ABDOMEN

1. 1. In patient with acute appendicitis
   where is the location of tenderness on rectal examination

   1. AA. 3 o clock
   2. BB. 12 o clock
   3. CC. 6 o clock
   4. DD. 9 Oclock
2. 2Which is more accurate to determine the size of
   the liver
   

   1. AA. Inspection for the presence of bulging in RUQ
   2. BB. Palpation of liver edge to indicate how many
      finger breath below RSCM
   3. CC. Auscultation for systolic bruit due to increase
      blood supply to the enlarge liver
   4. DD. Percussion measuring the liver dullness
3. 3What can you do at once to know whether the cause
   of reddish urine is hematuria?

   1. AA. Test for O Toluidine test
   2. BB. Ask patient if there were intake of foods or
      drugs that can make the urine reddish in
      color
   3. CC. Let the urine stand and note for reddish
      sediments
   4. DD. Examine under the microscope to see the
      red cells
4. 47. The following are abnormal signs that are positive in
   peritonitis except
   

   1. AA. Blumberg
   2. BB. Rovsings
   3. CC. Markle
   4. DD. Carnetts
5. 56. In a 50 y/o female elementary teacher (-) Diabetes, (-)
   HPN, no other symptoms (+) Swollen lower extremities (+)
   Varicosities. What is the probable cause of nocturia?
   

   1. AA. Chronic venous insufficiency
   2. BB. Nephrotic Syndrome
   3. CC. CHF
   4. DD. CKD
6. 6What is a positive Rovsing's sign?
   

   1. AA. pain on the site of pressure
   2. BB. pain on site where you pressed and released
   3. CC. pain remote from the site and release of pressure
   4. DD. pain on the site of pressure and remote from site of
      released
7. 7. True statements in patient with acute
   calculi
   

   1. AA. Define as urine output of <100 ml/day
   2. BB. There is insufficient excretion of waste products of
      fats and carbohydrates metabolism
   3. CC. Always associated with acute kidney injury
   4. DD. Diminish urine output secondary to reduced renal
      blood flo
8. 8How do you elicit cutaneous
   hyperesthesia?
   

   1. AA. Do pinprick on the abdominal
      surface
   2. BB. Stroke the skin lightly with a pin
   3. CC. Press the abdominal surface with
      your hand
9. 92. From history of 22 y.o male with
   dysuria always inquire about this
   information
   

   1. AA. Sexual preference
   2. BB. Urethraldischarge
   3. CC. Associated dribbling
   4. DD. Passing out renal calcu
10. 10. What is the abdominal contour of a patient
    with advanced liver cirrhosis?
    

    1. AA. Distended
    2. BB. Flat
    3. CC. Scaphoid
    4. DD. Globular

11. 11What will be your palpation if there is
    intraabdominal mass and you ask the patient to raise
    up his head from a supine position while you are
    palpating the
    abdomen?
    

    1. AA. Mass becomes more palpable
    2. BB. Mass deviate from palpating hand
12. 12The following causes of nocturia. Except:
    

    1. AA. Nephrotic syndrome
    2. BB. Uncontrolled diabetes
    3. CC. CKD (stage 5)
13. 13Significance of projectile vomiting
    

    1. AA. Associated with intestinal obstruction
    2. BB. Always indicate increase intracranial
       pressure
    3. CC. Associated with paralytic ileu
14. 14Characteristic of traumatic scars on the abdomen?
    

    1. AA. Heals with raised margin
    2. BB. Irregular and deep
    3. CC. Smooth edges
    4. DD. Hypertrophic tissues progressively thicken
15. 15. All but one are true with regards to preparation of
    patient for abdominal examination
    

    1. AA. To relax the abdominal wall patient should
       slightly flexed both knees
    2. BB. Patient may be allowed on upright position
       during inspection
    3. CC. Fully exposed the abdomen with the
       undergarments fulled down below symphysis
       pubis
    4. DD. Patient should empty urinary bladder before
       start of exam
16. 16. In a 78 y/o male, smoker, with barrel chest, and
    palpable liver 4 fingers breath below RSCM, what is
    the expected liver span at MCL?
    

