WorksheetsAbdominal Assessment
Total questions: 65
Worksheet time: 35mins
What artery supplies oxygenated blood to the liver.
Iliac Artery
Hepatic Artery
Splenic Artery
Gastric Artery
Which of the following are the functions of the abdominal muscles
PROTECTION OF THE ABDOMINAL CAVITY
ASSIST IN BODY MOVEMENT
BUILDS THE ABDOMINAL CAVITY
GIVES LAYERS TO THE ABDOMINAL CAVITY
Which artery supplies oxygenated blood to the stomach
Hepatic
Splenic
Gastric
Renal
A sac-like pear shaped organ that concentrates and stores bile.
Liver
Gallbladder
Stomach
Pancreas
The largest part of the Gastrointestinal tract
Large intestine
Liver
Skin
Small intestine
The heaviest organ of the body, stores mineral and iron, produces antibodies, and prothrombin and fibrinogen for blood coagulation
Liver
Pancreas
Small intestine
Brain
The following organs are found in the RUQ. Except:
Asceding section or tranverse part of the colon
Cecum
Liver
Head of the Pancreas
The following organs are found in the LUQ. Except:
Body of the Pancreas
Spleen
Stomach
Appendix
The following organs are found in the RLQ. Except
Cecum
Appendix
Right Ureter
Left Ureter
The following organs are found in the LLQ.
Segmoid Colon
Left Ureter
Transverse Colon
Left ovaries(femal)
Which organ is found in the LUQ
Stomach
Liver
Segmoid Colon
Small intestine
Which of the following is true on the purpose of abdominal assessment
To assess abdominal pain, tenderness, and masses
To check for inflammation on the stomach
To not monitor client's that are post-operative
To check abdominal muscles
In this subjective data, it is stated on how the client felt the pain
Character
Severity
Onset
Alleviating factors
This indicates what kind of pain is the client experience or feel
Severity
Character
Onset
Duration
This indicates where the pain is felt
Character
Location
Onset
Duration
Indicates how long the patient felt the pain
Location
Severity
Duration
Character
Which of the following is NOT part of the 8 F'sof abdominal distension
Fats
Fluid
Features
Flatus
Which of the following are one of the 8 F's of abdominal distension
Fetus
Feces
Flatus
Fats
Fluids
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).
Jaundice
Cullen's sign
Umbilical Hernia
Hernia
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.
Rovsing's sign
Chvostek's sign
Cullen's sign
Grey Turner's sign
Abnormal findings on the Rectus Abdominis
Diastasis Rectus Abdominis
Caput Medusae
Scars
Ascaris
Abnormal finding on the umbilicus
Sister Mary Joseph Nodule
Grey Turner's sign
Diastasis Rectus Abdominis
Caput Medusae
WIDENED PULSE PRESSURE AND STRONG EPIGASTRIC PULSATIONS OF THE
ABDOMINAL AORTA
Aortic Erythema
Aortic Atherosclerosis
Aortic inflammatiom
Aortic Aneurysm
What part of the stethoscope do you use on auscultating the bowel sounds
Diaphragm
Bell
Both
None
What is the normal bowel sounds
5-30 per minute
4-34 per minute
5-10 per minute
11-40 per minute
IS THE NORMAL HYPERACTIVE BOWEL SOUNDS. LOUD,
AUDIBLE, AND GURGLING
Guglation
Regurgitation
Borborygmi
Hungry stomach
Are made by the movement of the intestines as they push food through. They simply mean that the gastrointestinal tract is
working.
Abdominal Assessment
Bowel Sounds
Friction Rubs
Gurgling sounds
What do you use when auscultating the Vascular sounds of the abdomen
Diaphragm
Bell
Both
Ears
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
Bruit
Regurgitation
Venous Hum
Pulsation
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).
