Exam 3 Assessment Jarvis Questions
and Answers
Select the sequence of techniques used during an examination of the abdomen.
a. Percussion, inspection, palpation, auscultation
b. Inspection, palpation, percussion, auscultation
c. Inspection, auscultation, percussion, palpation
d. Auscultation, inspection, palpation, percussion - Answers -C
Which of the following can be noted through inspection of a patient's abdomen?
a. Fluid waves and abdominal rigidity
b. Umbilical eversion and Murphy's sign
c. Venous pattern, peristaltic waves, and
abdominal contour
d. Peritoneal irritation, general tympany, and peristaltic waves - Answers -C
Right upper quadrant tenderness may indicate pathology in the:
a. Liver, pancreas, or ascending colon
b. Liver and stomach
c. Sigmoid colon, spleen, or rectum
d. Appendix or ileocecal valve - Answers -A
Hyperactive bowel sounds are:
a. High-pitched
b. Rushing
c. Tinkling
d. All of the above - Answers -D
The absence of bowel sounds is established after listening for:
a. 1 full minute
b. 3 full minutes
c. 5 full minutes
d. None of the above - Answers -C
Auscultation of the abdomen may reveal bruits of the ______________ arteries.
a. Aortic, renal, iliac, and femoral
b. Jugular, aortic, carotid, and femoral
c. Pulmonic, aortic, and portal
d. Renal, iliac, internal jugular, and basilic - Answers -A
The normal range of liver span in the right midclavicular line in the adult is:
,a. 2to6cm
b. 4to8cm
c. 8to14cm
d. 6to12cm - Answers -D
The left upper quadrant (LUQ) contains the:
a. Liver
b. Appendix
c. Left ovary
d. Spleen - Answers -D
A female patient has striae on the abdomen.
Which color indicates long-standing striae?
a. Pink
b. Blue
c. Purple-blue
d. Silvery white - Answers -D
Auscultating the abdomen is begun in the right lower quadrant (RLQ) because:
a. Bowel sounds are always normally present here.
b. Peristalsis through the descending colon is usually active.
c. This is the location of the pyloric sphincter.
d. Vascular sounds are best heard in this area. - Answers -A
A dull percussion note forward of the left midaxillary line is:
a. Normal; an expected finding during splenic percussion
b. Expected between the 8th and 12th ribs
c. Found if the examination follows a large meal
d. Indicative of splenic enlargement - Answers -D
Shifting dullness is a test for:
a. Ascites
b. Splenic enlargement
c. Inflammation of the kidney
d. Hepatomegaly - Answers -A
Tenderness during abdominal palpation is expected when palpating the:
a. Liver edge
b. Spleen
c. Sigmoid colon
d. Kidneys - Answers -C
A positive Murphy's sign is best described as:
a. The pain felt when the examiner's hand is rapidly removed from an inflamed
appendix.
, b. Pain felt when taking a deep breath when the examiner's fingers are on the
approximate location of the inflamed gallbladder.
c. A sharp pain felt by the patient when one hand of the examiner is used to thump the
other at the costovertebral angle.
d. This is not a valid examination technique. - Answers -B
A positive Blumberg sign indicates:
a. Possible aortic aneurysm b. Presence of renal artery stenosis
c. Enlarged, nodular liver
d. Peritoneal inflammation - Answers -D
During the assessment of the spine, the patient would be asked to:
a. Adduct and extend.
b. Supinate, evert, and retract.
c. Extend, adduct, invert, and rotate.
d. Flex, extend, abduct, and rotate. - Answers -D
Pronation and supination of the hand and forearm are the result of the articulation of
the:
a. Scapula and clavicle
b. Radius and ulna
c. Patella and condyle of fibula
d. Femur and acetabulum - Answers -B
Anterior and posterior stability are provided to the knee joint by the:
a. Medial and lateral menisci
b. Patellar tendon and ligament
c. Medial collateral ligament and quadriceps muscle
d. Anterior and posterior cruciate ligaments - Answers -D
A 70-year-old woman has come for a health examination. Which of the following is a
common age-related change in the curvature of the spinal column?
a. Lordosis
b. Scoliosis
c. Kyphosis
d. Lateral scoliosis - Answers -C
Examination of the shoulder includes 4 motions. These are:
a. Forward flexion, internal rotation, abduction, and external rotation
b. Abduction, adduction, pronation, and supination
c. Circumduction, inversion, eversion, and rotation
d. Elevation, retraction, protraction, and circumduction - Answers -A
The bulge sign is a test for:
a. Swelling in the suprapatellar pouch
b. Carpal tunnel syndrome