Abdomen

Question 1

4 major vascular structures

Answer 1

aorta, renal arteries, iliac arteries, femoral arteries

Question 2

organs in RLQ

Answer 2

Appendix

Question 3

organs in RUQ

Answer 3

liver, gallbladder

Question 4

organs in LUQ

Answer 4

Stomach, spleen

Question 5

organs in LLQ

Answer 5

Descending colon

Question 6

hematochezia means

Answer 6

red blood in stool

Question 7

melena means

Answer 7

black stool

Question 8

steatorrhea means

Answer 8

fatty stool (floating)

Question 9

order of abdomen assessment

Answer 9

IAPP, inspection, auscultation, percussion and palpation

Question 10

scaphoid abdominal profile

Answer 10

abdomen goes inward, caving

Question 11

rounded abdominal profile

Answer 11

abdomen is rounded, slightly raised

Question 12

protuberant abdominal profile

Answer 12

abdomen is bulged, pregnant

Question 13

flat abdominal profile

Answer 13

abdomen is flat, straight line

Question 14

normal sounds when percussing the abdomen

Answer 14

tympany, drum-like

Question 15

Where is the costovertebral angle (CVA)

Answer 15

back, over 12th rib

Question 16

how to assess CVA

Answer 16

indirect/blunt percussion

Question 17

CVA tenderness means

Answer 17

renal inflammation or disease (kidneys)

Question 18

where to start auscultation on the abdomen

Answer 18

RLQ, move clockwise

Question 19

Normoactive (normal) bowel sounds

Answer 19

high pitched gurgles or clicks, 5 - 15 a minute irregularly

Question 20

hyperactive bowel sounds

Answer 20

loud, rushing, sound, increased frequency

Question 21

hypoactive bowel sounds

Answer 21

decrease in loudness, tone, and frequency

Question 22

what do bruits in the abdomen indicate

Answer 22

hepatic cirrhosis

Question 23

light palpation of the abdomen

Answer 23

1cm deep, looking for tenderness

Question 24

deep palpation of the abdomen

Answer 24

5-8 cm deep, looking for masses, uses 2 hands

Question 25

rebound tenderness or blumberg’s sign tests for

Answer 25

peritoneal inflammation

Question 26

how to asses for rebound tenderness

Answer 26

press deeply, then quickly release. pain when releasing is a positive sign

Question 27

what is rovsing sign

Answer 27

LLQ palpation causes pain in RLQ

Question 28

sign of acute appendicitis

Answer 28

pain localizing to RLQ

Question 29

sign of acute cholecystits (inflamed gallbladder)

Answer 29

localized RUQ pain and jaundice

Question 30

sign of acute renal colic

Answer 30

severe flank pain, kidney stones, cramping pain