General Dx - Abdominal Exam

Question 1

55 yo male, uncontrolled hypertension, atherosclerosis

Pulsatile mass left of midline in abdomen

Answer 1

abdominal aortic aneurysm

Question 2

Visible peristalsis accompanied with

Answer 2

hyperactivity of bowel sounds

Question 3

Normal vertical span of liver at midclavicular line

Answer 3

6-12 cm

Question 4

Murphy’s sign

Answer 4

pain with inspiration during deep palpation over the area of gallbladder

Question 5

53 yo male - abdomen exam

tortuous and dilated superficial veins radiating to chest from umbilicus

Answer 5

caput medusa

Question 6

Kayser-Fleischer rings

Answer 6

Wilson’s disease

Question 7

Caput medusa

Answer 7

severe portal hypertension

Question 8

Chloasma (aka melasma)

Answer 8

symmetrical irregular hyperpigmented regions of skin on :
forehead
cheeks
upper lip

may occur with pregnancy, sun exposure or oral contraceptives
certain other meds.

Question 9

infant with acute abdominal condition

periodic colicky pain, vomiting, rectal bleeding (red currant jelly)

Answer 9

intussusception

Question 10

intussusception

Answer 10

periodic colicky pain
creaming
vomiting 
tachycardia
whimper
lethargy
drowsiness
RED CURRANT STOOL
elongated intestinal mass