Nurs 611: Exam 3 Study Guide Questions And Proper
Answers 2024/2025
1. appendicitis: acute inflammation of appendix; usually results from a blockage by
feces that traps infectious bacteria; sharp, vague, burning, cramping, pain in RLQ
2. IBS (irritable bowel syndrome): group of gastrointestinal symptoms associated with
stress and tension; stomach pain usually relieved by bowel movement/diarrhea
3. liver cirrhosis: chronic liver disease characterized by an increase in abdominal girth
and weight gain; usually a result from ETOH abuse, HepB/C, fatty liver disease
4. malignancy: A client comes into the clinic with a constitutional symptom of
unexplained weight loss. Your first differential diagnosis is ___________________.
5. diverticulitis: inflammation of a diverticulum; associated with LLQ pain in the
abdomen
6. jaundice: yellowing of the skin and the whites of the eyes caused by an accumulation
of bile pigment (bilirubin) in the blood
7. gastric ulcer: an ulcer w/ persistent pain in the upper abdomen; aggravated by eating
more food
8. duodenal ulcer: an ulcer, or erosion, in the wall of the duodenum of the small
intestine; usually alleviated by food intake
9. Red Flags (abdominal assessment): - jaundice
- weight loss
- anemia
- pain/difficulty swallowing
- recurrent vomiting
- change in bowel patterns
- S/S GI bleeding
10. Odynophagia: pain with swallowing
11. dysphagia: difficulty swallowing
,12. gastric cancer (risk factors): H. PYLORI, salted, cured, smoked, pickled foods
containing nitrites; etoh
MC in males over 40yo, Fam Hx of stomach cancer, smoking hx, diet low in
fruits/veggies
13. flank pain: What type of pain is usually associated with Kidney Stones?
14. dysmenorrhea: pain caused by uterine cramps during a menstrual period
15. Mittelschmerz (middle pain): Some women report that they can feel themselves
ovulate in this form of cramping in lower abdomen (ovulation pain), tube abscess
and ovarian cysts
16. ovarian cysts: collections of fluid within a sac (cyst) in the ovary; associated with
pain mid-menstrual cycle
17 Chron's disease: A chronic inflammatory bowel disease that affects the lining of the
digestive tract.
18. malabsorption syndrome: inadequate absorption of nutrients from the intestinal
tract, especially the small intestine (Ex: cystic fibrosis, celiac disease)
19. True or False? Dietary habits, personal habits such as caffeine intake, smoking,
ETOH, and stress levels are all considerations for a client's personal
& social hx for their abdominal assessment?: True
20. Things to do before an abdominal exam: - pt empties their bladder
- relax their abdominal muscles
- pt's arms to their side
- proper exposure (sheet pulled down to the symphysis pubis)
21. True or False? You should examine/palpate the abdominal area that hurts, last.:
True
22. Organs in RUQ: liver, gallbladder, pylorus, duodenum, hepatic flexure, head of
pancreas, common bile duct
23. Organs in LUQ: spleen, splenic flexus of colon, stomach, body & tail of pancreas
24. Organs in RLQ: cecum, appendix, R ovary, ascending colon, terminal ileum
25. Organs in LLQ: sigmoid and descending colon, L ovary
26. Organs in R Hypochondriac region: - liver
- gallbladder
- R kidney
- small intestine
27. organs in R lumbar region: - gallbladder
, - liver
- R colon
28. organs in R iliac region: - appendix
- cecum
29. organs in epigastric region: - stomach
- liver
- pancreas
- duodenum
- spleen
- adrenal glands
30. organs in umbilical region: - umbilicus (naval)
- parts of small intestine
- duodenum
31. organs in Hypogastric region: - urinary bladder
- sigmoid colon
- female reproductive system
32 Organs in L hypochondriac region: - spleen
- colon
- L kidney
- pancreas
33. Organs in L lumbar region: - descending colon
- L kidney
34. Organs in L iliac region: - descending colon
- sigmoid colon
35. Order of Physical Exam: 1. Inspection
2. Palpation
3. Percussion
4. Auscultation
36. True or False? You should be able to see an aortic pulse on all patients.: False
(you should not be able to see the aortic pulse unless it's on a very thin person) 37.
