Abdominal/Gastrointestinal- Level 2

Question 1

CVA Tenderness

Answer 1

Costovertebral angle tenderness; pain is elicited by percussion of the area of the back overlying the kidney.

Question 2

Hepatomegaly

Answer 2

Enlarged liver

Question 3

Hyperperistalsis

Answer 3

Hyperactive bowel sounds

Question 4

Hypoperistalsis

Answer 4

Hypoactive bowel sounds

Question 5

McBurney’s Point

Answer 5

A point in the right lower abdomen, midway between the umbilicus and the anterior iliac crest, which corresponds to the appendix. Tenderness over this spot is concerning for appendicitis.

Question 6

Murphy’s Sign

Answer 6

A test for gallbladder disease which is considered positive when a patient has pain in the RUQ during inspiration, usually indicates cholecystitis.

Question 7

Obturator Sign

Answer 7

Physical Exam finding in which right lower quadrant pain is elicited with internal rotation of the right leg when the knee and hip are flexed at 90 degrees. Indicates appendicitis.

Question 8

Organomegaly

Answer 8

Enlarged organ

Question 9

Peritoneal Sins

Answer 9

Rebound, guarding; indicates peritonitis (inflammation of the abdominal cavity).

Question 10

Psoas Sign

Answer 10

Physical exam finding in which right lower and pain is induced by extension of the right hip. Indicates appendicitis.

Question 11

Rovsing’s Sign

Answer 11

Physical exam finding in which pressure on the left lower abdomen causes pain in the right lower abdomen. Indicates appendicitis.

Question 12

Splenomegaly

Answer 12

Enlarged Spleen

Question 13

Tympany

Answer 13

A low pitched resonant sound made when tapping the abdomen.