Abdominal

Question 1

Pyrosis

Answer 1

Heart burn

Question 2

Melena

Answer 2

black, tarry stool indicating lower
gastrointestinal bleeding or colon cancer

Question 3

pyrosis

Answer 3

heartburn

Question 4

melena

Answer 4

black, tarry stool indicating lower GI bleeding or colon cancer

Question 5

nine-region

Answer 5

Question 6

superficial bleeding under
the skin (ecchymosis) around the umbilicus and may indicate intra-abdominal bleeding

Answer 6

Cullen’s Sign

Question 7

Fluid, fat, feces, flatulence,
fibroids, or a fetus refers to ____ of the abdomen (6 F’S)

Answer 7

distention

Question 8

______ (also known as abdominal separation) is a condition where the right and left abdominal muscles (rectus abdominis muscles) separate along the midline of the body

Answer 8

Diastasis recti

Question 9

a medical condition characterized by the abnormal accumulation of fluid in the abdominal cavity. This fluid buildup causes the abdomen to become swollen and distended

Answer 9

Ascites

Question 10

Number of normoactive sounds

Answer 10

5-30

Question 11

loud,
gurgling sounds made by
the movement of gas
through the intestines

Answer 11

Borborygmus

Question 12

Percussing for Costovertebral
Tenderness:
Purpose

Answer 12

To assess tenderness or inflammation of the kidney

Question 13

Percussing for Costovertebral
Tenderness:
Position

Answer 13

Sitting

Question 14

Percussing for Costovertebral
Tenderness:
Where

Answer 14

Thump over the 12th rib
at the costovertebral angle on the back

Question 15

Colon cancer screening

Answer 15

using fecal
occult blood testing, sigmoidoscopy, or
colonoscopy in adults, beginning at age
50 years and continuing until age 75

Question 16

tapping of side of abdomen and feeling for “fluid
wave” on other side- positive for ___ if wave is felt

Answer 16

ascites

Question 17

Rebound tenderness (______sign): choose site away from
painful area, push down slowly and deeply and release
quickly- pain occurs when releasing the pressure indicating
inflammation

Answer 17

Blumberg

Question 18

Inspiration arrest (_____ sign): hold your fingers under the liver border and have patient take a deep breath – positive for cholecystitis (inflamed gallbladder) if painful

Answer 18

Murphy’s

Question 19

Iliopsoas: patient supine, have them lift their right leg straight
up and press down on the upper thigh – if pain then positive
sign for ________

Answer 19

appendicitis

Question 20

Pain elicited by either the psoas or the obturator maneuvers suggest irritaton of the respective muscles by an inflammatory process such as acute appendicitis, ruptured appendix, or ____

Answer 20

PID

Question 21

A positive ____ sign is when there is tenderness in the RLQ when palpating the LLQ. This could mean appendicitis

Answer 21

Rovsing’s

Question 22

Unexpected findings for ABD assessment

Answer 22

Rounded or protuberant abdomen, bulges or masses
 Cool or hot, diaphoretic, open skin
 Hypo- or hyperactive bowel sounds, absent bowel sounds,
borborygmus
 Bruits in vascular sounds
 Dullness or hyperresonance on percussion
 Pain with superficial or deep palpation
 Positive special tests