MCCN SDAP X - Foundations Exam 4 Questions And
Correct Answers 100% Verified
Types of abdominal pain - ANSWER visceral: from an internal organ
parietal: inflammation overlying peritoneum
referred: disorder at another site.
Hematemisis - ANSWER bloody vomit
Coffee-ground emesis - ANSWER partially digested, don't see red as much
Order of assessment with abdomen - ANSWER Inspect, AUSCULATATE, Percuss,
palpate (different from the rest)
Relax abdominal wall - empty bladder, warm room, patient supine with head on pillow,
arm at sides, fingernails short, warm hands and stethoscope. Ask if tender areas, ask
about breathing exercises, inquire about history.
umbilicus - midline and inverted
May protrude with hernia, ascites or mass.
obese patient: in very deeply
Cullen's sign - bluish periumbilical color occurs w/ intraperitoneal bleeding.
normal bowel sounds - ANSWER use diaphragm
active. high pitched gurgling, cascading sounds occurring irregularly from 5 to 30 times
per minute
listen for 5 minutes in all 4 quadrants
,hypoactive bowel sounds - ANSWER or absent. follow abdominal surgery or
inflammation of the perioneum. to fix —> ambulate! low tone.
hyperactive - ANSWER loud, high pitched, rushing, tinkling sounds that signal increase
motility. excited, butterfly feeling.
peritoneal friction rub - ANSWER rough, grating, sandpaper, sounds indicate peritoneal
inflammation.
borborygmus - ANSWER growling stomach, hyperactive. abnormal
vascular sounds - ANSWER use bell
bruit
general tympany - ANSWER percussion of abdomen
normal. over all 4 quadrants. move clockwise.
dullness - ANSWER percussion of abdomen
distended bladder, adipose tissue, fluid, or a mass
hyperresonance of abdomen - ANSWER percussion of abdomen
caused by gas
liver span - ANSWER measure the height of the liver in the midclavicular line.
patient lie flat, RUQ
liver = dull sound
liver bigger in larger people and men
, average = 6-12 cm.
normally palpable structures in abdomen - ANSWER liver, kidneys (only right kidney),
aorta, (bladder only if full)
palpable when enlarged - ANSWER spleen, gallbladder
voluntary guarding - ANSWER occurs when person is cold, tense, ticklish. bilateral
involuntary rigidity constant, boardlike hardness of the muscles. protective. unilateral.
light palpation only 1-2 cm.
4 fingers close together, press skin 1 cm. make gentle rotating motion, sliding fingers
and skin together. lift fingers and move clockwise.
assessing only for pain
bimanual palpation obese abdomen. use two hands on top of each other. top hand
pushing bottom. bottom hand relax and sense palpation.
palpate aorta - ANSWER normally 2.5-4 cm wide
upper abdomen, slightly left of midline.
wide = abdominal aortic aneurysm.
Abnormal findings related to abdominal distention - ANSWER fat (obesity)
flatulence (air or gas)
fluid (ascites, ovarian cyst)
fetus (pregnancy)
feces
Correct Answers 100% Verified
Types of abdominal pain - ANSWER visceral: from an internal organ
parietal: inflammation overlying peritoneum
referred: disorder at another site.
Hematemisis - ANSWER bloody vomit
Coffee-ground emesis - ANSWER partially digested, don't see red as much
Order of assessment with abdomen - ANSWER Inspect, AUSCULATATE, Percuss,
palpate (different from the rest)
Relax abdominal wall - empty bladder, warm room, patient supine with head on pillow,
arm at sides, fingernails short, warm hands and stethoscope. Ask if tender areas, ask
about breathing exercises, inquire about history.
umbilicus - midline and inverted
May protrude with hernia, ascites or mass.
obese patient: in very deeply
Cullen's sign - bluish periumbilical color occurs w/ intraperitoneal bleeding.
normal bowel sounds - ANSWER use diaphragm
active. high pitched gurgling, cascading sounds occurring irregularly from 5 to 30 times
per minute
listen for 5 minutes in all 4 quadrants
,hypoactive bowel sounds - ANSWER or absent. follow abdominal surgery or
inflammation of the perioneum. to fix —> ambulate! low tone.
hyperactive - ANSWER loud, high pitched, rushing, tinkling sounds that signal increase
motility. excited, butterfly feeling.
peritoneal friction rub - ANSWER rough, grating, sandpaper, sounds indicate peritoneal
inflammation.
borborygmus - ANSWER growling stomach, hyperactive. abnormal
vascular sounds - ANSWER use bell
bruit
general tympany - ANSWER percussion of abdomen
normal. over all 4 quadrants. move clockwise.
dullness - ANSWER percussion of abdomen
distended bladder, adipose tissue, fluid, or a mass
hyperresonance of abdomen - ANSWER percussion of abdomen
caused by gas
liver span - ANSWER measure the height of the liver in the midclavicular line.
patient lie flat, RUQ
liver = dull sound
liver bigger in larger people and men
, average = 6-12 cm.
normally palpable structures in abdomen - ANSWER liver, kidneys (only right kidney),
aorta, (bladder only if full)
palpable when enlarged - ANSWER spleen, gallbladder
voluntary guarding - ANSWER occurs when person is cold, tense, ticklish. bilateral
involuntary rigidity constant, boardlike hardness of the muscles. protective. unilateral.
light palpation only 1-2 cm.
4 fingers close together, press skin 1 cm. make gentle rotating motion, sliding fingers
and skin together. lift fingers and move clockwise.
assessing only for pain
bimanual palpation obese abdomen. use two hands on top of each other. top hand
pushing bottom. bottom hand relax and sense palpation.
palpate aorta - ANSWER normally 2.5-4 cm wide
upper abdomen, slightly left of midline.
wide = abdominal aortic aneurysm.
Abnormal findings related to abdominal distention - ANSWER fat (obesity)
flatulence (air or gas)
fluid (ascites, ovarian cyst)
fetus (pregnancy)
feces
