CHAPTER 23 ABS

Question 1

purple discoloration at the flanks is what sign

Answer 1

Grey Turner sign

Question 2

this indicates bleeding within abdominal wall

Answer 2

Grey Turner Sign

Question 3

in assessing abs where does yellow hue of jaundice may be more apparent

Answer 3

Abdomen

Question 4

pale, taut skin may be seen with

Answer 4

ascites

Question 5

this is an abdominal swelling indicating fluid accumulation

Answer 5

ASCITES

Question 6

dilated veins ; obstruction of inferior vena cava; portal hypertension indicate

Answer 6

cirrhosis of the liver

Question 7

these are dilate surface arterioles and capillaries with a central star

Answer 7

spider angioma

Question 8

spider angioma may be seen with

Answer 8

liver disease or portal hypertension

Question 9

dark bluish pink striae are associated with

Answer 9

Cushing’s syndrome

Question 10

nonhealing/irregular scars, redness, inflammation may result from

Answer 10

burns

Question 11

old, silver, white striae are they normal or abnormal

Answer 11

abnormal

Question 12

a reddish or purple lesion seen in the abdomen are called

Answer 12

petechiae

Question 13

bluish or purple discoloration around umbilicus indicating intra abdominal bleeding is called

Answer 13

cullen’s sign

Question 14

caused by pressure from mass, enlarged organs or scar tissue is a sign of

Answer 14

deviated umbilicus

Question 15

this is seen with abdominal distention; everted umbilicus

Answer 15

umbilical hernia

Question 16

term for sunken abdomen seen with severe weight loss/cachexia

Answer 16

scaphoid

Question 17

a sign of full bladder, uterine enlargmet or ovarian tumor or cyst

Answer 17

distention bellow umbilicus

Question 18

reasons for a protuberant or distended abdomen

Answer 18

obesity
air/gas
fluid accumulation

Question 19

a protrusion of the bowel through the abdominal wall

Answer 19

hernia

Question 20

appears as a bulging between vertical midline separation of abdominis rectus muscles

Answer 20

diastasis recti

Question 21

diminished abdominal respiration

Answer 21

peritoneal irritation

Question 22

a vigorous wide, exagg pulsations may be seen with

Answer 22

abdominal aortic aneurysm

Question 23

these are increased ripple like fashion from LUQ to RLQ w intestinal obstruction

Answer 23

Peristaltic waves

Question 24

normal finding of gurgles heard at auscultating abdomen what duration

Answer 24

5 to 30 minutes

Question 25

loud prolonged gurgles ; hyperactive bowel sounds

Answer 25

borborygmi

Question 26

hypoactive bowel sounds indicated

Answer 26

diminished bowel motility

Question 27

common causes of hypoactive bowel sounds are

Answer 27

abdominal surgery late bowel obstruction

Question 28

common causes of hyperactive bowelsounds are

Answer 28

diarrhea, gastroenteritis

Question 29

peritonitis/paralytic ileus indicate

Answer 29

absent bowel sounds

Question 30

a stomach emptying takes how much time to recover

Answer 30

24-48 hours

Question 31

emptying of the colon requires how much time

Answer 31

3-5 days

Question 32

when a bruit is heard what does it indicate

Answer 32

an obstructed artery

Question 33

a patient with hypertension and heard sounds in his renal artery, what is the diagnoses

Answer 33

renal artery stenosis

Question 34

this indicates an increased collateral circulation and heard in the epigastric & umbilical region

Answer 34

Venous hums

Question 35

a friction rub heard over lower r, costal are indicates what

Answer 35

hepatic abscess/metastatses

Question 36

a friction rub heard at anterior axillary lin in lower l. costal indicates

Answer 36

splenic infarction

Question 37

what is heard over a gaseous distended abdomen when percussing

Answer 37

hyperresonance

Question 38

this is the percussion across the abdomen

Answer 38

shifting dullness

Question 39

is characterized by an area of dullness is the spleen greater than 7 cm

Answer 39

Splenomegaly

Question 40

a right sided guarding may be due to

Answer 40

cholecystitis

Question 41

a soft center of the umbilicus can be a potention of

Answer 41

herniation

Question 42

a normal aorta is approximately:

Answer 42

2.5 to 3.0 cm

Question 43

a wide aortic pulse indicates

Answer 43

aneurysm

Question 44

hydronephrosis may indicate

Answer 44

large kidneys

Question 45

a palpable kidney is normal :T OR F

Answer 45

false

Question 46

a palpation technique performed to identify a mass or enlarged organ within ascitic abdomen

Answer 46

Ballotement technique

Question 47

test fluid in the abdomen

Answer 47

Fluid wave test

Question 48

a sharp stabbing pain after releasing pressure

Answer 48

Blumberg's sign

Question 49

assessing for rebound tenderness and rovsing's sign is a test for

Answer 49

Appendicitis

Question 50

appendictis; a significant pain in the RLQ indicates a

Answer 50

Positive Mcburney's sign

Question 51

pressing left lq but feels pain sa right

Answer 51

Rovsing's sign

Question 52

raising clients right leg from hip and applying pressure agains lower thigh is what test

Answer 52

Assessing Psoas Sign

Question 53

supporting clients right knee and flexing hip and rotate leg

Answer 53

Assessing obturator sign

Question 54

stroking abdomen with a sharp object is what type of test

Answer 54

Hypersensitivity test

Question 55

inflammation of the gallbladder

Answer 55

Cholecystitis

Question 56

Connective tissue muscle extends forward to encase a vertical muscle of the anterior abdominal wall

Answer 56

Rectus abdominis

Question 57

Muscle fibers and aponeuroses at the midline of the abdomen forms white line

Answer 57

Linea alba

Question 58

Protect internal organs and allow normal compression during functional activities such as cough, sneeze, urination, defecation, and childbirth

Answer 58

Abdominal wall

Question 59

lines and protects most of the internal organ

Answer 59

Peritoneum

Question 60

filter the blood of cellular debris

Answer 60

Spleen

Question 61

Expandable muscular sac located behind the pubic bone in the midline of the abdomen

Answer 61

Urinary bladder

Question 62

where can vascular structures be palpated

Answer 62

felt in the RLQ and LLQ

Question 63

Jaundice with clay color or alcoholic stools and dark urine

Answer 63

Obstructive gallbladder

Question 64

An area of skin receiving sensory innervation from a single spinal nerve dorsal root

Answer 64

Dermatomes

Question 65

Purple discoloration at the flanks (grey turner sign)

Answer 65

Pancreatitis

Question 66

Yellow hue of jaundice in abdomen indicates

Answer 66

Hepa B and Liver disease

Question 67

narrowing of the pylorus, the opening from the stomach, into the small intestine gastric outlet obstruction

Answer 67

Pyloric stenosis

Question 68

blood problem in the spleen

Answer 68

Mononucleosis