Appendicitis Leik Flashcards
- The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for:
A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastric ulcer
B) Acute appendicitis Signs and symptoms of an acute abdomen include
involuntary guarding, rebound tenderness, boardlike abdomen, and a positive obturator and psoas sign.
A positive obturator sign occurs when pain is elicted by internal rotation of the right hip from 90 degrees hip/knee flexion.
The psoas sign is positive when pain occurs with passive extension of the thigh while the patient is lying on his or her side with knees extended, or when pain occurs with active flexion of the thigh at the hip.
340. You would associate a positive iliopsoas muscle test result with which of the following conditions? A) Left cerebral vascular accident B) Urinary tract infection C) Heel fractures D) Acute appendicitis
D) Acute appendicitis A positive iliopsoas muscle test may be seen with acute
appendicitis. The right iliopsoas muscle lies under the appendix, This test is
performed by asking the patient to actively flex the thigh at the hip.
A “positive psoas sign” is noted when the patient exhibits pain in the right lower quadrant due to the
inflamed tissue.
379. Extreme tenderness and involuntary guarding at McBurney’s point is a significant finding for possible: A) Acute cholecystitis B) Acute appendicitis C) Acute gastroenteritis D) Acute diverticulitis 970
B) Acute appendicitis Symptoms of an acute abdomen, such as appendicitis,
include extreme tenderness and involuntary guarding at McBurney’s point.
McBurney’s point is the name given to the point over the right side of the abdomen
that is one third of the distance (approximately 2 inches) from the anterior superior iliac spine to the umbilicus. This point roughly corresponds to the most common location of the base of the appendix where it is attached to the cecum. (During pregnancy the location of the appendix changes as the uterus grows.)
391. A positive obturator sign might signify which of the following conditions? A) Acute appendicitis B) Acute pancreatitis C) Acute cholecystitis D) Acute hepatitis
A) Acute appendicitis A positive obturator sign may indicate acute appendicitis.
The test is performed with the patient supine. The examiner rotates the hip, using full range of motion. The test is positive if pain is experienced with movement or flexion of the hip
605. A positive psoas and obturator sign is highly suggestive of which of the following conditions? A) Ectopic pregnancy B) Acute appendicitis C) Peritonitis D) Abdominal aortic aneurysm 1196
B) Acute appendicitis Both the psoas and obturator signs are associated with
acute appendicitis. When the appendix becomes inflamed or ruptured, the blood and pus irritate the psoas and/or obturator muscles, which are both located in the
retroperitoneal area. Both muscles are hip flexors and assist with hip movement.
611. Grey–Turner’s sign is highly suggestive of which of the following conditions? A) Acute pancreatitis B) Acute appendicitis C) Acute diverticulitis D) Gastric cancer
A) Acute pancreatitis Grey–Turner’s sign is the acute onset of bluish discoloration located on the flank area that is caused by bruising. It is usually associated with severe acute pancreatitis, but it can also be found in some cases of
ruptured ectopic pregnancy.
