1. Which statement suggests that a patient may be at risk for contracting viral hepatitis
A?
a. "I am a healthcare worker."
b. "I had a blood transfusion recently."
c. "I have renal failure and have hemodialysis three times a week."
d. "I have recently been overseas." - d
2. The examiner observes venous return on the abdomen of the patient that moves
upward from the pubis to the chest. This finding should make the examiner consider
a. portal hypertension.
b. renal artery stenosis.
c. inferior vena cava obstruction.
d. mesentery arterial hypertension. - c
3. Mrs. Cody is 36 weeks pregnant. She tells the exam- iner that her stomach muscle
feels like it is splitting. A protrusion at the midline of the abdomen is observed. This is
recognized as
a. abdominal dehiscence.
b. swelling of the abdominal aorta.
c. diastasis recti.
d. umbilical herniation. - c
4. In which of the following patients would a slight pulsation in the epigastric area be
considered a normal inspection finding?
a. A very thin patient
b. An obese patient
c. A patient with ascites
d. An older patient - a
5. The examiner palpates an organ in the left costal margin. Which technique should the
examiner use to differentiate between an enlarged left kidney and an enlarged spleen?
a. Auscultation, listening for renal bruit
b. Auscultation, listening for abdominal friction rub
c. Palpation, using indirect fist palpation to assess for tenderness
d. Percussion, listening for dullness - d
6. A hiatal hernia is best described as
a. a protrusion of abdominal contents through a weakening in the abdominal wall.
b. a protrusion of the stomach through the esophageal opening in the diaphragm.
, c. an ulcer in the mucosa of the stomach that herniates into the peritoneal cavity.
d. a herniation of the gallbladder into the cystic duct. - b
7. An examiner may wish to use a bimanual technique for abdominal palpation when
a. palpating superficial organs.
b. validating abdominal tenderness in the infant.
c. meeting muscle resistance while performing deep palpation.
d. determining the presence of excessive peritoneal fluid. - c
8. A 21⁄2-year-old child presents with abdominal pain and stools that are red currant
jelly in appearance. Which problem would the examiner suspect?
a. Meckel diverticulum
b. Pyloric stenosis
c. Intussusception
d. Necrotizing enterocolitis - c
9. You note that the midclavicular liver span of an adult male patient is 18 cm. With
palpation, you note that the liver is enlarged and nontender. What do these findings
suggest?
a. Diverticulitis
b. Ulcerative colitis
c. Hepatitis
d. Cirrhosis - d
10. The examiner is unable to palpate the liver or kidney on the patient. Which of the
following techniques will help assess tenderness to these organs?
a. Application of continuous, firm pressure for 3 to 5 minutes
b. Percussion for tympany
c. Percussion for size
d. Indirect fist percussion - d
11. Where is pain felt when an obturator muscle test is positive?
a. Right hip and thigh
b. Right hypogastric area
c. Right lower quadrant and groin
d. Beneath the right shoulder blade - b
12. Which of the following techniques is used to confirm the presence of abdominal
ascites?
a. Auscultation of fluid movement within the abdominal cavity
b. Palpation of rebound tenderness
c. Palpation of pitting edema on the abdomen
d. Percussion of dullness over dependent areas of the abdomen - d
13. Which of the following examination findings is indicative of peritoneal irritation or
appendicitis?
, a. Rebound tenderness on palpation
b. Shifting dullness over the abdomen on percussion
c. Bruit heard over the abdominal aorta on auscultation
d. Dullness over the suprapubic area on percussion - a
14. Which finding on a newborn infant suggests a con- genital anomaly?
a. The umbilical cord has one artery and one vein.
b. The umbilical cord is thick.
c. The umbilical cord is thin.
d. There is a small mass around the umbilicus. - a
15. A 61-year-old man has a presenting complaint of frequent constipation. He tells the
examiner that there has been a change in his bowel movement habits—he gets
constipated easily, the stool is very "skinny looking," and it is a different color than
usual. He denies pain. What do these symptoms suggest?
a. Diverticulitis
b. Hepatitis B
c. Colon or rectal cancer
d. Pancreatitis - c
16. The functional ability of the gastrointestinal tract most severely affected by aging is
a. motility.
b. metabolism.
c. digestion.
d. catabolism. - a
17. Which rule states that the farther away from the navel abdominal pain occurs, the
more likely it is to be of physical importance?
a. Reglan rule
b. Apley rule
c. Applegate rule
d. Romberg rule - b
18. Ecchymosis of the flanks associated with pancreatitis is identified as which of the
following signs?
a. Grey Turner
b. Aaron
c. Dance
d. Markle - a
19. Which of the following is the correct sequence for examining the abdomen?
a. Inspection, auscultation, percussion, palpation
b. Auscultation, inspection, percussion, palpation
c. Inspection, auscultation, palpation, percussion
d. Percussion, inspection, auscultation, palpation - a
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