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

Pain is elicited by percussion of the area of the back overlying the kidney.

Answer 2

CVA tenderness

Question 3

Enlarged liver

Answer 3

Hepatomegaly

Question 4

Hyperactive bowel sounds (increased).

Answer 4

Hyperperistalsis

Question 5

Hypoactive bowel sounds (decreased).

Answer 5

Hypoperistalsis

Question 6

A point in the right lower abdomen, midway between the umbilicus and the anterior iliac crest, which corresponds to the appendix.

Answer 6

McBurney’s Point

Question 7

What does tenderness at McBurney’s point suggest?

Answer 7

Appendicitis

Question 8

A test that is considered positive when a patient has pain in the RUQ during inspiration.

Answer 8

Murphy’s Sign

Question 9

What does positive Murphy’s Sign indicate?

Answer 9

Cholecystitis

Question 10

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.

Answer 10

Obturator’s Sign

Question 11

What does Obturator’s sign indicate?

Answer 11

Appendicitis

Question 12

Enlarged organ.

Answer 12

Organomegaly

Question 13

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

Answer 13

Psoas Sign

Question 14

What does Psoas Sign indicate?

Answer 14

Appendicitis

Question 15

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

Answer 15

`Rovsing’s Sign

Question 16

What does Rovsing’s Sign indicate?

Answer 16

Appendicitis

Question 17

Enlarged spleen.

Answer 17

Splenomegaly

Question 18

A low pitched resonant sound made when tapping the abdomen.

Answer 18

Tympany