Test 3

Question 1

What quadrant is liver in? What function?

Answer 1

Right upper quadrant
Secretes and produces bile, metabolizes medications, detoxifies drugs and alcohol

Question 2

What quadrant is gall bladder in?

Answer 2

Back side of liver in right upper quadrant
Stores and concentrates bile

Question 3

Where in pancreas located?

Answer 3

Left upper quadrant
Secretes insulin and reg blood glucose levels

Question 4

What are the major organs in the GI system?

Answer 4

Stomach, small intestine, colon

Question 5

What are the accessory organs of the Gainsystem?

Answer 5

Liver; pancreas, gall bladder

Question 6

The digestive process begins here

Answer 6

Mouth

Question 7

Saliva mixes with food and forms this

Answer 7

Bolus

Question 8

Bolus mixed with digestive juices and hydrochloric acid churn into a liquid called

Answer 8

Chyme

Question 9

List the organs in the RUQ

Answer 9

Ascending colon, duodenum, gall bladder, right kidney, liver, pancreas, transverse colon, ureter

Question 10

List the organs in the right lower quadrant

Answer 10

Appendix, ascending colon, bladder, cecum, rectum, ovary, small intestine, ureter right, right ovary, fallopian tube, spermatic cord

Question 11

Which quadrant is the sigmoid colon in?

Answer 11

LLQ

Question 12

What is the technique for the abdominal exam?

Answer 12

First use the bell of the stethoscope moving from RUQ clockwise, listening for at least 30 sec but 1 min to 5 min if experiencing hypoactive sounds, then use bell, use bell also to listen to aortic, renal, iliac, femoral arteries
Ask patient if they’ve had trouble urinating, pain, when last bowel movement was.

Palpate lightly in all 4 quadrants then deeply.

Question 13

What is normal to hear when auscultating abdomen?

Answer 13

Clicks and gurgles at 5 to 30 per minute
Hyperactive-call borborygmus
Sounds more active over RLQ

Question 14

What abnormal sounds do we listen for when auscultating abdomen?

Answer 14

Bruits, friction rub of liver and spleen (over rib cage)venous hum (over epigastric and umbilical area)

Question 15

When percussing the liver and spleen, what should be felt?

Answer 15

Dull ness over liver and spleen

Question 16

What sound is felt when percussing abdomen over air or gas?

Answer 16

Typany (hollowness)

Question 17

Which organs are not palpable on adults? Discuss this

Answer 17

Liver and spleen usually not palpable when normal. Can palpate aorta/pulse strong, kidneys usually not palpable either

Question 18

What does the different colors green; coffee ground emesis, and bright red bloody emesis mean when assessing color?

Answer 18

Green=bile, coffee ground = digested blood, bright red= active bleed

Question 19

What do foul smelling, dark tarry stools, currant jelly stools, and light grey or clay colored stools mean?

Answer 19

Foul smelling: could be CDIFF very liquid light brown stool
Dark tarry stool could be iron supplement or digested blood

Currant jelly stool: could be partially digested blood from GI bleed

Light grey or clay colored stool could be bile duct obstruction or obstructive jaundice

Question 20

With this condition, the patient will have a suddenly pain beginning on right side of lower abdomen, suddenly pain at navel that shifts to lower right side, worsens as he coughs, moves, walks, nausea, vomiting, loss of appetite, low grade fever that can increase, constipation or diarrhea, abdominal bloating

Answer 20

Appendicitis

Question 21

This condition will likely present with severe pain in the upper right abdomen, pain can radiate to right shoulder or back, tender when touched, nausea, vomiting, fever, often occur after a large or fatty meal

Answer 21

Cholecystitis (gall bladder inflammation)

Question 22

With this abdominal condition, the patient experiences burning pain anywhere from navel to breastbone, worse when stomach is empty, flares at night, temp relieved by eating certain foods or taking anti acids, if severe can show vomiting blood, dark blood in stools, nausea vomiting

Answer 22

Peptic ulcer disease