Competency

Question 1

ABCD checklist for skin cancer

Answer 1

Asymmetry
Border - irregular
Color - brown/red, black, blue, purple
Diameter - > 6 mm

Question 2

abdominal screening preparation

Answer 2

• voided bladder
• supine or hook lying
• arms by side
• start on patient right side

Question 3

normal abdominal auscultation

Answer 3

5-34 clicks or gurlges every minute

Question 4

tympanic pitch means what

Answer 4

less dense structure

Question 5

dull pitch means what

Answer 5

more dense structure

Question 6

abnormal ascites sounds

Answer 6

dullness in both supine then goes to tympanic during side lying

Question 7

castell’s finger percussion. What are abnormal findings?

Answer 7

spleen - left side

abnormal findings - dullness, or dullness with full inspiration

Question 8

middleton method. What are abnormal findings?

Answer 8

spleen - dig fingers up under rib cage
- left side

abnormal findings - palpable spleen

Question 9

murphy’s sign. What are abnormal findings?

Answer 9

gallbladder - right side
- inhale deeply and palpate right upper quadrant as they exhale

abnormal findings
- tenderness
- looking for hitch in the giddy up (inspiratory arrest)

Question 10

McBurney’s point

Answer 10

appendicitis - right side

Question 11

Rovsing’s sign

Answer 11

appendicitis - right side, pt supine
- rebound tenderness from left lower quadrant

Question 12

abdominal AAA width

Answer 12

> 3 cm

Question 13

What sound may be heard with partial obstruction during abdominal screening?

Answer 13

high pitch rushes

Question 14

Abnormal findings of liver palpation and percussion

Answer 14

• ability to palpate anterior edge of liver
• span of dull sound > 10 cm