PHD Term 4

Question 1

Bruising on the flanks

Answer 1

Grey Turner Sign

Question 2

Umbilical bruising

Answer 2

Cullen Sign

Question 3

Cause of caput medusa

Answer 3

Distension, engorgement of the umbilical veins. Indicates portal HTN

Question 4

Extreme generalized edema

Answer 4

Anasarca

Question 5

Nodule near the umbilicus. Indicates metastasis

Answer 5

Sister Mary Joseph Nodule

Question 6

olive shaped mass in the epigastric region (pediatric). Indicates pyloric stenosis

Answer 6

Epigastric olive

Question 7

diastasis recti

Answer 7

separation of the rectus abdominal muscles

Question 8

why have patient lift their head on abdominal exam inspection?

Answer 8

to assess for diastasis recti

Question 9

increased bowel sounds

Answer 9

• hyperactive movement

- early intestinal obstruction

Question 10

Decreased bowel sounds

Answer 10

• illeus

- peritonitis

Question 11

Clapatage

Answer 11

splashing sound

Question 12

Hepatic bruits suggest….

Answer 12

carcinoma of the liver

alcoholic hepatitis

Question 13

Arterial bruits suggest…

Answer 13

partial occlusion of the aorta

Question 14

Venous hums suggest..

Answer 14

increased collateral circulation between portal and systemic systems

Question 15

Where do you hear venous hums typically?

Answer 15

epigastric region

umbilical region

Question 16

what does a venous hum sound like?

Answer 16

continuous, soft humming noises

Question 17

What do friction rubs sound like?

Answer 17

grating sounds with respiratory variation

Question 18

Where would you hear friction rubs?

Answer 18

hepatic and splenic reginos

Question 19

What is Cruveilheir-Baumgarten sign?

Answer 19

a murmur over the umbilicus often in the presence of caput medusa

Question 20

What causes Cruveilheir-Baumgarten sign?

Answer 20

recanalization of the umbilical vein with reverse blood flow from the liver into the abdominal wall veins that causes a hum

Question 21

What type of pain is well localized?

Answer 21

somatic pain

Question 22

what type of pain is poorly localized?

Answer 22

visceral

Question 23

What type of pain would cause TTP on deep palpation?

Answer 23

visceral

Question 24

What type of pain would cause TTP on light palpation?

Answer 24

somatic

Question 25

Visceral pain has two associations:

Answer 25

1. hollow organs

2. autonomic changes

Question 26

What type of pain do you think of with these words: superficial pinch, burn, stabbing, cutting, electrical, thermal

Answer 26

Somatic pain

Question 27

Ileus

Answer 27

intestine stops moving, can cause obstruction

Question 28

Volvulus

Answer 28

intestine turns over on itself