Abdomen 1
Abdomen 2
Abdomen 3
Anus/Rectum/Prostate 1
Anus/Rectum/Prostate 2
100
What type of abdomen do I have?
Protuberant :)
100
What is the correct order of an abdominal assessment?
inspection, auscultation, percussion, palpation.
100
The liver is normally NOT palpable if it is, then your patient could be suffering from?
hepatomegaly
100
What is BPH?
Benign prostatic hypertropy
100
Difficulty starting the flow of urine is an indicator of what condition?
BPH
200
An umbilical hernia should disappear by age?
1
200
What is pyelonephritis?
A kidney infection
200
What is a tell-tale sign of pyelonephritis?
CVA (costovertebral tenderness)tenderness
200
Inflammation of the prostate is called?
prostatitis
200
A soft, movable mass discovered during a rectal exam could be a?
polyp
300
What patient population might you see: decreased salivation (dry mouth) difficulty with medication metabolism decreased liver size
Elderly
300
Gray fecal matter can be an indicator of what condition?
Jaundice/hepatitis
300
How long do you auscultate for before determining there are absent bowel sounds?
5 min per quadrant
300
What are the preferred positions for a rectal exam in a male patient?
side-lying or standing (bent over)
300
What is a linear split in the perianal area called?
What is a fissure
400
When your patient complains of pain in their abdomen do you still palpate the area? If so is there a specific order to the palpation?
Yes Examine tender area last
400
Why do we auscultate prior to percussion/palpation?
Distortion of BOWEL sounds can occur with P&P. of note bowel sounds NOT vascular sounds can be distorted.
400
What are the 4 abdominal areas you listen for vascular sounds/bruits?
Aorta, left renal artery, iliac artery, femoral artery.
400
In low risk male patients a PSA and digital rectal exam should be performed starting at what age?
50
400
Pruritus Ani is caused by?
What is a pinworm infection
500
What assessments do we do for an abdominal aortic aneurysm? Where are these usually located?
Auscultation-bruits Palpation-pulsating mass Femoral pulse-may be decreased Upper abdomen just left of midline
500
What signs might signal there is an aortic aneurysm present?
Positive bruit, palpable pulsating mass, decreased femoral pulses.
500
What is borborygmus?
"stomach growling"
500
Excessive fat in the stool is known as?
Steatorrhea
500
What separates the internal and external anal sphincters and is palpable?
intersphincteric groove
M
e
n
u