain is elicited by applying pressure to the left side of the abdomen. This technique elicited a positive: Rovsing's sign. Which of the following assessment findings is a result of the presence of a stone in the common bile duct? Jaundice On auscultation of the abdomen, rushes of highpitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with: intestinal obstruction. A 55-year-old patient visits the nurse practitioner for an annual exam. Stool sample adenomatous polyps. revealed hematochezia. The patient is otherwise asymptomatic. This finding could be associated with: If a patient describes his stool as thin and "pencil-like", this could be associated with: a lesion in the sigmoid colon. Indicators of oropharyngeal dysphagia include all of the following symptoms except: vomiting. A patient complains of an unpleasant abdominal fullness after a light meal. This complaint may be consistent with: diabetic gastroparesis. Bowel sounds may be increased in the presence of: early intestinal obstruction. An enlarged liver with a smooth tender edge may suggest: right-sided heart failure. A 40-year-old female presents with generalized abdominal pain and nausea. During the abdominal exam she exhibits inspiratory arrest with deep palpation of the upper right quadrant of the abdomen. This maneuver exhibits a positive: Murphy's sign. Of the five percussion notes, which one produces a drumlike sound heard over air filled structures during the abdominal examination? Tympany When performing a rectal rectal carcinoma. exam, a firm mass with an irregular border is palpated approximately two inches inside the rectum. This finding could be indicative of: A feeling of constantly needing to pass stool is termed: tenesmus. Sarcopenia is: loss of lean body mass and strength with aging. A patient complains of severe epigastric pain that radiates to the posterior trunk and entire abdomen. This type of pain can be suggestive of: acute pancreatitis. The most appropriate position for the patient when performing a rectal exam and one that allows for optimal examination, is the: lateral decubitus position. Pain of duodenal or pancreatic origin may be referred to the: back. An enlarged liver with a firm, non-tender edge may be suggestive of: cirrhosis. When examining the buttocks and rectum, a small tuft of hair surrounded by a halo of erythema was observed at the sacral area. This finding is most likely: a pilonidal cyst. Ecchymosis of the abdominal wall is usually seen in persons intraperitoneal hemorrhage. with: Examination of the abdomen reveals a small midline protrusion in the linea alba. This finding is consistent with an: epigastric hernia. A 30 year old patient complains of frequent belching, pain in the area below the sternum mostly after eating, and increased salivation. These symptoms are often seen in patients who have: gastroesophageal reflux. Lower abdominal pain accompanied by fever or shock in older adults could be consistent with: ischemic colitis. When percussing the right upper quadrant of the abdomen, a dull mediumpitched sound is heard. The area being percussed is probably the: liver. A patient presents with chest pain and moves his hand from the neck to the epigastrium. This gesture could be suggestive of: gastroesophageal reflux. When performing a rectal exam, a reddish, moist, protruding mass is noted at the anal opening. This finding is most likely a(n): a prolapsed internal hemorrhoid. Spider angiomas, palmar liver disease. erythema, and Terry's nails can be associated with: Signs and symptoms associated with diabetic gastroparesis may include all of the following except: diarrhea. Atypical respiratory symptoms associated with gastroesophageal disease (GERD) may include all of the following except: rhinitis. A patient presents with complaints of black tarry stools for the last week. This symptom is seen in conditions related to the: ascending colon. A patient visits the nurse practitioner for complaints of passing bloody stools over the past few weeks. He denies abdominal pain or fever. Further questioning reveals that when he passes stool, he notices blood dripping in the toilet. These symptoms could be consistent with: hemorrhoids. A patient presents with complaints of burning sensation in the sternal area. He states it is aggravated by alcohol, chocolate, and coffee. This finding is: heartburn. When there is a sudden obstruction caused by a gallstone in the common bile epigastric or right upper quadrant with radiation to duct or the cystic duct, the pain is usually felt in the: the right scapula and shoulder. When percussing a protuberant abdomen, tympany is audible. This is consistent with all of the following conditions except: a large solid tumor. A 35-year-old male visits the nurse practitioner for complaints of a fullness in his lower abdomen. He states that he noticed it a few days ago when he was working out at the gym. At times it feels like a round lump in his groin. Examination reveals a protrusion under the skin near the right groin area. This finding could be suggestive of an: inguinal hernia. Palpation of the liver reveals an enlargement that is firm with an irregular edge. This finding may be suggestive of: hepatocellular carcinoma. Risk factors associated with Hepatitis B include all of the following except: travelers to endemic areas. Bowel sounds may be decreased in the presence of: peritonitis. Percussion of the abdomen should be avoided when: an abdominal aneurysm is suspected. Peritoneal inflammation produces abdominal pain and Ask the patient to cough prior to