    1. AA. 10 cm
    2. BB. 5 cm
    3. CC. 20 cm
    4. DD. 15 cm
17. 17All but one are abdominal organs palpated
    during deep palpation?
    

    1. AA. Urinary bladder
    2. BB. Abdominal aorta
    3. CC. Kidneys
    4. DD. Liver
18. 18What abdominal examination finding will differentiate
    abdominal wall tenderness from peritonitis?
    

    1. AA. Direct tenderness
    2. BB. Carnett’s sign
    3. CC. Rebound tenderness
    4. DD. Jar tenderness
19. 19The mechanism how patient with Acute Myocardial
    Infarction develop vomiting?
    

    1. AA. Stimulation of CTZ
    2. BB. Direct vagal stimulation of pharynx
    3. CC. Stimulation of apparent impulses from its effect
       on vestibular system
    4. DD. Release of afferent impulses that act directly on
       vomiting center
20. 20Abdominal palpation findings in patient
    with abdominal aortic aneurysm
    

    1. AA. Pulsations noted on the substernal area
    2. BB. Prominent lateral pulsation
    3. CC. Pulsation is directly perpendicular to abdominal
       wall
    4. DD. Width of aortic pulsation is 3cm
21. 21In a 56 y/o male with 1 day history of colicky severe
    abdominal pain with vomiting and abdominal distention, what is auscultatory findings during the time of abdominal
    colic?
    

    1. AA. Hypoactive bowel sounds
    2. BB. Normoactive bowel sounds
    3. CC. Hyperactive bowel sounds
    4. DD. Absent bowel
22. 22On rectal examination, what is the grade of prostate
    gland enlargement when there is >2 cm to 3cm protrusion
    on anterior rectal wall?
    

    1. AA. II
    2. BB. III
    3. CC. I
    4. DD. IV
23. 23To differentiate ascites from huge ovarian cyst as
    the cause of of globular abdomen, what will do?

    1. A.
       A. Elicit carnett’s sign
    2. BB. Do ruler test
    3. CC. Look at umbilicus
    4. DD. Elicit fluid wave
24. 24The palpation findings, if Carnett’s sign is positive
    

    1. AA. Rigid abdomen
    2. BB. The same degree of tenderness
    3. CC. Increase of tenderness
    4. DD. Decrease on tenderness
25. 25What condition will give rise to a positive Fist
    Percussion?
    

    1. AA. Viral hepatitis
    2. BB. Hepatocellular CA
    3. CC. Liver abscess
    4. DD. Cholelithiasis
26. 26. In asymptomatic 40 y/o female with palpable liver
    up to the right lumbar areas, what is the expected liver
    span at MCL?
    

    1. AA. 405 cm at MCL
    2. BB. 10-14
    3. CC. 6-12
    4. DD. 15-20
27. 27What abdominal sign are you eliciting when you
    flex the right leg and rotate it laterally and medially?
    

    1. AA. Obturator’s
    2. BB. Psoa’s
    3. CC. Aaron’s
    4. DD. Markle’s
28. 286. All but one are organs palpated by bimanual
    palpation of the abdomen
    

    1. AA. Spleen
    2. BB. Liver
    3. CC. Abdominal aorta
    4. DD. Kidneys
29. 29. In a 62 y/o diabetic, female with acute onset of
    urinary retention, what is the expected abdominal PE
    findings?
    

    1. AA. Palpable and tender mass on hypogastric
       area
    2. BB. Tenderness on hypogastric area
    3. CC. Non tenderness mass on hypogastric area
    4. DD. Palpable firm mass on the hypogastric area
30. 30The bell of stethoscope will appreciate this
    abdominal sounds
    

    1. AA. Systolic bruit - diaphragm
    2. BB. Diastolic bruit
    3. CC. Bowel sounds - diaphragm
    4. DD. Friction rub
31. 31All but one can give rise to findings on rectal
    examination of an extremely tight sphincter
    

    1. AA. Anxiety
    2. BB. Spinal cord lesion at sacral level
    3. CC. Perianal abscess
    4. DD. Pruritus ani
32. 32All but one are signs of portal hypertension
    

    1. AA. Ascites
    2. BB. Obliterated traube’s space
    3. CC. Spider angiomas
    4. DD. Cutaneous hyperesthesia
33. 33. What is the organism you will suspect the cause of
    diarrhea who developed HUS?
    

