GI

Question 1

Assessing bowel sounds

Answer 1

Start at right lower quadrant and move clockwise

Question 2

When Auscultating…

Answer 2

Auscultating between meals only

Question 3

Normal bowel sounds contain

Answer 3

5-35 high pitch clicks & gurgles/per minute

Question 4

In order to determine no bowel sounds

Answer 4

Must hear no bowel sounds for 5 minutes

Question 5

Order of abdominal assessment

Answer 5

Inspect, Auscultate, Percuss, Palpate
(Do this order so we won’t alter bowel sounds)

Question 6

Abnormal findings when inspecting the abdomen

Answer 6

Lesions, Ecchymosis/umbilical area, distention, edema/swelling, masses, unusual pulsations, pain associated with appendicitis

Question 7

American Cancer Society recommendation for early detection colorectal cancer

Answer 7

FECAL ACCULT BLOOD TEST (FOBT) (annually), START REGULAR SCREENING AT THE AGE 45 and continue until 75, colonoscopy (q10 yr), sigmoidoscopy (q5 yr)

Question 8

Screening recommendations for cancer prevention:

Answer 8

FECAL ACCULT BLOOD TEST(annually), DIETARY CHANGES, colonoscopy, sigmoidoscopy, maintain a healthy diet/weight, no smoking/alcohol, know family history, exercise, avoid red meats/high fat/low fiber.

Question 9

What area of the abdomen associated with diverticular disease

Answer 9

LLA-sigmoid cologne