VERIFIED AND ACCURATE
ANSWERS GRADED A+ (LATEST
UPDATE 2026)
Solid Organs - answer-maintain their shape: liver, spleen, kidney, pancreas, ovaries
Hollow Organs - answer-the shape depends on contents: stomach, gallbladder,
intestines, bladder, uterus
Neoplasm of esophagus/stomach odor - answer-severe bad breath
Peptic ulcers odor - answer-acid breath
Hepatic failure odor - answer-sickly sweet odor
Esophageal diverticulum odor - answer-odor of decay
Severe bowel obstruction odor - answer-odor of feces
Cirrhosis with portal shunting odor - answer-odor of rotten eggs and garlic
increased lunula size - answer-indicates hyperthyroid, leprosy, and scleroderma
Normal bowel sounds for small intestine - answer-high-pitched, gurgling
Normal bowel sounds for colon - answer-low-pitched, rumbling
, Liver percussion - answer-begins at abdomen just below the umbilicus at the right
midclavicular line, percuss upward until dullness is heard
Spleen percussion - answer-lie supine, breathe normally, percuss in the lowest
intercostal space in the left anterior axillary line, beginning at an area of lung resonance
may be heard from 6-10th ribs, normal percussion sounds can be either resonance or
tympanic
Bladder percussion - answer-percussion of the suprapubic area can detect dullness,
400-600ml in bladder before dullness heard
Fluid Wave Test - answer-with the patient's hand placed vertically in the middle of
abdomen, place your hands on each side of the patient's abdomen and tap one side
while palpating the other side
If ascites is present, the examiner will feel fluid shifting from side to side
Rebound tenderness - answer-elicit by deeply palpating then suddenly releasing
pressure. If present in the RLQ (McBurney's point), suggests patient has appendicitis
McBurney's sign - answer-tenderness and rigidity from the umbilicus to the right
anterior superior iliac spine. Frequently seen with appendicitis
Inspiration arrest (Murphy's sign) - answer-palpate below right costal margin. Ask
patient to take a deep breath. If patient stops breathing mid-inspiration due to pain, the
sign is positive
Obturator test - answer-place patient in supine position with right leg flexed at hip and
knee. Place a hand just above knee with your other hand at the ankle. Rotate the
patient's leg internally and externally, positive in appendicitis