    1. AA. Pseudomonas
    2. BB. Cholera
    3. CC. Shigella (and E.coli)
34. 34PE findings of diastolic bruit on the RUQ is due to
    

    1. AA. Right renal artery stenosis
    2. BB. Hepatic Abscess
    3. CC. Hepatocellular CA
    4. DD. Abdominal aortic arter
35. 35Where is the site of pathology in a patient with
    history of diarrhea >10 times 2 tbps/bout, stool mucoid
    with blood streaked and with associated tenesmus
    

    1. AA. Ascending colon
    2. BB. Transverse colon
    3. CC. Descending colon or sigmoid
    4. DD. Small Intestine
36. 36To differentiate hematemesis from hemoptysis you
    should
    

    1. AA. Look at the color of the stool
    2. BB. Correlate with the signs and symptoms of
       the patient
    3. CC. Quantify the volume if its >500 mL
    4. DD. its hematemesis
    5. EE. Look at the color, if its bright red its
       hemoptysis
37. 37All are abdominal PE findings in a 36 y/o female
    with huge ovarian cyst,EXCEPT:
    

    1. AA. (+) Ruler test
    2. BB. tympanitic on percussion on top of
       abdomen
    3. CC. symmetrically globular abdomen
    4. DD. (+) fluid wave
38. 38What is usual site of bleeding in patients with
    Obscure GI bleeding
    

    1. AA. Stomach and duodenum
    2. BB. Large Intestines
    3. CC. Rectum
    4. DD. Small Intestines
39. 39What will differentiate regurgitation from projectile
    vomiting?
    

    1. AA. Expulsive passage of gastric contents out
       from the mouth
    2. BB. Effortless passage of gastric contents
       from the mouth
    3. CC. Expulsion per orem billous vomitous
    4. DD. Effortless oral expulsion of gastric content
40. 40What kind of abdominal hernia the patient has if
    there is protrusion of abdominal content on the post
    explore-lap scar noted with carrying a heavy object,
    initially can be pushed back but now it can't be pushed
    back and noted bluish discoloration?
    

    1. AA. incarcerated
    2. BB. strangulated
    3. CC. reducible
    4. DD. irreducible
41. 41What will be movement of the abdomen in relation
    to breathing in patients with ARDS?
    n

    1. AA. abdomen does not expand and remain
       immobile during respiration
    2. BB. abdomen expand while chest pulled inward
    3. CC. abdomen expand with inspiration
    4. DD. abdomen contract with expiration
42. 421. The mechanism how opiates causes vomiting?
    

    1. AA. Direct stimulation of the pharynx
    2. BB. Activates afferent vagal stimuli that acts
       directly on vomiting center
    3. CC. Indirectly stimulates the CTZ
    4. DD. Stimulates afferent impulses from its
       effects on vestibular system
43. 43What is the significance of everted umbilicus?
    

    1. AA. abdominal mass pressing umbilicus
    2. BB. thick subcutaneous fats
    3. CC. increase intraabdominal pressure
    4. DD. intra abdominal malignancy
44. 44What is the symptoms in patient with
    repeated regurgitation of stomach
    contents which was rechewed and
    swallowed
    

    1. AA. Retching
    2. BB. Regurgitation
    3. CC. Vomiting
    4. DD. Rumenation (Remunition)
45. 45What will be the direction of blood flow of the
    prominent abdominal superficial veins in patients
    with liver cirrhosis?
    

    1. AA. lower abdomen vein blood flow is upward
    2. BB. upper abdomen vein blood flow is
       downward
    3. CC. upper abdominal vein blood flow; upward
       and lower abdominal vein blood flow
       downward
46. 46What drug reduces the LES pressure you will
    inquire from history of patient with GERD
    

    1. AA. Theophylline
    2. BB. Colchicine
    3. CC. NSAIDS
    4. DD. ASA
    5. EE. Tetracycline
47. 47. What is the cause of esophageal dysphagia in a
    22 y/o male who notes dysphagia in a hurried meal, relieve by drinking water and he can finish his meal?
    

