Questions and All Correct Answers
2025-2026 Updated.
Liver - Answer dullness is normal
right upper quadrant
Spleen - Answer dullness is normal
left upper quadrant
Costovertebral angle - Answer CVA tenderness can be a sign of kidney problems such as
infection or stones
Cholecystitis/ Cholelithiasis - Answer Female, Fat, Forty
Fever
elevated neutrophils, AST/ALT, amylase
diagnose with gallbladder ultrasound
severe epigastric or RUQ pain that is referred to the shoulder
Murphys sign
severe, dull or boring, constant pain, N/V, pleuritic pain and fever
developing hours after meals, frequently at night awakening patients from sleep
Intestinal obstruction - Answer severe, abrupt, spasm like paim referred to umbilicus and
epigastrium
gripping
Leaking abdominal aneurysm - Answer steady, throbbing, midline pain over aneurysm that
may radiate to back or flank
described as tearing
Liver disease - Answer viral hepatitis, alcohol related hepatitis, nonalcoholic steatohepatitis,
fatty liver, cirrhosis, hepatic cysts and malignancy
, jaundice, hepatomegaly, cholestasis, portal HTN, ascites, encephalopathy
Hiatal Hernia - Answer common, asymptomatic, sometimes severe symptoms of acid reflux,
esophagitis in patients with GERD
heartburn, belching, dysphagia, chest or abdominal pain, feeling of fullness
Hepatitis disease - Answer RUQ, jaundice, history of ETOH or drugs, sexual practice, travel,
N/V, color of stool or urine, weight loss, abdominal distention, elevated AST/ALT, check hepatitis
profile
GERD - Answer epigastric, heartburn, triggered by certain foods, pain will occur 30-60
minutes after eating
Peptic Ulcer Disease - Answer burning pain, epigastric, radiating to back
1-5 hours after food
test: stool OB, endoscopy
localized pain in left upper quadrant
Caused by H.pylori and NSAIDS
Duodenal - Answer relieved with food
gnawing or burning, pain on an empty stomach
Gastric - Answer relieved with vomiting
worsened by food intake
Zollinger ellison syndrome commonly results
Perforated gastric or duodenal ulcer - Answer abrupt RLQ pain that may refer to shoulder
burning
Rupture of abdominal organ - Answer pain is felt all over the abdomen with no localization
Biliary stones - Answer intense pain in right upper quadrant
cramping
Pancreatitis - Answer epigastric, LUQ