WorksheetsGI-Anatomy and Examination
Total questions: 13
Worksheet time: 7mins
Which of the following accessory organs of the GI system is typically located in the Right Upper Quadrant (RUQ) of the abdomen?
Spleen
Pancreas
Gallbladder
Sigmoid Colon
The process described as "breaking food down into nutrients" is the primary GI function of:
Mastication
Digestion
Transport
Immunity
What is the correct sequence of examination techniques for the abdomen, specifically to avoid altering or stimulating bowel sounds?
Inspection, Palpation, Percussion, Auscultation.
Inspection, Palpation, Auscultation, Percussion.
Auscultation, Inspection, Palpation, Percussion.
Inspection, Auscultation, Percussion, Palpation
On inspection of the abdomen, the presence of bulging flanks is a finding suggestive of:
Visible peristalsis
Organomegaly
Ascites or significant obesity
large ventral hernia
What percussion note is typically expected over gas-filled structures like the stomach (gastric air bubble) and portions of the colon?
Flatness
Dullness
Tympany
Resonance
What type of abdominal palpation is used initially to detect abdominal tenderness and muscular resistance and is performed with a gentle, dipping motion?
Deep palpation
Ballottement
Light palpation
Fist percussion
A sharp increase in tenderness with inspiratory effort while palpating the right subcostal area is the characteristic finding of a positive:
Rovsing sign
Psoas sign
Obturator sign
Murphy sign
To perform the Psoas sign for a patient on their left side, the right leg is examined by asking the patient to perform:
Flexion at the hip against resistance
Internal rotation at the hip
Abduction at the hip
Extension at the hip
The pain of acute appendicitis classically begins near the umbilicus or epigastrium and then typically migrates to which quadrant?
Right Upper Quadrant (RUQ)
Left Upper Quadrant (LUQ)
Right Lower Quadrant (RLQ)
Left Lower Quadrant (LLQ)
To assess for fluid in the abdomen, the examiner can perform the test for shifting dullness, which relies on the principle that:
An intra-abdominal mass can be ballotted against a solid surface.
Tapping one flank causes an impulse to be transmitted to the opposite flank
Ascitic fluid sinks with gravity, and gas-filled loops of bowel rise
Dullness over the spleen disappears after a large meal
The vertical span of liver dullness may be displaced downward (inferiorly) in patients with conditions such as:
Acute hepatitis
Fulminant liver failure
Ascites
Chronic Obstructive Pulmonary Disease (COPD)
Peritoneal Signs Guarding is an involuntary contraction of the abdominal wall musculature upon examination that is a significant sign of:
Peritoneal inflammation (Peritonitis)
Visceral pain
Obstruction
Ascites
The spleen, when palpable, is typically found in which abdominal quadrant?
Right Upper Quadrant (RUQ)
Left Upper Quadrant (LUQ)
Right Lower Quadrant (RLQ)
Left Lower Quadrant (LLQ)