Venous hum
Friction Rub
Murphy's Sign
Bruit
What is the sequence of percussing the abdomen
RLQ, LLQ, LUQ, RUQ
RUQ, RLQ, LLQ, LUQ
LUQ, LLQ, RUQ, RLQ
RLQ, RUQ, LUQ, LLQ
The predominant sound heard when percussing the stomach
Dullness
Resonance
Tympany
Murmuring
What is the normal liver span for men and women
10cm, 8cm
10.5 cm, 7cm
11.3 cm, 6cm
9cm, 7.5cm
What sounds do you hear when you percuss for the liver span from the pubis symphysis
Resonance to Dullness
Dullness to Tympany
Tympany to Dullness
Dullness to Resonance
What sounds do you hear when percussing the liver span from the clavicle
Resonance to Dullness
Resonance to Tympany
Resonance all the way
Dullness to Resonance
Where do you percuss the spleen
RUQ
LLQ
LUQ
RLQ
Where to percuss the gastric bubble
RUQ
LUQ
LLQ
RLQ
What kind of percussion do we use when percussing the kidneys
Palmar Percussion
Fingerpads
Fist percussion
Direct hand percussion
What are the normal findings when percussing the Kidney
Kidneys not Percussable
No tenderness is ilicited
Kidneys are firm
You hear tympany
Liver tenderness can occur in conjunction with
Cholecystitis
Hepatitis
Pancreatitis
Ulcer
Urine filled bladder produces what sound when percussed
Tympany
Dullness
Not percussable
Resonance
How many cm do we depress when doing light palpation
2-3 cm
3 cm
1 cm
1.5 cm
Purpose of light palpation
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).
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).
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).
Just do it for fun
How deep do we palpate on deep palpation
5 cm
5-8 cm
2-3 cm
1 cm
Palpation that is performed to determine liver shape and consistency.
Hook method
Clean method
Bimanual method
Manual method
Where do we palpate the liver
Right costovertebral angle
Right costal margin
Left costal margin
Costovertebral angle
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.
True
False
Where do we palpate the spleen
Right costal margin
Right costovertebral angle
Left costovertebral angle
Left costal margin
Normally the spleen should be palpable
True
False
Which of the following statements is correct
The kidneys should not be palpable in the normal adult. However, the lower pole of the kidney
maybe felt among thin individuals.
The kidneys should be palpable in the normal adult. However, the lower pole of the kidney
maybe felt among healthy individuals.
The kidneys should not be palpable in the normal adult. However, the lower pole of the kidney
ma not felt among thin individuals.
The kidneys should not be palpable in the normal adult. However, the kidney
maybe felt among thin individuals.
What do we palpate on the bladder
Size, shape and symmetry
Size only
Capacity, size, shape and symmetry
Bulging
Lymph nodes located horizontally near the inguinal ligament
Inguinal
Superior
Inferior
Superficial
Lymph nodes that lies vertically below the junction of the saphenous and femoral veins
Superior
Femoral
Inguinal
Inferior
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.
Rovsing's sign test
Liver scratch test
Obturator test
Cullen:s sign test
A technique to elicit referred pain, reflective to peritoneal inflammation secondary to appendicitis
Obturator test
Systematic test
Rovsing's sign test
Iliopsoas test
Also called Blumberg's sign, is something your doctor might check for when diagnosing peritonitis
Rovsign's sign test
Obturator test
Rebound tenderness
Psoas sign
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).
Rovsing's sign
Iliopsoas sign
Obturator test
Rebound tenderness
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.
Rovsing's sign
Obturator test
Iliopsoas sign
Rebound tenderness
What position is the patient when you do liver percussion
Prone
Sitting
Supine
Semi-supine
Inflammation of liver
Cholecystitis
Hepatitis
Pancreatitis
Umbilicalitis
Inflammation of the gallbladder
Cholecystitis
Hepatitis
Pancreatitis
Gallatitis
Inflammation of the Pancreas
Cholecystitis
Hepatitis
Pancreatitis
Appendicitis
Inflammation of the appendix
Cholecystitis
Hepatitis
Pancreatitis
Appendicitis
Which of the following tests assess if patient have appendicitis
Rovsigns's sign test
Obturator test
Iliopsoas test
Rebound tenderness
Hook method
Normal findings when doing the hook method
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.
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.
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.
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.
