Quiz
ABDOMEN
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Questions in this quiz (76)
1. In patient with acute appendicitis
where is the location of tenderness on rectal examination- AA. 3 o clock
- BB. 12 o clock
- CC. 6 o clock
- DD. 9 Oclock
2Which is more accurate to determine the size of
the liver- AA. Inspection for the presence of bulging in RUQ
- BB. Palpation of liver edge to indicate how many
finger breath below RSCM - CC. Auscultation for systolic bruit due to increase
blood supply to the enlarge liver - DD. Percussion measuring the liver dullness
3What can you do at once to know whether the cause
of reddish urine is hematuria?- AA. Test for O Toluidine test
- BB. Ask patient if there were intake of foods or
drugs that can make the urine reddish in
color - CC. Let the urine stand and note for reddish
sediments - DD. Examine under the microscope to see the
red cells
47. The following are abnormal signs that are positive in
peritonitis except- AA. Blumberg
- BB. Rovsings
- CC. Markle
- DD. Carnetts
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?- AA. Chronic venous insufficiency
- BB. Nephrotic Syndrome
- CC. CHF
- DD. CKD
6What is a positive Rovsing's sign?
- AA. pain on the site of pressure
- BB. pain on site where you pressed and released
- CC. pain remote from the site and release of pressure
- DD. pain on the site of pressure and remote from site of
released
7. True statements in patient with acute
calculi- AA. Define as urine output of <100 ml/day
- BB. There is insufficient excretion of waste products of
fats and carbohydrates metabolism - CC. Always associated with acute kidney injury
- DD. Diminish urine output secondary to reduced renal
blood flo
8How do you elicit cutaneous
hyperesthesia?- AA. Do pinprick on the abdominal
surface - BB. Stroke the skin lightly with a pin
- CC. Press the abdominal surface with
your hand
- AA. Do pinprick on the abdominal
92. From history of 22 y.o male with
dysuria always inquire about this
information- AA. Sexual preference
- BB. Urethraldischarge
- CC. Associated dribbling
- DD. Passing out renal calcu
10. What is the abdominal contour of a patient
with advanced liver cirrhosis?- AA. Distended
- BB. Flat
- CC. Scaphoid
- DD. Globular
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?- AA. Mass becomes more palpable
- BB. Mass deviate from palpating hand
12The following causes of nocturia. Except:
- AA. Nephrotic syndrome
- BB. Uncontrolled diabetes
- CC. CKD (stage 5)
13Significance of projectile vomiting
- AA. Associated with intestinal obstruction
- BB. Always indicate increase intracranial
pressure - CC. Associated with paralytic ileu
14Characteristic of traumatic scars on the abdomen?
- AA. Heals with raised margin
- BB. Irregular and deep
- CC. Smooth edges
- DD. Hypertrophic tissues progressively thicken
15. All but one are true with regards to preparation of
patient for abdominal examination- AA. To relax the abdominal wall patient should
slightly flexed both knees - BB. Patient may be allowed on upright position
during inspection - CC. Fully exposed the abdomen with the
undergarments fulled down below symphysis
pubis - DD. Patient should empty urinary bladder before
start of exam
- AA. To relax the abdominal wall patient should
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?- AA. 10 cm
- BB. 5 cm
- CC. 20 cm
- DD. 15 cm
17All but one are abdominal organs palpated
during deep palpation?- AA. Urinary bladder
- BB. Abdominal aorta
- CC. Kidneys
- DD. Liver
18What abdominal examination finding will differentiate
abdominal wall tenderness from peritonitis?- AA. Direct tenderness
- BB. Carnett’s sign
- CC. Rebound tenderness
- DD. Jar tenderness
19The mechanism how patient with Acute Myocardial
Infarction develop vomiting?- AA. Stimulation of CTZ
- BB. Direct vagal stimulation of pharynx
- CC. Stimulation of apparent impulses from its effect
on vestibular system - DD. Release of afferent impulses that act directly on
vomiting center
20Abdominal palpation findings in patient
with abdominal aortic aneurysm- AA. Pulsations noted on the substernal area
- BB. Prominent lateral pulsation
- CC. Pulsation is directly perpendicular to abdominal
wall - DD. Width of aortic pulsation is 3cm
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?- AA. Hypoactive bowel sounds
- BB. Normoactive bowel sounds
- CC. Hyperactive bowel sounds
- DD. Absent bowel
22On rectal examination, what is the grade of prostate
gland enlargement when there is >2 cm to 3cm protrusion
on anterior rectal wall?- AA. II
- BB. III
- CC. I
- DD. IV
23To differentiate ascites from huge ovarian cyst as
the cause of of globular abdomen, what will do?- A.
A. Elicit carnett’s sign - BB. Do ruler test
- CC. Look at umbilicus
- DD. Elicit fluid wave
- A.
