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PHYS DI II > Quiz 3 > Flashcards

Quiz 3 Flashcards

1
Q

What is the sequence of skills you should perform when assessing the abdomen?

A

Inspection, Ausculatiation, percussion, palpation.

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2
Q

What is a fan shaped fold of the peritoneum that covers most of the small intestine and anchors it to the posterior abdominal wall?

A

Mesentery

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3
Q

What is the alimentary tract? (Length)

A

Tube from mouth to anus (27 feet)

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4
Q

How long is the esophagus ?

A

10 inches

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5
Q

How long is the small intestine?

A

21 feet

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6
Q

How long is the large intestine?

A

4.5 to 5 ft long

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7
Q

What connects the pharynx to the stomach?

A

Esophagus

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8
Q

Where does the esophagus enter the stomach?

A

Cardiac orifice

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9
Q

What are the parts of the small intestines and their sizes?

A

Duodenum 12 in, jejunum 8 feet, ilium 12 feet..

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10
Q

Liver is on what side?

A

Upper right

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11
Q

What side is the spleen on?

A

Upper left (below kidney)

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12
Q

When does the pancreatic buds, liver and gallbladder begin to from in gestation?

A

4th week

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13
Q

What is an end product of fetal metabolism and is produced at about 17weeks?

A

Meconium

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14
Q

When is the gastrointestinal tract capable of adapting to extrauterine life?

A

By 36-38 weeks gestation

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15
Q

When is the spleen active in formation of blood ?

A

Till First year

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16
Q

When is the kidney able to produce urine in gestation ?

A

12 weeks

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17
Q

What are the 9 regions the abdomen can be broken down into?

A

Epigastric, umbilical, hypogastric, R and L hypochondriac, r and L lumbar, and R and L Inguinal

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18
Q

Marked pulsation in the abdomen many occur as a result of what?

A

Abdominal aortic aneurysm

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19
Q

When auscultating the abdomen you should hear clicks and gurgles that occur in what range per min?

A

5-35

20
Q

What are loud prolonged gurgles called?

A

Borborygmi (stomach growling)

21
Q

When auscultating the abdomen what sounds would cause you to think there is an emergency ?

A

No sounds after 5 min

22
Q

High pitched tinkling sounds suggests what in the abdomen ?

A

Intestinal fluid and air under pressure (early obstruction)

23
Q

Decreased bowl sounds occur in what?

A

Peritonitis and paralytic ileus

24
Q

What till have greater tympani the small or large intestines?

A

Small

25
Q

What part of the colon have more Dullness ?

A

Descending and sigmoid

26
Q

What is meganblase?

A

Gastric air bubbles

27
Q

Where should you hear a deeper tympani when doing percussion ?

A

Left anterior rib change and the epigastric region

28
Q

If the liver percusses more than 1 inch below the costal Marin what should you consider?

A

Hepatomegaly or downward displacement of the liver due to depressed diaphragm

29
Q

A superior liver boarder below 5th-7th intercostal space is indicative of what?

A

Liver atrophy, lung disease pushing the liver downwards

30
Q

A superior liver boarder above the 5th-7th intercostal space may indicate what?

A

Abdominal mass or hepatomegaly

31
Q

What is the actual size of the liver?

A

6-12 cm

32
Q

What may obscure the superior liver boarder during percussion?

A

Plural effusion or lung consolidation

33
Q

What may obscure the inferior liver boarder during liver percussion?

A

Gas in the ascending and transverse colons

34
Q

Where should dullness be heard when percussing the spleen?

A

5th-10th intercostal spaces

35
Q

What can give a false positive for the spleen size during percussion?

A

A full stomach or intestines

36
Q

What is the depth for light palpation?

A

1 cm

37
Q

What is the dearth for moderate palpation ?

A

2-3 cm

38
Q

What is the depth of palpation for deep?

A

4 cm

39
Q

What does light palpation help us identify ?

A

Muscle guarding and inflammation

40
Q

A large mass or distended structure may first be identified as an area of?

A

Resistance

41
Q

What may cause a false positive when doing deep palpation?

A

Over the cecum, sigmoid, aorta, xiphoid process (or other bony prominences)

42
Q

Softness at the center of the umbilicus could indicate what?

A

Hernia

43
Q

If there is to much fat or muscle on the persons abdomen what can you do?

A

Use the biannual technique

44
Q

A tender gallbladder indicates what?

A

Cholecystitis

45
Q

A nontender but palpable gallbladder Indicates what?

A

Obstruction of the duct or cholilthiasis

46
Q

What kidney tends to be More palpable?

A

The right

PHYS DI II (7 decks)

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