Question 1

A 23-year-old man comes to the urgent care clinic with intense left flank and lower left quadrant pain. One patient response to history of present illness questions that further supports a tentative diagnosis of renal calculi is

Accepted Answer

A)  "My urine has been bright yellow."
B)  "I have had fever and chills for 2 days."
C)  "I also have a headache and neck ache."
D)  "My left testicle and shoulder hurt as well."
E)  "I have had flatulence and foul-smelling urine."F) B) and C)
G) D) and E)

Question 2

Percussion of the abdomen begins with establishing

Accepted Answer

A)  liver dullness.
B)  spleen dullness.
C)  gastric bubble tympany.
D)  overall dullness and tympany in all quadrants.
E)  bladder fullness.F) C) and D)
G) A) and E)

Question 3

An umbilical assessment in the newborn that is of concern is

Accepted Answer

A)  a thick cord.
B)  an umbilical hernia.
C)  one umbilical artery and two veins.
D)  pulsations superior to the umbilicus.
E)  visible nondistended superficial veins.F) A) and C)
G) C) and D)

Question 4

Patients presenting with ascites, jaundice, cutaneous spider veins, and nonpalpable liver exhibit signs of

Accepted Answer

A)  cholecystitis.
B)  pancreatitis.
C)  inflammatory bowel disease.
D)  diverticulitis.
E)  cirrhosis.F) C) and D)
G) A) and C)

Question 5

Infants born weighing less than 1500 g are at higher risk for

Accepted Answer

A)  hepatitis A.
B)  necrotizing enterocolitis.
C)  urinary urgency.
D)  cystic fibrosis.
E)  pancreatitis.F) A) and B)
G) A) and C)

Question 6

A 1-month-old boy has been vomiting for 2 weeks. How is this symptom of gastroesophageal reflux disease (GERD)  and pyloric stenosis further differentiated in this child's assessment?

Accepted Answer

A)  Vomiting becomes projectile with GERD.
B)  The infant has regurgitation with pyloric stenosis.
C)  An olive-sized mass of the right upper quadrant (RUQ)  occurs with GERD.
D)  Normal stools are expected with pyloric stenosis.
E)  The fontanel becomes sunken with pyloric stenosis.F) D) and E)
G) A) and D)

Question 7

A 51-year-old woman calls with concerns of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to

Accepted Answer

A)  use topical over-the-counter hemorrhoid treatment for 1 week.
B)  exercise and eat more fiber.
C)  come to the laboratory for a stool guaiac test.
D)  eat six small meals a day.
E)  go to the emergency department for a barium enema.F) A) and B)
G) C) and D)

Question 8

Costovertebral angle tenderness should be assessed whenever you suspect the patient may have

Accepted Answer

A)  cholecystitis.
B)  pancreatitis.
C)  pyelonephritis.
D)  ulcerative colitis.
E)  intussusception.F) A) and B)
G) A) and C)

Question 9

A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the

Accepted Answer

A)  peritoneum.
B)  mediastinum.
C)  linea alba.
D)  mesentery.
E)  pleura.F) B) and E)
G) B) and D)

Question 10

When auscultating the abdomen, which finding would indicate collateral circulation between the portal and systemic venous systems?

Accepted Answer

A)  Arterial bruit
B)  Gastric rumbling
C)  Renal hyperresonance
D)  Borborygmi
E)  Venous humF) A) and E)
G) C) and D)

Question 11

The majority of nutrient absorption takes place in the

Accepted Answer

A)  stomach.
B)  small intestine.
C)  cecum.
D)  transverse colon.
E)  descending colon.F) A) and E)
G) A) and B)

Question 12

The most pronounced functional change of the gastrointestinal (GI)  tract in older adults is

Accepted Answer

A)  decreased hydrochloric acid production.
B)  increased motility.
C)  decreased bile absorption.
D)  decreased motility.
E)  increased saliva secretion.F) C) and D)
G) A) and E)

Question 13

A mother brings her 2-year-old child for you to assess. The mother feels a lump whenever she fastens the child's diaper. Nephroblastoma is likely for this child when your physical examination of the abdomen reveals a(n)

Accepted Answer

A)  fixed mass palpated in the hypogastric area.
B)  tender, midline abdominal mass.
C)  olive-sized mass of the right upper quadrant.
D)  nontender, slightly moveable, flank mass.
E)  sausage-shaped mass in the left upper quadrant.F) A) and D)
G) All of the above

