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Abdominal Assessment

Total questions: 65

Worksheet time: 35mins

Name
Class
Date
1.

What artery supplies oxygenated blood to the liver.

a)

Iliac Artery

b)

Hepatic Artery

c)

Splenic Artery

d)

Gastric Artery

2.

Which of the following are the functions of the abdominal muscles

a)

PROTECTION OF THE ABDOMINAL CAVITY

b)

ASSIST IN BODY MOVEMENT

c)

BUILDS THE ABDOMINAL CAVITY

d)

GIVES LAYERS TO THE ABDOMINAL CAVITY

3.

Which artery supplies oxygenated blood to the stomach

a)

Hepatic

b)

Splenic

c)

Gastric

d)

Renal

4.

A sac-like pear shaped organ that concentrates and stores bile.

a)

Liver

b)

Gallbladder

c)

Stomach

d)

Pancreas

5.

The largest part of the Gastrointestinal tract

a)

Large intestine

b)

Liver

c)

Skin

d)

Small intestine

6.

The heaviest organ of the body, stores mineral and iron, produces antibodies, and prothrombin and fibrinogen for blood coagulation

a)

Liver

b)

Pancreas

c)

Small intestine

d)

Brain

7.

The following organs are found in the RUQ. Except:

a)

Asceding section or tranverse part of the colon

b)

Cecum

c)

Liver

d)

Head of the Pancreas

8.

The following organs are found in the LUQ. Except:

a)

Body of the Pancreas

b)

Spleen

c)

Stomach

d)

Appendix

9.

The following organs are found in the RLQ. Except

a)

Cecum

b)

Appendix

c)

Right Ureter

d)

Left Ureter

10.

The following organs are found in the LLQ.

a)

Segmoid Colon

b)

Left Ureter

c)

Transverse Colon

d)

Left ovaries(femal)

11.

Which organ is found in the LUQ

a)

Stomach

b)

Liver

c)

Segmoid Colon

d)

Small intestine

12.

Which of the following is true on the purpose of abdominal assessment

a)

To assess abdominal pain, tenderness, and masses

b)

To check for inflammation on the stomach

c)

To not monitor client's that are post-operative

d)

To check abdominal muscles

13.

In this subjective data, it is stated on how the client felt the pain

a)

Character

b)

Severity

c)

Onset

d)

Alleviating factors

14.

This indicates what kind of pain is the client experience or feel

a)

Severity

b)

Character

c)

Onset

d)

Duration

15.

This indicates where the pain is felt

a)

Character

b)

Location

c)

Onset

d)

Duration

16.

Indicates how long the patient felt the pain

a)

Location

b)

Severity

c)

Duration

d)

Character

17.

Which of the following is NOT part of the 8 F'sof abdominal distension

a)

Fats

b)

Fluid

c)

Features

d)

Flatus

18.

Which of the following are one of the 8 F's of abdominal distension

a)

Fetus

b)

Feces

c)

Flatus

d)

Fats

e)

Fluids

19.

Are very common in infants and young children, particularly in babies born prematurely. Appears as a painless lump in or near the belly button (navel).

a)

Jaundice

b)

Cullen's sign

c)

Umbilical Hernia

d)

Hernia

20.

Described as superficial oedema with bruising in the subcutaneous fatty tissue around the peri-umbilical region. This is also known as peri-umbilical ecchymosis. It is most often recognised as a result of haemorrhagic pancreatitis.

a)

Rovsing's sign

b)

Chvostek's sign

c)

Cullen's sign

d)

Grey Turner's sign

21.

Abnormal findings on the Rectus Abdominis

a)

Diastasis Rectus Abdominis

b)

Caput Medusae

c)

Scars

d)

Ascaris

22.

Abnormal finding on the umbilicus

a)

Sister Mary Joseph Nodule

b)

Grey Turner's sign

c)

Diastasis Rectus Abdominis

d)

Caput Medusae

23.

WIDENED PULSE PRESSURE AND STRONG EPIGASTRIC PULSATIONS OF THE

ABDOMINAL AORTA

a)

Aortic Erythema

b)

Aortic Atherosclerosis

c)

Aortic inflammatiom

d)

Aortic Aneurysm

24.

What part of the stethoscope do you use on auscultating the bowel sounds

a)

Diaphragm

b)

Bell

c)

Both

d)

None

25.

