QUESTIONS WITH ANSWERS GRADED A+
⩥ Costovertebral angle. Answer: Kidneys under 12th (lowest posterior)
rib
⩥ Right Upper Quadrant (RUQ). Answer: Liver
Gallbladder
Duodenum
Head of pancreas
Right kidney and adrenal
Hepatic flexure of colon
Part of ascending and transverse colon
⩥ Left Upper Quadrant (LUQ). Answer: Stomach
Spleen
Left lobe of liver
Body of pancreas
Left kidney and adrenal
Splenic flexure of colon
Part of transverse and descending colon
,⩥ Right Lower Quadrant (RLQ). Answer: Cecum
Appendix
Right ovary and tube
Right ureter
Right spermatic cord
⩥ Left Lower Quadrant (LLQ). Answer: Part of descending colon
Sigmoid colon
Left ovary and tube
Left ureter
Left spermatic cord
⩥ Midline. Answer: Aorta
Uterus (if enlarged)
Bladder (if distended)
⩥ history of a patient who is having abdominal complaints. Answer: -
Appetite
-Dysphagia
-Food Intolerance
-Abdominal Pain
-Nausea and Vomiting
,-Bowel habits
-Past GI Issues
-Operations
-Abdominal studies (x-ray, colonoscopy, EGD)
-Medications
-Alcohol
-Smoking
-Nutritional Assessment (24 hour diet recall)
-Obesity
⩥ Subjective Data - Infants and Children. Answer: • Breastfed or Bottle
fed?
• Which table foods have been introduced?
• How often does your child eat? Scheduled?
Snacks?
• Does child eat nonfoods? Grass/dirt/paint chips?
• Constipation? Abdominal Pain?
• Overweight? Diet? Activity?
•Pica
⩥ Subjective Data - Adolescents. Answer: • Regular meal? Breakfast?
Snacks?
, • Calories? Exercise?
• Screen for extreme weight loss
• How does adolescent view body?
• What do parents or friends say about eating habits?
•Anorexia Nervosa
⩥ Subjective Data - Elderly. Answer: • How does person get groceries?
Prepare meals?
• Eat alone? With others?
• Trouble swallowing foods? What do you do after eating?
• How often does person have a bowel movement? Laxatives?
• Medications? Any GI side effects?
⩥ Sequence of Abdominal Exam. Answer: • Inspection
• Auscultation
• Percussion
• Palpation
*Percussion and Palpation can increase peristalsis and give a false
interpretation of bowel sounds
⩥ prepare and position the patient for an abdominal exam. Answer: •The
person should have emptied the bladder, saving a urine specimen if
needed.