    1. AA. Achalasia
    2. BB. Spastic Motility Disorder
    3. CC. Early Stage of Esophageal CA
    4. DD. Schatzki Ring / Esophageal Web or Distal
       Esophageal Ring
48. 48. The following statements for striae Except
    

    1. AA. Permanent even after removal of treatment
       of the cause
    2. BB. Affects the flank, shoulder, thigh and
       breast
    3. CC. Pinkish in color and as it aged it become
       silver
    4. DD. Cause by ruptured of the epidermis layer
       of the skin
49. 49What is the significance of Cullen’s sign?
    

    1. AA. Indicate hemoperitoneum
    2. BB. Color indicated duration of bleeding
    3. CC. Point to traumatic cause
    4. DD. Reflects massive intraperitoneal bleeding
50. 50The following are the characteristics of
    significant abdominal pain except:
    

    1. AA. Patient doesn’t feel hungry
    2. BB. Patient demonstrates a “touch me not” warning
    3. CC. During PE the patient usually have his eyes
       open
    4. DD. Location of abdominal pain is near the
       umbilicus
51. 51Where is the radiation of pain in
    gallbladder pathology
    

    1. AA. Shoulder
    2. BB. Midback
    3. CC. Tip of scapula
    4. DD. Epigastric
52. 52PE findings that will point to jaundice as the
    cause of yellowish discoloration of the skin?
    

    1. AA. Buccal mucosa is sparred
    2. BB. Prominent palmar yellowish
       discoloration
    3. CC. Yellowish discoloration only on
       abdomen
    4. DD. Icteric sclerae
53. 53Characteristic of acute abdominal pain
    

    1. AA. Very severe 10/10
    2. BB. Pain of less than 24 hours
    3. CC. Continuous pain
    4. DD. Always mandate surgical intervention
54. 54What abdominal findings will differentiate early intestinal obstruction
    from paralytic ileus as the cause of
    distended abdomen?
    

    1. AA. symmetrical abdominal distention
    2. BB. hyperactive bowel sounds
    3. CC. everted umbilicus
    4. DD. (+) tenderness
55. 55. A 36 y.o male with sudden onset of severe
    Right Flank pain radiating to the Right scrotum with
    nausea and vomiting, very restless, move in an
    effort to relieve the pain. What kind of abdominal
    pain does the patient have?
    

    1. AA. Visceral Pain
    2. BB. Somatic Pain
    3. CC. Referred Pain
    4. DD. Parietal Pain
56. 56. Where is the site of intestinal obstruction in a 46
    y/o male with vomiting of villous fluid associated with
    intense epigastric pain?
    

    1. AA. jejunum
    2. BB. rectum
    3. CC. duodenum
    4. DD. colon
57. 57What is the kind of incontinence in a 26- year-old
    female with dysuria 3 days duration?
    
    

    1. AA. Stress incontinence
    2. BB. Mixed incontinence
    3. CC. Urge incontinence
    4. DD. Overflow incontinence
58. 58. What lower urinary tract symptom is defined as
    voiding at abnormally brief interval?
    

    1. AA. Hesitancy
    2. BB. Dysuria
    3. CC. Pollakiuria
    4. DD. Urgency
59. 59. Abdominal findings that will differentiate
    whether the left flank mass is an enlarged left kidney
    and not splenomegaly
    

    1. AA. Tymphanitic left upper quadrant
    2. BB. Edge extend beyond midline
    3. CC. Traube’s space is dull
    4. DD. Palpating fingers can probe to medial and
       lateral
60. 60What is the type of rebound tenderness when
    you press and release the pressure, the pain is
    elicited on other areas?
    

    1. AA. Rovsing’s sign
    2. BB. Jar tenderness
    3. CC. Blumberg’s sign
    4. DD. Markle’s sign
61. 61The bell of stethoscope will be used to
    appreciate this abdominal bruit cause by this
    disease.

    1. AA. Hepatocellular CA
    2. BB. Alcoholic hepatitis
    3. CC. Renal artery stenosis
62. 62Significance of projectile vomiting
    

    1. AA. Associated with intestinal obstruction
    2. BB. Always indicate increase intracranial
       pressure
    3. CC. Associated with paralytic ileus
63. 63In a 76 y/o male with grade III prostatomegaly
    due to BPH, what will be the rectal examination
    findings?
    