What is the normal bowel sounds

a)

5-30 per minute

b)

4-34 per minute

c)

5-10 per minute

d)

11-40 per minute

26.

IS THE NORMAL HYPERACTIVE BOWEL SOUNDS. LOUD,

AUDIBLE, AND GURGLING

a)

Guglation

b)

Regurgitation

c)

Borborygmi

d)

Hungry stomach

27.

Are made by the movement of the intestines as they push food through. They simply mean that the gastrointestinal tract is

working.

a)

Abdominal Assessment

b)

Bowel Sounds

c)

Friction Rubs

d)

Gurgling sounds

28.

What do you use when auscultating the Vascular sounds of the abdomen

a)

Diaphragm

b)

Bell

c)

Both

d)

Ears

29.

Results from conditions which cause portal vein hypertension. Collateral venous channels are opened between the portal and the systemic venous channels, and the resultant flow of blood from the high-pressure portal system to the lower pressure systemic system in some way results to this type of sound

a)

Bruit

b)

Regurgitation

c)

Venous Hum

d)

Pulsation

30.

Might be an indicative of cancer in the liver with inflammatory changes or infection in or

adjacent to the liver. If detected in a young woman, the examiner should consider gonococcal

peritonitis of the upper abdomen (Fitz–Hugh–Curtis syndrome).

a)

Venous hum

b)

Friction Rub

c)

Murphy's Sign

d)

Bruit

31.

What is the sequence of percussing the abdomen

a)

RLQ, LLQ, LUQ, RUQ

b)

RUQ, RLQ, LLQ, LUQ

c)

LUQ, LLQ, RUQ, RLQ

d)

RLQ, RUQ, LUQ, LLQ

32.

The predominant sound heard when percussing the stomach

a)

Dullness

b)

Resonance

c)

Tympany

d)

Murmuring

33.

What is the normal liver span for men and women

a)

10cm, 8cm

b)

10.5 cm, 7cm

c)

11.3 cm, 6cm

d)

9cm, 7.5cm

34.

What sounds do you hear when you percuss for the liver span from the pubis symphysis

a)

Resonance to Dullness

b)

Dullness to Tympany

c)

Tympany to Dullness

d)

Dullness to Resonance

35.

What sounds do you hear when percussing the liver span from the clavicle

a)

Resonance to Dullness

b)

Resonance to Tympany

c)

Resonance all the way

d)

Dullness to Resonance

36.

Where do you percuss the spleen

a)

RUQ

b)

LLQ

c)

LUQ

d)

RLQ

37.

Where to percuss the gastric bubble

a)

RUQ

b)

LUQ

c)

LLQ

d)

RLQ

38.

What kind of percussion do we use when percussing the kidneys

a)

Palmar Percussion

b)

Fingerpads

c)

Fist percussion

d)

Direct hand percussion

39.

What are the normal findings when percussing the Kidney

a)

Kidneys not Percussable

b)

No tenderness is ilicited

c)

Kidneys are firm

d)

You hear tympany

40.

Liver tenderness can occur in conjunction with

a)

Cholecystitis

b)

Hepatitis

c)

Pancreatitis

d)

Ulcer

41.

Urine filled bladder produces what sound when percussed

a)

Tympany

b)

Dullness

c)

Not percussable

d)

Resonance

42.

How many cm do we depress when doing light palpation

a)

2-3 cm

b)

3 cm

c)

1 cm

d)

1.5 cm

43.

Purpose of light palpation

a)

allows for determination of the areas of tenderness and abdominal wall resistance due to rigidity (involuntary muscle spasm) or guarding (voluntary contraction of the abdominal wall musculature).

b)

allows for determination of the areas of firmness and abdominal wall resilience due to rigidity (voluntary muscle spasm) or guarding (voluntary contraction of the abdominal wall musculature).

c)

allows for determination of the areas of tenderness and abdominal wall resistance due to rigidity (voluntary muscle spasm) or guarding (involuntary contraction of the abdominal wall musculature).

d)

Just do it for fun

44.

How deep do we palpate on deep palpation

a)

5 cm

b)

5-8 cm

c)

2-3 cm

d)

1 cm

45.

Palpation that is performed to determine liver shape and consistency.

a)

Hook method

b)

Clean method

c)

Bimanual method

d)

Manual method

46.

