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GI-Anatomy and Examination

Total questions: 13

Worksheet time: 7mins

Name
Class
Date
1.

Which of the following accessory organs of the GI system is typically located in the Right Upper Quadrant (RUQ) of the abdomen?

a)

Spleen

b)

Pancreas

c)

Gallbladder

d)

Sigmoid Colon

2.

The process described as "breaking food down into nutrients" is the primary GI function of:

a)

Mastication

b)

Digestion

c)

Transport

d)

Immunity

3.

What is the correct sequence of examination techniques for the abdomen, specifically to avoid altering or stimulating bowel sounds?

a)

Inspection, Palpation, Percussion, Auscultation.

b)

Inspection, Palpation, Auscultation, Percussion.

c)

Auscultation, Inspection, Palpation, Percussion.

d)

Inspection, Auscultation, Percussion, Palpation

4.

On inspection of the abdomen, the presence of bulging flanks is a finding suggestive of:

a)

Visible peristalsis

b)

Organomegaly

c)

Ascites or significant obesity

d)

large ventral hernia

5.

What percussion note is typically expected over gas-filled structures like the stomach (gastric air bubble) and portions of the colon?

a)

Flatness

b)

Dullness

c)

Tympany

d)

Resonance

6.

What type of abdominal palpation is used initially to detect abdominal tenderness and muscular resistance and is performed with a gentle, dipping motion?

a)

Deep palpation

b)

Ballottement

c)

Light palpation

d)

Fist percussion

7.

A sharp increase in tenderness with inspiratory effort while palpating the right subcostal area is the characteristic finding of a positive:

a)

Rovsing sign

b)

Psoas sign

c)

Obturator sign

d)

Murphy sign

8.

To perform the Psoas sign for a patient on their left side, the right leg is examined by asking the patient to perform:

a)

Flexion at the hip against resistance

b)

Internal rotation at the hip

c)

Abduction at the hip

d)

Extension at the hip

9.

The pain of acute appendicitis classically begins near the umbilicus or epigastrium and then typically migrates to which quadrant?

a)

Right Upper Quadrant (RUQ)

b)

Left Upper Quadrant (LUQ)

c)

Right Lower Quadrant (RLQ)

d)

Left Lower Quadrant (LLQ)

10.

To assess for fluid in the abdomen, the examiner can perform the test for shifting dullness, which relies on the principle that:

a)

An intra-abdominal mass can be ballotted against a solid surface.

b)

Tapping one flank causes an impulse to be transmitted to the opposite flank

c)

Ascitic fluid sinks with gravity, and gas-filled loops of bowel rise

d)

Dullness over the spleen disappears after a large meal

11.

The vertical span of liver dullness may be displaced downward (inferiorly) in patients with conditions such as:

a)

Acute hepatitis

b)

Fulminant liver failure

c)

Ascites

d)

Chronic Obstructive Pulmonary Disease (COPD)

12.

Peritoneal Signs Guarding is an involuntary contraction of the abdominal wall musculature upon examination that is a significant sign of:

a)

Peritoneal inflammation (Peritonitis)

b)

Visceral pain

c)

Obstruction

d)

Ascites

13.

The spleen, when palpable, is typically found in which abdominal quadrant?

a)

Right Upper Quadrant (RUQ)

b)

Left Upper Quadrant (LUQ)

c)

Right Lower Quadrant (RLQ)

d)

Left Lower Quadrant (LLQ)