Abdominal

Question 1

What quadrant is the appendix in

Answer 1

right lower quadrant

Question 2

what organs are solid viscera

Answer 2

liver
pancreas
spleen
kidneys
adrenal glands
ovaries
uterus

Question 3

what organs are hollow viscera

Answer 3

stomach
gall bladder
small intestine
colon
bladder

Question 4

what is pyrosis

Answer 4

heartburn

Question 5

what is the sequence for abd assessment

Answer 5

inspection
auscultation
percussion
palpation

Question 6

which contours are normal for abd

Answer 6

flat and rounded

Question 7

which contours are abnormal (except pregnancy) for abd

Answer 7

scaphoid and protuberant

Question 8

what are some abnormal findings on inspection

Answer 8

umbilical hernia
epigastric hernia
incisional hernia
diastasis recti

Question 9

what are some abnormal findings od abd distension

Answer 9

obesity
gas/air
ascities
ovarian cyst
pregnancy
feces
tumor

Question 10

how many bowel sounds per min is considered normoactive

Answer 10

5-30

Question 11

how many bowel sounds per min is considered hypoactive

Answer 11

<5

Question 12

how many bowel sounds per min is considered hyperactive

Answer 12

> 30

Question 13

how long do you have to listen for bowel sounds to report absent bowel sounds

Answer 13

5 min

Question 14

where is the costovertebral angle

Answer 14

12th rib and spine

Question 15

what does costovertebral angle tenderness indicate

Answer 15

kidney infection or musculoskeletal problem

Question 16

what is blumberg’s sign

Answer 16

rebound tenderness from long deep palpation

Question 17

what are some developmental considerations

Answer 17

large liver @ birth
diastasis recti and umbilical hernia in infants
protuberant and in young children
little abd musculature in children
palpable organs

Question 18

what are some pregnancy considerations

Answer 18

abd wall muscles stretch an lose tone
organs are displaced and affect functions
linea nigra in 3rd trimester

Question 19

what are some considerations for older adults

Answer 19

meds
functional abilities of gi tract are affected
adb wall is thinner w/ rounder contour
liver metabolism decreases
secretion and absorption slows down

Question 20

what is the preferred position to inspect perianal

Answer 20

left lateral decubitus

Question 21

what are some normal findings for perianal assessment inspection

Answer 21

moist, coarse folded skin, dark pigmentation
anal opening closed tight
newborn- anal reflex
elderly- decreased sphincter tone

Question 22

what are some abnormal findings for perianal assessment inspection

Answer 22

local inflammation/rashes
fissures
lesions
hemorrhoids (internal/external)
pilonidal cyst
puritis
pinworms
rectal prolapse

Question 23

what are some normal findings for stool

Answer 23

brown
soft consistency
newborn-meconium

Question 24

what are some abnormal findings with stool

Answer 24

black tarry (melena)
red
clay
yellow or greasy
diarrhea
constipation
fecal impaction
pinworms

Question 25

what does clay colored stool indicate

Answer 25

lack of bile

Question 26

what does yellow or greasy stool indicate

Answer 26

steatorrhea

Question 27

what are some normal findings with prostate exam

Answer 27

smooth
elastic
slightly mobile
nontender

Question 28

what are some abnormal findings with prostate exam

Answer 28

firm
hard
irregular
tender
benign prostatic hyperplasia
prostate cancer
difficulty urinating