Abdomen (Book)

Question 1

Bluish of purplish discoloration on the abdominal flanks.

Answer 1

Grey Turner sign

Question 2

Dilated surface arterioles and capillaries with a central star.

Answer 2

Spider angioma

Question 3

Dark bluish-pink striae

Answer 3

Cushing syndrome

Question 4

Excess scar tissue

Answer 4

Keloids

Question 5

Reddish or purple lesions

Answer 5

Petechiae

Question 6

A bluish or purple discoloration around the umbilicus (periumbilical ecchymosis) indicates intra-abdominal bleeding.

Answer 6

Cullen’s sign

Question 7

Enlarged, everted umbilicus

Answer 7

umbilical hernia

Question 8

Protrusion of the bowel through the abdominal wall.

Answer 8

Hernia

Question 9

Appears as a bulge between a vertical midline separation of the abdominis rectus muscles.

Answer 9

Diastasis recti

Question 10

Occur when a defect develops in the abdominal muscles because of a surgical incision.

Answer 10

Incisional hernia

Question 11

Diminished abdominal respiration or change to thoracic breathing in male clients.

Answer 11

Peritoneal irritation

Question 12

Vigorous, wide, exaggerated pulsations.

Answer 12

Abdominal aortic aneurysm

Question 13

Increased and progress in a ripple-like fashion from the LUQ to the RLQ with intestinal obstruction (especially small intestine).

Answer 13

Peristaltic wave

Question 14

They have a high- pitched, rough, grating sound produced when the large surface area of the liver or spleen rubs the peritoneum. They are heard in association with respiration.

Answer 14

Friction rub

Question 15

A friction rub heard over the lower right costal area is associated with _____.

Answer 15

hepatic abscess or metastases.

Question 16

A rub heard at the anterior axillary line in the lower left costal area is associated with _____.

Answer 16

splenic infarction, abscess, infection, or tumor

Question 17

A liver span that exceeds normal limits (enlarged).

Answer 17

Hepatomegaly

Question 18

Atrophy of the liver is indicated by a decreased span.

Question 19

_____ is characterized by an area of dullness greater than 7 cm wide.

Answer 19

Splenomegaly

Question 20

On inspiration, dullness at the last left interspace at the AAL suggests an _____>

Answer 20

enlarged spleen

Question 21

Tenderness or sharp pain elicited over the CVA suggests kidney infection (_____), _____, or _____.

Answer 21

(pyelonephritis), renal calculi, or hydronephrosis.

Question 22

Right-sided guarding may be due to _____.

Answer 22

cholecystitis

Question 23

A prominent, laterally pulsating mass above the umbilicus with an accompanying audible bruit _____.

Answer 23

Aortic aneurysm

Question 24

A liver more than 1–3 cm below the costal margin is considered enlarged.

Question 25

Tenderness accompanied by peritoneal inflammation or capsular stretching is associated with _____.

Answer 25

splenic enlargement

Question 26

Often is a sign of severe liver disease due to portal hypertension (high pressure in the blood vessels of the liver and low albumin levels)

Answer 26

Ascites

Question 27

The client has _____ when the client perceives sharp, stabbing pain as the examiner releases pressure from the abdomen.

Answer 27

rebound tenderness

Question 28

Pain in the RLQ during pressure in the LLQ is a positive Rovsing sign. It suggests _____

Answer 28

Acute appendicitis

Question 29

Pain in the RLQ (_____) is associated with irritation of the iliopsoas muscle due to appendicitis (an inflamed appendix).

Answer 29

Psoas sign

Question 30

Pain or an exaggerated sensation felt in the RLQ is a positive_____ test and may indicate appendicitis.

Answer 30

skin hypersensitivity

Question 31

Accentuated sharp pain that causes the client to hold their breath (inspiratory arrest) is a positive _____ and is associated with acute _____.

Answer 31

Murphy sign acute cholecystitis (Inflammation of the Gallbladder).

Question 32

Pain in RLQ when leg is hyperextended

Answer 32

Psoas sign

Question 33

Pain in the RLQ when hip and knee are flexed and leg is rotated internally and externally.

Answer 33

Obturator sign

Question 34

Pain elicited when pressure is applied under the liver border at the right costal margin and client inhales deeply.

Answer 34

Murphy sign

Question 35

Pain in the RLQ during pressure in the LLQ

Answer 35

Rovsing sign

Question 36

Abdominal pain or tenderness experienced when examiner tests for rebound tenderness by palpating deeply at 90 degrees into the abdomen halfway between the umbilicus and the anterior iliac crest (McBurney point).

Answer 36

Blumberg sign or Rebound sign