UC HEALTH ASSESSMENT MIDTERM EXAM WITH COMPLETE
QUESTIONS AND CORRECT VERIFIED ANSWERS (DETAILED
ANSWERS) ALREADY GRADED A+ 100% GUARANTEED TO
PASS CONCEPTS!!!.
RUQ - ANSWER-liver gallbladder, head of pancreas, right kidney and adrenal,
hepatic flexure of colon, part of ascending and transverse colon
LUQ - ANSWER-stomach, spleen, left lobe of liver, body of pancreas, left kidney
and adrenal, splenic flexure of coon, part of transverse and descending colon
RLQ - ANSWER-cecum, appendix, right ovary, right ureter, right spermatic cord
LLQ - ANSWER-part of descending colon, sigmoid colon, left ovary/tube, left
ureter, left spermatic cord
midline - ANSWER-aorta, uterus, bladder
4 Layers of muscles that form the ventral wall - ANSWER-Linea alba, tendinous
seam, rectus abdominus, external oblique
Viscera - ANSWER-internal organs
,hollow organs - ANSWER-shape depends on content (stomach, intestine, colon,
bladder, uterus)
Solid organs - ANSWER-maintain their shape
Abnormal findings on inspection - ANSWER-restless, colicky pain, absolute
stillness in gut, knees flexed and facial grimacing
Abnormal on auscultation - ANSWER-bruit, no BS
abnormal on percussion - ANSWER-dullness over distended bladder, fat or fluid
filled mass, hyperresonance with gaseous distention.
abnormal on palpation - ANSWER-light palpation: muscle guarding, rigidity,
large mass and tenderness
deep palpation: tenderness with local inflammation, peritoneum or organ.
health history clues for abd. CC - ANSWER-adult: appetite, diet changes,
dysphagia, food intolerance, nutrition concerns, N/V/D, abd pain, bowel habits,
medication use, stressors, lifestyle, c/o burning has upset stomach, blood or
urine in stool
infant: colic, distention, poor feeding, vomiting, rigidity, change in elimination
Inspection - ANSWER-contour, symmetry, umbilicus, skin, striae, pulsations,
hair distribution, respiratory movement.
,auscultation - ANSWER-bowel sounds, vascular sounds, liver border scratch
test, bladder distention, scratch test
percussion - ANSWER-liver span, spleen, costovertebral angle tenderness, fluid
wave, shifting dullness
Palpation - ANSWER-deep and light, liver spleen, kidneys, aorta, bladder
Mcburneys point - ANSWER-peritoneal inflammation, apply pressure @ point
and release
positive=inflammation
rovsings sign - ANSWER-associated with peritoneal inflammation press deeply
for 5 secs in LLQ pain in RLQ= positive appendicitis
Murphys - ANSWER-associated with cholecystitis; palpate at inspiration at liver
margin pain at inspiration= positive murphys
Illiopsoas muscle test - ANSWER-associated with abd pain/appendicitis, place
hand on R thigh and push down as patient raises leg, pain in
RLQ=positive=inflamed appendix
Obtrurator test - ANSWER-assoc with irritation of obturator muscle flex R leg at
hip/knee, rotate leg internally and externally, pain in hypogastric area= positive
sign= ruptured appendix or pelvic abscess
RF for colorectal cancer - ANSWER-older age, AA, jewish, eastern european
descent, lifestyle, obesity, smoking, ETOH, diet high in red meats, processed
foods, frying, grilling, broiling, ovarian endometrial or breast CA, hx IBD, type 2
DM, fam hx: colorectal CA or polyps, crohns dx, chronic ulcerative colitis
, presentation of colorectal CA - ANSWER-symptoms often mean advanced dx
rectal bleeding, iron deficiency anemia, abd pain, change in bowel habits,
intestinal obstruction or perforation.
Bowel sounds - ANSWER-normal sounds are high pitched ever 5-30 secs,
irregular high pitched gurgling, cascading sound.
vascular sounds - ANSWER-no sound present normally
liver scratch test - ANSWER-outer margin of liver noted 1-2 cm below R costal
margin
bladder - ANSWER-bladder noted only if full
Percussion - ANSWER-normally tympanic throughout abd
liver span - ANSWER-6-12 cm in range
spleen - ANSWER-resonance of lungs changes to dullness
costovertebral angle tenderness - ANSWER-normal is thud with no pain
fluid wave - ANSWER-no change is normal
shifting dullness - ANSWER-normal is to only hear tympany throughout. Abd is
to hear tympany to dullness from fluid