paralytic ileus: complete absence of peristaltic movement that may follow abdominal
surgery or complete bowel obstruction; marked by "tinkling" sounds
38. Normoactive (bowel sounds): 5-35 bowel sounds per minute
39. hypoactive (bowel sounds): less than 5 bowel sounds per minute
Answers 2024/2025
1. appendicitis: acute inflammation of appendix; usually results from a blockage by
feces that traps infectious bacteria; sharp, vague, burning, cramping, pain in RLQ
2. IBS (irritable bowel syndrome): group of gastrointestinal symptoms associated with
stress and tension; stomach pain usually relieved by bowel movement/diarrhea
3. liver cirrhosis: chronic liver disease characterized by an increase in abdominal girth
and weight gain; usually a result from ETOH abuse, HepB/C, fatty liver disease
4. malignancy: A client comes into the clinic with a constitutional symptom of
unexplained weight loss. Your first differential diagnosis is ___________________.
5. diverticulitis: inflammation of a diverticulum; associated with LLQ pain in the
abdomen
6. jaundice: yellowing of the skin and the whites of the eyes caused by an accumulation
of bile pigment (bilirubin) in the blood
7. gastric ulcer: an ulcer w/ persistent pain in the upper abdomen; aggravated by eating
more food
8. duodenal ulcer: an ulcer, or erosion, in the wall of the duodenum of the small
intestine; usually alleviated by food intake
9. Red Flags (abdominal assessment): - jaundice
- weight loss
- anemia
- pain/difficulty swallowing
- recurrent vomiting
- change in bowel patterns
- S/S GI bleeding
10. Odynophagia: pain with swallowing
11. dysphagia: difficulty swallowing
,12. gastric cancer (risk factors): H. PYLORI, salted, cured, smoked, pickled foods
containing nitrites; etoh
MC in males over 40yo, Fam Hx of stomach cancer, smoking hx, diet low in
fruits/veggies
13. flank pain: What type of pain is usually associated with Kidney Stones?
14. dysmenorrhea: pain caused by uterine cramps during a menstrual period
15. Mittelschmerz (middle pain): Some women report that they can feel themselves
ovulate in this form of cramping in lower abdomen (ovulation pain), tube abscess
and ovarian cysts
16. ovarian cysts: collections of fluid within a sac (cyst) in the ovary; associated with
pain mid-menstrual cycle
17 Chron's disease: A chronic inflammatory bowel disease that affects the lining of the
digestive tract.
18. malabsorption syndrome: inadequate absorption of nutrients from the intestinal
tract, especially the small intestine (Ex: cystic fibrosis, celiac disease)
19. True or False? Dietary habits, personal habits such as caffeine intake, smoking,
ETOH, and stress levels are all considerations for a client's personal
& social hx for their abdominal assessment?: True
20. Things to do before an abdominal exam: - pt empties their bladder
- relax their abdominal muscles
- pt's arms to their side
- proper exposure (sheet pulled down to the symphysis pubis)
21. True or False? You should examine/palpate the abdominal area that hurts, last.:
True
22. Organs in RUQ: liver, gallbladder, pylorus, duodenum, hepatic flexure, head of
pancreas, common bile duct
23. Organs in LUQ: spleen, splenic flexus of colon, stomach, body & tail of pancreas
24. Organs in RLQ: cecum, appendix, R ovary, ascending colon, terminal ileum
25. Organs in LLQ: sigmoid and descending colon, L ovary
26. Organs in R Hypochondriac region: - liver
- gallbladder
- R kidney
- small intestine
27. organs in R lumbar region: - gallbladder
, - liver
- R colon
28. organs in R iliac region: - appendix
- cecum
29. organs in epigastric region: - stomach
- liver
- pancreas
- duodenum
- spleen
- adrenal glands
30. organs in umbilical region: - umbilicus (naval)
- parts of small intestine
- duodenum
31. organs in Hypogastric region: - urinary bladder
- sigmoid colon
- female reproductive system
32 Organs in L hypochondriac region: - spleen
- colon
- L kidney
- pancreas
33. Organs in L lumbar region: - descending colon
- L kidney
34. Organs in L iliac region: - descending colon
- sigmoid colon
35. Order of Physical Exam: 1. Inspection
2. Palpation
3. Percussion
4. Auscultation
36. True or False? You should be able to see an aortic pulse on all patients.: False
(you should not be able to see the aortic pulse unless it's on a very thin person) 37.
paralytic ileus: complete absence of peristaltic movement that may follow abdominal
surgery or complete bowel obstruction; marked by "tinkling" sounds
38. Normoactive (bowel sounds): 5-35 bowel sounds per minute
39. hypoactive (bowel sounds): less than 5 bowel sounds per minute
