Physical Examination of the abdomen

Question 1

during an abdominal examination careful attention should be paid attention to what

Answer 1

Patients comfort

degree/ level distress

Question 2

what is a consideration before completing a abdominal exam

Answer 2

pt should have empty bladder

Question 3

what side should you approach the pt during a abdominal exam

Answer 3

patients right

Question 4

what should be the patients position during a abdominal exam

Answer 4

supine

small pillow under head

knees slightly flexed

feet flat on table

Question 5

what is bluish periumbilical discoloration called and suggest

Answer 5

Cullen’s Sign

intraabdominal bleeding

Question 6

what is bluish flank discoloration called and what does it suggest

Answer 6

Grey-turner signs

retroperitoneal or intraabdominal bleeding

Question 7

purplish stria are indicative of what

Answer 7

crushing disease

Question 8

in addition to purplish striae on the abdomen has what characteristics

Answer 8

moon face

buffalo hump

Question 9

swelling or bulges may indicate what

Answer 9

hernina

Question 10

asymmetrical distention indicates what

Answer 10

hernia

tumors

cysts

bowel obstruction

enlargement of abdominal organs

Question 11

what are bowel sounds heard as and what range

Answer 11

irregular, clicks & gurgles

5-35 per min

Question 12

how long must you listen to document absent bowel sounds

Answer 12

5min

Question 13

how many quadrants must be assessed if there is concern

Answer 13

4

Question 14

what are loud prolonged gurgles called

Answer 14

borborygmi

Question 15

what areas should be percussed last

Answer 15

tender painful areas

Question 16

what is the normal size of the liver

Answer 16

6 -12cm

Question 17

what position and where are the kidneys perussed

Answer 17

pt sitting

over the costovertebral angle

Question 18

what is fluid in the abdomen called

Answer 18

Ascites

Question 19

T/F

palpation should be done deep 1st light 2nd

Answer 19

F

Light: 1st

Deep: 2nd

Question 20

what is blumberg sign

Answer 20

rebound tenderness in a remote region from area of discomfort

Question 21

what is McBurney’s sign

Answer 21

rebound tenderness in the lower right quadrant

2inches from the anterior superior iliac spine on a straight line to the umbilicus

Question 22

describe McBurney’s point

Answer 22

2 inches from the anterior superior iliac spine on a straight line to the umbilicus

Question 23

Markle (heel jar) test assesses what

Answer 23

peritoneal irritation

Question 24

a positive iliopsoas muscle test is called

Answer 24

Psoas sign

Question 25

what test can be conducted when appendicitis or pelvic abscess is suspected

Answer 25

Obturator muscle test

Question 26

what test is used to asses for gallbladder irritation or inflammation

Answer 26

Murphy’s sign

Question 27

what is a positive Murphy’s sign

Answer 27

cessation of inspiration on palpation