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healthassess abd
quiz 3 abdomen
Question | Answer |
---|---|
The esophagus travels a route from: | behind the trachea through the mediastinal cavity. |
The superior most part of the stomach is the: | fundus. |
Conversion of fat-soluble wastes to water-soluble material for renal excretion is a function of the: | liver. |
Contraction of the gallbladder propels bile into the: | duodenum. |
Which abdominal organs also produce hormones and function as endocrine glands? | Pancreas and kidney |
Which organ(s) are located in the retroperitoneal space? | Kidneys |
Infants born weighing less than 1500 g are at higher risk for: | necrotizing enterocolitis. |
Which structure is located in the hypogastric region of the abdomen? | Bladder |
When examining a patient with tense abdominal musculature, a helpful technique is to have the patient: | flex his or her knees. |
You ask the patient to raise the head and shoulders while lying in a supine position. A midline abdominal ridge rises. You chart this observation as a(n): | diastasis recti. |
What condition is associated with purplish striae? | Cushing disease |
Visible intestinal peristalsis may indicate: | intestinal obstruction. |
Auscultation of borborygmi is associated with: | gastroenteritis, early intestinal obstruction, or hunger. |
Peritonitis often produces bowel sounds that are: | hypoactive. |
___________ is more consistent with findings of crampy abdominal pain, borborygmi, nausea and vomiting, diarrhea, fever, and no abdominal distention. | gastroenteritis |
An examiner can recognize a friction rub in the liver by a sound that is: | high pitched and associated with respirations. |
_________ is associated with blood flow in venous collaterals found in portal hypertension. | venous hum |
In order to assess for liver enlargement in the obese person, you should: | auscultate using the scratch technique. |
An umbilical assessment in the newborn that is of concern is: | one umbilical artery and two veins. |
Failure to pass a meconium stool in the first 24 hours after birth along with abdominal distention is often the first sign of: | cystic fibrosis. |
Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least likely to be associated with this condition early in its course? | Obturator muscle test |
When using the bimanual technique for palpating the abdomen, you should: | push down with the top hand, the other atop. |
A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to: | come to the laboratory for a stool guaiac test. |
a 6 months old has abdominal distention and vomiting and is inconsolable. A sausage-shaped mass is palpable in his right upper quadrant. The lower quadrant feels empty, and a positive Dance sign is noted in his record.??? | Intussusception |
Urinary incontinence that occurs from the inability to hold urine once the stimulus to urinate is perceived is called _____ incontinence. | urge |
A _____ is best described as a protrusion of the stomach through the esophageal hiatus of the diaphragm. | hiatal hernia |
An examiner may wish to use a bimanual technique for abdominal palpation when: | meeting muscle resistance while performing deep palpation. |
Mrs. McMenamin is a 29-year-old patient who is pregnant. You are checking for fetal well-being. Fetal well-being can be assessed by fetal heart rate and: | |
Mr. Goldstein is a 56-year-old patient who presents to your office. On examination you are unable to palpate the liver or kidneys on the patient. Which of the following techniques will help assess tenderness to these organs? | Indirect fist percussion |
In which age group does abdominal palpation become easier and more accurate? | Older adults |
Fetal movement (quickening) is determined through which examination technique? | Palpation—by placing a hand over the abdomen |
Which finding on a newborn infant suggests a congenital anomaly? | The umbilical cord has one artery and one vein. |
Another way to document rebound tenderness is to write positive “__________sign.” | Blumberg |
When a patient complains of pain down the medial thigh to the knees, it is called ____________ and may occur in response to a strangulated hernia. | Romberg-Howship sign |
An absence of bowel sounds in the right lower quadrant is referred to as the ________________ sign. | Dance |
A bluish periumbilical discoloration known as ________ is indicative of intraabdominal bleeding. | Cullen sign |
Mr. Yates is a 62-year-old patient who presents for monthly follow-up examination. You palpate an organ in the left costal margin. Which technique should you use to differentiate between an enlarged left kidney and an enlarged spleen? | Percussion, listening for dullness |
Mr. Sandstone is a 76-year-old patient with decrease in liver size and hepatic blood flow. Which of the following best describes the etiology? | Decline in cardiac output |
Which of the following techniques is used to confirm the presence of abdominal ascites? | Percussion of dullness over dependent areas of the abdomen |
A 5-week-old male infant is brought to the clinic with a 2-day history of projectile vomiting. What finding should the examiner be specifically examining for? | Palpation of a small, round mass |
You hear loud bowel sounds while standing next to the patient. You would document this as: | borborygmi. |
A technique known as _________________________ is used to assess a free-floating object in the abdomen. | ballottement |