Test III Phys Diag II

Question 1

what are the nine regions of the abdomen?

Answer 1

1. Epigastric,
2. Umbilical,
3. Hypogastric (pubic),
4. and 5. right and left hypochondriac,
5. and 7. right and left lumbar,
6. and 9. right and left inguinal

Question 2

what are the dividing lines for the nine quadrants

Answer 2

lowest edge of costal margin and the iliac crests and two at the midclavicular lines

Question 3

Purple stretch marks may be an indication of what pathology

Answer 3

cushings disease

Question 4

from the xiphoid to the pubic bone, when prone, what is typical of the shape of the abdomen?

Answer 4

scaphoid shape. or like a canoe or boat.

Question 5

name 7 types of abdominal hernias

Answer 5

epigastric 
paraumbilical
umbilical 
lumbar
spigelian
femoral
inguinal

Question 6

what is a spigilian hernia

Answer 6

one that is lateral to the rectus abdominus muscles.

Question 7

what is the most common type of hernia

Answer 7

umbilical

Question 8

separation of the rectus abdominus seen in pregant women mostly.

Answer 8

diastasis recti

Question 9

when a patient has a prominent midline bulge when patient raises their head

Answer 9

Diastasis recti

Question 10

there are three types of abdominal palpation. what are they and how deep do you press?

Answer 10

light palpation 1 cm
moderate palpation 2-3 cm
Deep palpation 4cm or deeper

Question 11

is deep palpation optional in assessing the abdominal organs?

Answer 11

no, it is a must

Question 12

how do you do deep palpation. what does your hand look like?

Answer 12

use the palm of the hand with fingers together

Question 13

When can false positives of pain occur during deep palpation of the abdomen

Answer 13

ilioceal region, sigmoid, aorta on a thin patient, iliac crest
floating ribs, other bony prominences.

Question 14

when you increase intra-abdominal pressure you can get what two major things

Answer 14

hiatal hernia

hemorrhoids

Question 15

areas of false positives for masses?

Answer 15

feces in the colon, lateral borders of the rectus abdominus
uterus
aorta
common iliac arteries

Question 16

liver palpation what side of the patient do you stand on

Answer 16

right

Question 17

where do you place your hand on the patient to begin liver palpation

Answer 17

inferior costal margin, 11th and 12th ribs

Question 18

Thats not my

Answer 18

name

Question 19

when do you use liver punch, or liver percussion.

Answer 19

when tenderness cannot be palpated.

Question 20

are most gallbladders palpable?

Answer 20

nope, if you can. its prolly not that healthy

Question 21

why would gallbladder be palpable

Answer 21

cholecystitis

cholelythyisis

Question 22

during deep palpation of the gallbladder region as the patient to take a deep breath.
as the inflamed gallbladder wall moves closter to the peritoneum and palpating hands, the patient will experience pain and halt inspiration ( positive sign)

Answer 22

Murphy’s sign

Question 23

what is murphy’s sign testing for

Answer 23

cholecystitis

Question 24

female, forty, fat, flatulent,

Answer 24

gallstones basically. or inflammation.

Question 25

what is the main difference between spleen and liver palpation

Answer 25

place the palm of the right hand on the abdomen below the left costal margin, but at the midaxillary line!!!!

Question 26

should you feel the spleen

Answer 26

NO way!

Question 27

which kidney is usually unpalpable

Answer 27

left kidney

Question 28

kidney percussion is best accomplished first with the patient in what position

Answer 28

seated

Question 29

pathologic increase in fluid in the peritoneal cavity

Answer 29

ascities

Question 30

pain in the heart or stomach region upon palpation of McBurney's point appendicities

Answer 30

Aaron

Question 31

Rebound tenderness appendicities

Answer 31

Blumberg

Question 32

Heel Strike ( anvil test ) appendicities

Answer 32

strike the bottom of the foot

Question 33

area between umbilicus and asis

Answer 33

McBurney's point

Question 34

Right lower quadrant pain worsened by left lower quadrant palpation Appendicities

Answer 34

Rovsing

Question 35

Heel Jar Drop body weight quickly from toes to heels

Answer 35

Markle ( Heel Jar)

Question 36

ecchymosis around the umbilicus

Answer 36

Cullen

Question 37

Ecchymosis of the flanks

Answer 37

Grey Turner

Question 38

abdominal pain radiating to the left shoulder in ectopic pregnancy, splenic rupture

Answer 38

Kehr sign

Question 39

cholecystitis usually refers where

Answer 39

subscapular pain. shoulder pain.

Question 40

Absence of bowel sounds in right lower quadrant, intussusception, one portion of the bowel that telescopes into another.

Answer 40

Dance

Question 41

how long is the esophagus usually

Answer 41

10 inches long

Question 42

esophagus passes through what sphincter through the diaphragm

Answer 42

cardiac

Question 43

the esophagus passes---- to the trachea and ----- to the spine

Answer 43

posterior to trachea and anterior to spine.

Question 44

those with diabetes often develop a condition called what.. that gives the GERD

Answer 44

Gastroparesis. occurs in at least 20% of diabetic patients

Question 45

More than what percent of asthmatics suffer GERD?

Answer 45

50%

Question 46

who takes calcium channel blockers?

Answer 46

people with heart disease

Question 47

Another name for a hiatal hernia

Answer 47

paraesophageal hernia.

Question 48

what are the ttwo types of hiatal hernias

Answer 48

paraesophageal and gastirc/sliding/axial

Question 49

hiatal hernias more common in what countries

Answer 49

western

Question 50

what percent of patients with hernias are over 70

Answer 50

70%

Question 51

diverticula are most commonly found where

Answer 51

descending colon

Question 52

how to tell a hiatal hernia from GERD?

Answer 52

they have everything the same as far as symptoms, but hiatal hernias have a shorter timeframe, GERD takes a long time!

Question 53

who has a high instance of stomach cancer

Answer 53

Koreans

Question 54

picking someone out that has stomach cancer is not really possible is it?

Answer 54

no, symptoms are so everyday. need a biopsy or imaging

Question 55

what percent of gastric cancers are diagnosed before problems

Answer 55

10-20 percent

Question 56

what is the radiographic sign of gastric adenocarcinoma

Answer 56

apple core sign

Question 57

infant constantly hungry, loose green stools, dehydration, failure to gain weight or weight loss, belching, belly pain.

Answer 57

pyloric stenosis symptoms, kids

Question 58

What order do you do the abdomen exam?

Answer 58

enspection auscultation percussion palpation

Question 59

a fan-shaped fold of the peritoneum, covers most of the small intestine and anchors it to the posterior abdominal wall

Answer 59

the mesentery

Question 60

a serous membrane, lines the cavity and forms a protective cover for many of the abdominal structures

Answer 60

peritoneum

Question 61

how long is the alimentary tract

Answer 61

27 feet from mouth to anus

Question 62

esophagus length

Answer 62

10 inches long

Question 63

small intestine length

Answer 63

21 feet

Question 64

large intestine length

Answer 64

4.5 to 5 feet long

Question 65

where does the esophagus enter the stomach

Answer 65

cardiac orifice

Question 66

what are the three sections of the stomach

Answer 66

fundus | body pylorus

Question 67

ileocecal valve is between what two things

Answer 67

ileum and large intestine