Week 6 - Abdomen

Question 1

The liver is normally?

Answer 1

palpable in deep palpation

Question 2

Unexplained wight loss may be a sign of?

Answer 2

stomach, esophageal or pancreatic cancer

Question 3

Mallory Weiss tears

Answer 3

tears that occur from retching and acid.

Question 4

Why is auscultation of the abdomen preformed before palpation and percussion?

Answer 4

palpation and percussion can increase peristalsis, giving a false interpretation of bowel sounds

Question 5

Hyperactive sounds

Answer 5

loud, high pitched, rushing or tinkling sounds that signal increased motility (bowel obstruction)

Question 6

Hypoactive sounds

Answer 6

can be heard after surgery or with inflammation of the peritoneum. these sounds are more common

Question 7

What sounds are heard on percussion of the abdomen?

Answer 7

tympany and dullness

Question 8

which sound should be dominant on percussion of the abdomen?

Answer 8

tympany because air in the intestine rises when the patient is supine

Question 9

Where would dullness be heard on percussion of the abdomen?

Answer 9

over a distended bladder, adipose tissue or fluid or mass

Question 10

Voluntary guarding

Answer 10

occurs when a patient is cold, tense or ticklish

Question 11

Involuntary rigidity

Answer 11

constant board like hardness of the muscles. It accompanies peritonitis

Question 12

RLQ tenderness on palpation in a patient with acute abdominal pain migrating from the umbilicus to the RLQ is indicative of?

Answer 12

appendicitis

Question 13

acites

Answer 13

fluid in the peritoneal cavity

Question 14

acites occurs with?

Answer 14

HF, portal hypertension, cirrhosis, hepatitis, pancreatitis and cancer

Question 15

Liver becomes enlarged, smooth and NONTENDER with

Answer 15

fatty infiltration, cirrhosis and portal obstruction

Question 16

Liver becomes enlarged, smooth and TENDER with?

Answer 16

HF, acute hepatitis and hepatic abscesses