Where do we palpate the liver

a)

Right costovertebral angle

b)

Right costal margin

c)

Left costal margin

d)

Costovertebral angle

47.

Normal findings on the hook method indicates: Liver edges should be firm, sharp, regular ridge with a smooth surface. Normally,

the liver is not palpable, although maybe felt in extremely thin adults.

a)

True

b)

False

48.

Where do we palpate the spleen

a)

Right costal margin

b)

Right costovertebral angle

c)

Left costovertebral angle

d)

Left costal margin

49.

Normally the spleen should be palpable

a)

True

b)

False

50.

Which of the following statements is correct

a)

The kidneys should not be palpable in the normal adult. However, the lower pole of the kidney

maybe felt among thin individuals.

b)

The kidneys should be palpable in the normal adult. However, the lower pole of the kidney

maybe felt among healthy individuals.

c)

The kidneys should not be palpable in the normal adult. However, the lower pole of the kidney

ma not felt among thin individuals.

d)

The kidneys should not be palpable in the normal adult. However, the kidney

maybe felt among thin individuals.

51.

What do we palpate on the bladder

a)

Size, shape and symmetry

b)

Size only

c)

Capacity, size, shape and symmetry

d)

Bulging

52.

Lymph nodes located horizontally near the inguinal ligament

a)

Inguinal

b)

Superior

c)

Inferior

d)

Superficial

53.

Lymph nodes that lies vertically below the junction of the saphenous and femoral veins

a)

Superior

b)

Femoral

c)

Inguinal

d)

Inferior

54.

Advance technique used to detect the lower liver edge by using the difference in sound transmission through the abdominal cavity over solid and hollow organs. The test is thought to be particularly useful if the abdomen is tense, distended, obese, or very tender.

a)

Rovsing's sign test

b)

Liver scratch test

c)

Obturator test

d)

Cullen:s sign test

55.

A technique to elicit referred pain, reflective to peritoneal inflammation secondary to appendicitis

a)

Obturator test

b)

Systematic test

c)

Rovsing's sign test

d)

Iliopsoas test

56.

Also called Blumberg's sign, is something your doctor might check for when diagnosing peritonitis

a)

Rovsign's sign test

b)

Obturator test

c)

Rebound tenderness

d)

Psoas sign

57.

A medical sign that indicates irritation to the iliopsoas group of

hip flexors in the abdomen, and consequently indicates that the inflamed appendix is retrocaecal

in orientation (as the iliopsoas muscle is retroperitoneal).

a)

Rovsing's sign

b)

Iliopsoas sign

c)

Obturator test

d)

Rebound tenderness

58.

A clinical sign of acute appendicitis, it is defined as

discomfort felt by the subject/patient on the slow internal movement of the hip joint, while the

right knee is flexed.

a)

Rovsing's sign

b)

Obturator test

c)

Iliopsoas sign

d)

Rebound tenderness

59.

What position is the patient when you do liver percussion

a)

Prone

b)

Sitting

c)

Supine

d)

Semi-supine

60.

Inflammation of liver

a)

Cholecystitis

b)

Hepatitis

c)

Pancreatitis

d)

Umbilicalitis

61.

Inflammation of the gallbladder

a)

Cholecystitis

b)

Hepatitis

c)

Pancreatitis

d)

Gallatitis

62.

Inflammation of the Pancreas

a)

Cholecystitis

b)

Hepatitis

c)

Pancreatitis

d)

Appendicitis

63.

Inflammation of the appendix

a)

Cholecystitis

b)

Hepatitis

c)

Pancreatitis

d)

Appendicitis

64.

Which of the following tests assess if patient have appendicitis

a)

Rovsigns's sign test

b)

Obturator test

c)

Iliopsoas test

d)

Rebound tenderness

e)

Hook method

65.

Normal findings when doing the hook method

a)

Liver edges should be firm, sharp, regular ridge with a smooth surface. Normally,

the liver is not palpable, although maybe felt in extremely thin adults.

b)

Liver edges should not be firm, , irregular ridge with a smooth surface. Normally,

the liver is not palpable, although maybe felt in extremely thin adults.

c)

Liver edges should be not firm, sharp, regular ridge with a smooth surface. Normally,

the liver is palpable, although maybe felt in extremely thin adults.

d)

Liver edges should be firm, sharp, regular ridge with a rough surface. Normally,

the liver is not palpable, although maybe felt in extremely thin adults.