Question 14

Inspection of the abdomen should begin with the patient supine and the examiner

Accepted Answer

A)  seated on the patient's right side.
B)  standing at the foot of the table.
C)  standing at the patient's left.
D)  walking around the table.
E)  seated on the patient's left side.F) A) and B)
G) B) and C)

Question 15

When palpating the abdomen, you should note whether the liver is enlarged in the

Accepted Answer

A)  left upper quadrant.
B)  midepigastric region.
C)  periumbilical area.
D)  right upper quadrant.
E)  right lower quadrant.F) None of the above
G) B) and D)

Question 16

To correctly document absent bowel sounds, one must listen continuously for

Accepted Answer

A)  30 seconds.
B)  1 minute.
C)  3 minutes.
D)  5 minutes.
E)  10 minutes.F) C) and D)
G) None of the above

Exam 17: Abdomen

When palpating the abdomen, you should note whether the liver is enlarged in the

Correct Answer
verified

The majority of nutrient absorption takes place in the

Correct Answer
verified

Inspection of the abdomen should begin with the patient supine and the examiner

Correct Answer
verified

A 51-year-old woman calls with concerns of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to

Correct Answer
verified

The most pronounced functional change of the gastrointestinal (GI) tract in older adults is

Correct Answer
verified

Costovertebral angle tenderness should be assessed whenever you suspect the patient may have

Correct Answer
verified

A 23-year-old man comes to the urgent care clinic with intense left flank and lower left quadrant pain. One patient response to history of present illness questions that further supports a tentative diagnosis of renal calculi is

Correct Answer
verified

Patients presenting with ascites, jaundice, cutaneous spider veins, and nonpalpable liver exhibit signs of

Correct Answer
verified

A 1-month-old boy has been vomiting for 2 weeks. How is this symptom of gastroesophageal reflux disease (GERD) and pyloric stenosis further differentiated in this child's assessment?

Correct Answer
verified

A mother brings her 2-year-old child for you to assess. The mother feels a lump whenever she fastens the child's diaper. Nephroblastoma is likely for this child when your physical examination of the abdomen reveals a(n)

Correct Answer
verified

To correctly document absent bowel sounds, one must listen continuously for

Correct Answer
verified

Infants born weighing less than 1500 g are at higher risk for

Correct Answer
verified

When auscultating the abdomen, which finding would indicate collateral circulation between the portal and systemic venous systems?

Correct Answer
verified

A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the

Correct Answer
verified

Percussion of the abdomen begins with establishing

Correct Answer
verified

An umbilical assessment in the newborn that is of concern is

Correct Answer
verified

Exam 17: Abdomen

When palpating the abdomen, you should note whether the liver is enlarged in the

Correct AnswerverifiedShow Answer

The majority of nutrient absorption takes place in the

Correct AnswerverifiedShow Answer

Inspection of the abdomen should begin with the patient supine and the examiner

Correct AnswerverifiedShow Answer

A 51-year-old woman calls with concerns of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to

Correct AnswerverifiedShow Answer

The most pronounced functional change of the gastrointestinal (GI) tract in older adults is

Correct AnswerverifiedShow Answer

Costovertebral angle tenderness should be assessed whenever you suspect the patient may have

Correct AnswerverifiedShow Answer

A 23-year-old man comes to the urgent care clinic with intense left flank and lower left quadrant pain. One patient response to history of present illness questions that further supports a tentative diagnosis of renal calculi is

Correct AnswerverifiedShow Answer

Patients presenting with ascites, jaundice, cutaneous spider veins, and nonpalpable liver exhibit signs of

Correct AnswerverifiedShow Answer

A 1-month-old boy has been vomiting for 2 weeks. How is this symptom of gastroesophageal reflux disease (GERD) and pyloric stenosis further differentiated in this child's assessment?

Correct AnswerverifiedShow Answer

A mother brings her 2-year-old child for you to assess. The mother feels a lump whenever she fastens the child's diaper. Nephroblastoma is likely for this child when your physical examination of the abdomen reveals a(n)

Correct AnswerverifiedShow Answer

To correctly document absent bowel sounds, one must listen continuously for

Correct AnswerverifiedShow Answer

Infants born weighing less than 1500 g are at higher risk for

Correct AnswerverifiedShow Answer

When auscultating the abdomen, which finding would indicate collateral circulation between the portal and systemic venous systems?

Correct AnswerverifiedShow Answer

A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the

Correct AnswerverifiedShow Answer

Percussion of the abdomen begins with establishing

Correct AnswerverifiedShow Answer

An umbilical assessment in the newborn that is of concern is

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified