GASTRO EXAM TESTS

Question 1

Rosving Sign

Answer 1

RLQ pain with palpation of LLQ

Question 2

Psoas Sign

Answer 2

RLQ pain with extension of the right hip

Question 3

Obturator Sign

Answer 3

RLQ pain with internal and external rotation of flexed right leg

Question 4

Kidney Tenderness

Answer 4

Left hand on pts back, under 12th rib pushing upwards

Right hand pushing down above

Ask pt to take a deep breath

Easily palpable / Tender Kidney = Abnormal

Question 5

Costovertebral Angle (CVA) Tenderness

Answer 5

Place hand over the CVA (just below posterior 12th rib)

Thump first onto flat hand

If patient feels pain – likely Pyelonephritis

Question 6

Murphy’s Sign

Answer 6

Place hand below right costal margin along mid-clavicular line

Ask patient to take deep breath in

If positive for cholecystitis patient will experience pain

Question 7

Pinch Test for Peritonitis

Answer 7

Pinch fold of abdominal skin over ‘McBurney’s Point’ (2/3 of the way between umbilicus to hip bone)

Patient may experience increased pain when skin strikes Peritoneum

Question 8

Blumberg Sign for Peritonitis

Answer 8

Apply pressure to area of lower abdomen using hand

Remove hand and ask if pain is worse after removing hand (rebound tenderness)

Possible peritonitis if yes