    1. AA. Consistency of prostate is stony hard
    2. BB. Protrusion of 2 cm into anterior rectal wall
    3. CC. Median sulcus is obliterated
    4. DD. Prostate lobe is asymmetrical
64. 64When doing rectal examination, the examining
    finger can reach how many centimeters on the
    rectum?
    

    1. AA. 3-5 cm
    2. BB. 10-13 cm
    3. CC. 6-10 cm
    4. DD. 14-15 cm
65. 65What signs are you eliciting when you position
    the patient in knees and hands and your
    stethoscope and auscultate as you flicker your
    fingers, then move the stethoscope towards the
    opposite side of the abdomen?
    
    

    1. AA. Psoas sign
    2. BB. Boa’s sign
    3. CC. Puddle’s sign
    4. DD. Castell’s sign
66. 667. In a 28 y/o male with 8hrs duration of abdominal
    pain which started periumbilical, now on the right
    iliac, continuous, intensity of 9/10, associated with
    nausea and vomiting, with PPE of direct rebound
    tenderness on the right iliac region, is classified as
    having what kind of abdominal ?
    pain?
    

    1. AA. Referred pain
    2. BC. Parietal pain
    3. CD. Visceral pain
    4. DB. Somatic pain
67. 67Advantage of bent over the table position of
    patient doing rectal examination?
    

    1. AA. Adequate visualization of sacrococcygeal
       areas
    2. BB. Most often less uncomfortable to the
       patient
    3. CC. Allows more deeper examination
    4. DD. Allow bimanual examination in the patients
68. 68What part of the rectal wall will give
    information on the peritoneum?
    

    1. AA. Left
    2. BB. Posterior
    3. CC. Right
    4. DD. Anterior
69. 69All but one are boundaries of Traubes’s
    space
    

    1. AA. Left midaxillary line
    2. BB. Left costophrenic area
    3. CD. Left 6th rib
    4. DC. Left subcostal margin
70. 70What is the consistency of the splenic edges in
    an alcoholic 56 years old male . alcoholic cirrhosis
    with
    portal hypertension.
    

    1. A Sharp edges
    2. B Irregular edges
    3. C Blunted edges
    4. D Ill-defined edge
71. 71What will be the prominent PE findings on the
    abdomen in male diabetic patient with spinal cord
    injury at level of L5-S2 vertebrae who developed
    anuria for 1 day?
    

    1. A Tymphanitic hypogastric area
    2. B Asymmetrical distention over midabdomen
    3. C Tender palpable mass on hypogastric area
    4. D Palpable mass on hypogastric area
72. 72What abdominal findings is most superior to
    indicate peritonitis?
    

    1. AA. Rebound tenderness
    2. BB. Rovsing’s Sign
    3. CC. Markle’s Sign
    4. DD. Blumberg’s sign
73. 73What will you do to differentiate rigidity from
    voluntary muscle guarding?
    

    1. AA. Explain to the patient what you are supposed to
       do
    2. BB. Ask patient to breathe with the mouth wide
       open and then palpate during respiration
    3. CC. Ask patient to flex the knees
    4. DD. Ask patient to resists palpating your fingers
74. 74In a patient with alcoholic liver disease, what
    findings will not indicate portal hypertension?
    

    1. AA. Ascites
    2. BB. Palmar Erythema
    3. CC. Prominent superficial abdominal veins
    4. DD. Spider angiomas
    5. EE. Tymphanitic Traube’s space
75. 75What is the symptom when there is sporadic
    (spasmodic) and abortive respiratory movements
    with glottis closed with inspiratory movement of
    chest wall and diaphragm opposed by expiratory
    contraction of stomach?
    

    1. AA. Retching
    2. BB. Emesis
    3. CC. Nausea
    4. DD. Regurgitation
76. 76. On the causes of acute oliguria due to diminished
    cardiac output, you should clinically assess the
    patient for evidence of the following diseases
    except:
    

    1. AA. Endocarditis
    2. BB. Cardiac tamponade
    3. CC. Massive acute myocardial infarction
    4. DD. CHF

Descrição

Quiz sobre ABDOMEN, criado por Astrid Queyquep em 18-07-2021.

Autor

Astrid Queyquep

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