1
NSG 500 quiz 2
9 regions of the abdomen - ANSWER right hypochondriac, epigastric, left
m
.co
hypochondriac, right lumbar, umbilical, left lumbar, right iliac, hypogastric, left iliac
ail
absent bowel sounds - ANSWER occur if no sounds after 5 minutes of listending.
gm
SURGICAL EMERGENCY
r@
Aortic regurgitation murmur - ANSWER High-pitched "blowing" early diastolic
he
decrescendo murmur
hig
aortic stenosis murmur - ANSWER second right intercostal, crescendo-decrescendo
ing
fly
Apley rule - ANSWER The further the localization of pain from the umbilicus, the
more likely it is that there is an underlying organic disorder.
appendicitis s/s - ANSWER guarding, tender, +ilipsoas, obturator, markle, mcburney
, 2
Appendicitis S/S - ANSWER starts as periumbilical/epigastric and collicky, later
becomes RLQ pain, low grade fever, nausea, rebound tenderness at McBurney's point.
arterial aneurysm - ANSWER d/t weak arterial wall
m
usually asymptomatic dil ruptur, dissect, etc.
.co
objective: thrill or bruit
ail
gm
arterial embolic disease - ANSWER emboli in arterial system d/t thrombus, tathero.
plaques, atrial myxomas
r@
he
most common s/s is pain and numbnesj
hig
atherosclerotic heart disease - ANSWER d/t deposition of cholesterol, leads to thick
ing
heart walls and narrowing lumen.
fly
AV fistula - ANSWER congenital or acquired communication between an artery and a
vein. often LE edema, varicose veins and claudication
objective: edema, bruit or thrill
, 3
bacterial endocarditis - ANSWER people with congential or acquired valve defects,
prior endocarditis or use of IV drugs or susceptible
subjective: fever, fatigue, sudden CHF
objective: murmur, deuro dysfunction, janeway lesions (palms and soles red spots)
m
osler nodes (tips of fingers or toes caused by septic emboli)
.co
ail
Ballance's sign - ANSWER constant dullness to percussion in the left flank/LUQ and
gm
resonance to percussion in the right flank seen with splenic rupture/hematoma
r@
Beck triad - ANSWER hypotension, distended neck veins, distant heart sounds
he
hig
cardiac tamponade
ing
Best position for s3 - ANSWER left lateral decubitus position,
fly
biliary stones pain - ANSWER episodic, severe RUQ or epigastric 15min+.
, 4
biliary stones s/s - ANSWER RUQ tenderness, jaundice, soft abd. wall, anorexia,
vomiting
Bimanual Examination: Uterus - ANSWER Assess with intravaginal fingers in anterior
fornix
m
-Determine position, or version, of uterus
.co
-In many women, uterus is anteverted; you palpate it at level of pubis with cervix
ail
pointing posteriorly
gm
-Two other positions occur normally: midposition and retroverted
r@
Palpate uterine wall with your fingers in fornices
he
-Bounce uterus gently between your abdominal and intravaginal hands
hig
-Normally, it feels firm and smooth, with contour of fundus rounded; it softens during
pregnancy; it should be freely movable and nontender
ing
fly
Blumberg's sign - ANSWER The experience of sharp, stabbing pain as the compressed
area returns to a noncompressed state
NSG 500 quiz 2
9 regions of the abdomen - ANSWER right hypochondriac, epigastric, left
m
.co
hypochondriac, right lumbar, umbilical, left lumbar, right iliac, hypogastric, left iliac
ail
absent bowel sounds - ANSWER occur if no sounds after 5 minutes of listending.
gm
SURGICAL EMERGENCY
r@
Aortic regurgitation murmur - ANSWER High-pitched "blowing" early diastolic
he
decrescendo murmur
hig
aortic stenosis murmur - ANSWER second right intercostal, crescendo-decrescendo
ing
fly
Apley rule - ANSWER The further the localization of pain from the umbilicus, the
more likely it is that there is an underlying organic disorder.
appendicitis s/s - ANSWER guarding, tender, +ilipsoas, obturator, markle, mcburney
, 2
Appendicitis S/S - ANSWER starts as periumbilical/epigastric and collicky, later
becomes RLQ pain, low grade fever, nausea, rebound tenderness at McBurney's point.
arterial aneurysm - ANSWER d/t weak arterial wall
m
usually asymptomatic dil ruptur, dissect, etc.
.co
objective: thrill or bruit
ail
gm
arterial embolic disease - ANSWER emboli in arterial system d/t thrombus, tathero.
plaques, atrial myxomas
r@
he
most common s/s is pain and numbnesj
hig
atherosclerotic heart disease - ANSWER d/t deposition of cholesterol, leads to thick
ing
heart walls and narrowing lumen.
fly
AV fistula - ANSWER congenital or acquired communication between an artery and a
vein. often LE edema, varicose veins and claudication
objective: edema, bruit or thrill
, 3
bacterial endocarditis - ANSWER people with congential or acquired valve defects,
prior endocarditis or use of IV drugs or susceptible
subjective: fever, fatigue, sudden CHF
objective: murmur, deuro dysfunction, janeway lesions (palms and soles red spots)
m
osler nodes (tips of fingers or toes caused by septic emboli)
.co
ail
Ballance's sign - ANSWER constant dullness to percussion in the left flank/LUQ and
gm
resonance to percussion in the right flank seen with splenic rupture/hematoma
r@
Beck triad - ANSWER hypotension, distended neck veins, distant heart sounds
he
hig
cardiac tamponade
ing
Best position for s3 - ANSWER left lateral decubitus position,
fly
biliary stones pain - ANSWER episodic, severe RUQ or epigastric 15min+.
, 4
biliary stones s/s - ANSWER RUQ tenderness, jaundice, soft abd. wall, anorexia,
vomiting
Bimanual Examination: Uterus - ANSWER Assess with intravaginal fingers in anterior
fornix
m
-Determine position, or version, of uterus
.co
-In many women, uterus is anteverted; you palpate it at level of pubis with cervix
ail
pointing posteriorly
gm
-Two other positions occur normally: midposition and retroverted
r@
Palpate uterine wall with your fingers in fornices
he
-Bounce uterus gently between your abdominal and intravaginal hands
hig
-Normally, it feels firm and smooth, with contour of fundus rounded; it softens during
pregnancy; it should be freely movable and nontender
ing
fly
Blumberg's sign - ANSWER The experience of sharp, stabbing pain as the compressed
area returns to a noncompressed state
