Complete Solutions
1). A 9 month old who has been a healthy, thriving infant presents with a poor appetite, two
episodes of vomiting, three bloody stools with mucus and knees drawn to the abdomen
with screaming. these are clinical manifestations of:
Ans: Intussusception
2). Abdominal percussion is performed to assess:
Ans: Density of tissues and organs
3). When performing a digital rectal exam, a soft, pedunculate lesion is palpated. this finding is
most likely:
Ans: A rectal polyp
4). Which type of hepatitis is most commonly transmitted from infected mothers to infants at
the time of birth?
Ans: Hepatitis B
5). A patient presents with complaints of bright red stool over the past week. this symptom
could be consistent with:
Ans: Cancer of the sigmoid colon
6). An infant weighed 8 pounds at birth. according to the principles of normal growth and
development, how much should he weigh at 12 month of age?
Ans: 24 pounds
7). When examining the buttocks and rectum, a small tuft of hair surrounded by a halo of
erythema was observed at the sacral area. this finding is most likely:
Ans: A pilonidal cyst
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, 8). An enlarged liver with a firm, non-tender edge may be suggestive of
Ans: Cirrhosis
9). A 30 year old male presents with generalized abdominal pain. with flex ion of the legs at the
hip an increase in his abdominal pain is noted. this finding elicited a positive
Ans: Psoas sign
10). Of the fiver percussion notes, which one produces a drum-like sound heard over air filled
structures during the abdominal examination?
Ans: Tympanic
11). A patient was instructed to point to the location of his pain. he pointed to just below the
sternoclavicular notch which likely indicates:
Ans: Esophageal dysphasia
12). Bowel sounds maybe decreased in the presence of:
Ans: Peritonitis
13). When performing a rectal exam, a purple tape bloody discharge mixed with fecal matter is
oozing from the recut,. this finding is most consistent with a:
Ans: Anorectal fistula
14). A feeling of constantly needing to pass stool is termed:
Ans: tenesmus
15). Risk factors associated with hepatitis a include all the following except:
Ans: Exposure to needle sticks
16). When performing an examination of the rectal area, a linear tear at the anal opening as
observed. this could be indicative of:
Ans: An anal fissure
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