and answers latest update
When examining the abdomen, what is the first examination technique used? -
ANSWER- Inspection
Heel jar causes abdominal pain which indicated peritoneal irritation - ANSWER-
Markle's Sign
Palpation near gallbladder halts inspiration and indicates possible cholecystitis -
ANSWER- Murphey's Sign
Palpation in LLQ causes RLQ pain which could indicate appendicitis - ANSWER-
Roving's Sign
Ecchymosis in flank which could indicate hemoperitoneum - ANSWER- Grey Turner
Sign
Abdominal pain radiating to left shoulder which could indicate renal calculi, splenic
rupture, or ectopic pregnancy - ANSWER- Kehr's Sign
Palpation of McBurney's point causes pain in the chest/heart or stomach and could
indicate appendicitis - ANSWER- Aaron's Sign
The most pronounced functional change of the gastrointestinal tract in older adults is: -
ANSWER- Decreased motility
Percussion of the abdomen begins with establishing - ANSWER- Overall dullness and
tympany in all quadrants
You are completing a general physical examination on Mr. Rock, a 39-year-old man
with complaints of constipation. When examining a patient with tense abdominal
musculature, a helpful technique is to have the patient: - ANSWER- Flex his or her
knees
Which of the following is the most useful adjunct to the history of present illness when
assessing the quantity and degree of a patient's abdominal pain? - ANSWER- Appetite
and recall of last meal
Mrs. James is 7 months pregnant and states that she has developed a problem with
constipation. She eats a well-balanced diet and is usually regular. You should explain
that constipation is common during pregnancy because of changes in the colorectal
areas, such as: - ANSWER- Decreased movement through the colon and increased
water absorption from the stool
, When assessing abdominal pain in a college-age woman, one must include - ANSWER-
The first day of the last menstrual period
Percussing at the right midclavicular line, below the umbilicus, and continuing upward is
the correct technique for locating the - ANSWER- Lower liver border
The family history of a patient with diarrhea and abdominal pain should include inquiry
about cystic fibrosis because it - ANSWER- Is one cause of malabsorption syndrome
You are conducting a preparticipation physical examination for a 10-year-old girl with
Down syndrome who will be playing soccer. ****deep tendon reflexes, ankle clonus, and
a positive Babinski sign. What would be your next course of action? - ANSWER-
Immediate referral to a neurosurgeon
To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? -
ANSWER- Patellar
The parasympathetic nervous system maintains the day-to-day function of - ANSWER-
Digestion
As Mr. B enters the room, you observe that his gait is wide based and he staggers from
side to side while swaying his trunk. You would document Mr. B's pattern as -
ANSWER- Cerebellar ataxia
The finger-to-nose test allows assessment of - ANSWER- Coordination and fine motor
function
The patient who is delirious usually maintains orientation to - ANSWER- Person
The awareness of body position is - ANSWER- Proprioception
When is the mental status portion of the neurologic system examination performed? -
ANSWER- Continually, throughout the entire interaction with the patient
Cranial nerve XII may be assessed in an infant by - ANSWER- Observing the infant
suck and swallow
Which of the following is a concern, rather than an expected finding, in older adults -
ANSWER- Bilateral pill rolling of the fingers
The area of body surface innervated by a particular spinal nerve is called a - ANSWER-
Dermatome
The goals of preparticipation sports evaluation (PPE) include - ANSWER- Identify health
problems that increase risk of injury or death during participation