24The palpation findings, if Carnett’s sign is positive
- AA. Rigid abdomen
- BB. The same degree of tenderness
- CC. Increase of tenderness
- DD. Decrease on tenderness
25What condition will give rise to a positive Fist
Percussion?- AA. Viral hepatitis
- BB. Hepatocellular CA
- CC. Liver abscess
- DD. Cholelithiasis
26. In asymptomatic 40 y/o female with palpable liver
up to the right lumbar areas, what is the expected liver
span at MCL?- AA. 405 cm at MCL
- BB. 10-14
- CC. 6-12
- DD. 15-20
27What abdominal sign are you eliciting when you
flex the right leg and rotate it laterally and medially?- AA. Obturator’s
- BB. Psoa’s
- CC. Aaron’s
- DD. Markle’s
286. All but one are organs palpated by bimanual
palpation of the abdomen- AA. Spleen
- BB. Liver
- CC. Abdominal aorta
- DD. Kidneys
29. In a 62 y/o diabetic, female with acute onset of
urinary retention, what is the expected abdominal PE
findings?- AA. Palpable and tender mass on hypogastric
area - BB. Tenderness on hypogastric area
- CC. Non tenderness mass on hypogastric area
- DD. Palpable firm mass on the hypogastric area
- AA. Palpable and tender mass on hypogastric
30The bell of stethoscope will appreciate this
abdominal sounds- AA. Systolic bruit - diaphragm
- BB. Diastolic bruit
- CC. Bowel sounds - diaphragm
- DD. Friction rub
31All but one can give rise to findings on rectal
examination of an extremely tight sphincter- AA. Anxiety
- BB. Spinal cord lesion at sacral level
- CC. Perianal abscess
- DD. Pruritus ani
32All but one are signs of portal hypertension
- AA. Ascites
- BB. Obliterated traube’s space
- CC. Spider angiomas
- DD. Cutaneous hyperesthesia
33. What is the organism you will suspect the cause of
diarrhea who developed HUS?- AA. Pseudomonas
- BB. Cholera
- CC. Shigella (and E.coli)
34PE findings of diastolic bruit on the RUQ is due to
- AA. Right renal artery stenosis
- BB. Hepatic Abscess
- CC. Hepatocellular CA
- DD. Abdominal aortic arter
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- AA. Ascending colon
- BB. Transverse colon
- CC. Descending colon or sigmoid
- DD. Small Intestine
36To differentiate hematemesis from hemoptysis you
should- AA. Look at the color of the stool
- BB. Correlate with the signs and symptoms of
the patient - CC. Quantify the volume if its >500 mL
- DD. its hematemesis
- EE. Look at the color, if its bright red its
hemoptysis
37All are abdominal PE findings in a 36 y/o female
with huge ovarian cyst,EXCEPT:- AA. (+) Ruler test
- BB. tympanitic on percussion on top of
abdomen - CC. symmetrically globular abdomen
- DD. (+) fluid wave
38What is usual site of bleeding in patients with
Obscure GI bleeding- AA. Stomach and duodenum
- BB. Large Intestines
- CC. Rectum
- DD. Small Intestines
39What will differentiate regurgitation from projectile
vomiting?- AA. Expulsive passage of gastric contents out
from the mouth - BB. Effortless passage of gastric contents
from the mouth - CC. Expulsion per orem billous vomitous
- DD. Effortless oral expulsion of gastric content
- AA. Expulsive passage of gastric contents out
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?- AA. incarcerated
- BB. strangulated
- CC. reducible
- DD. irreducible
41What will be movement of the abdomen in relation
to breathing in patients with ARDS?
n- AA. abdomen does not expand and remain
immobile during respiration - BB. abdomen expand while chest pulled inward
- CC. abdomen expand with inspiration
- DD. abdomen contract with expiration
- AA. abdomen does not expand and remain
421. The mechanism how opiates causes vomiting?
- AA. Direct stimulation of the pharynx
- BB. Activates afferent vagal stimuli that acts
directly on vomiting center - CC. Indirectly stimulates the CTZ
- DD. Stimulates afferent impulses from its
effects on vestibular system
43What is the significance of everted umbilicus?
- AA. abdominal mass pressing umbilicus
- BB. thick subcutaneous fats
- CC. increase intraabdominal pressure
- DD. intra abdominal malignancy
44What is the symptoms in patient with
repeated regurgitation of stomach
contents which was rechewed and
swallowed- AA. Retching
- BB. Regurgitation
- CC. Vomiting
- DD. Rumenation (Remunition)
45What will be the direction of blood flow of the
prominent abdominal superficial veins in patients
with liver cirrhosis?- AA. lower abdomen vein blood flow is upward
- BB. upper abdomen vein blood flow is
downward - CC. upper abdominal vein blood flow; upward
and lower abdominal vein blood flow
downward
46What drug reduces the LES pressure you will
inquire from history of patient with GERD- AA. Theophylline
- BB. Colchicine
- CC. NSAIDS
- DD. ASA
- EE. Tetracycline
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?- AA. Achalasia
- BB. Spastic Motility Disorder
- CC. Early Stage of Esophageal CA
- DD. Schatzki Ring / Esophageal Web or Distal
Esophageal Ring
48. The following statements for striae Except
- AA. Permanent even after removal of treatment
of the cause - BB. Affects the flank, shoulder, thigh and
breast - CC. Pinkish in color and as it aged it become
silver - DD. Cause by ruptured of the epidermis layer
of the skin
- AA. Permanent even after removal of treatment
49What is the significance of Cullen’s sign?
- AA. Indicate hemoperitoneum
- BB. Color indicated duration of bleeding
- CC. Point to traumatic cause
- DD. Reflects massive intraperitoneal bleeding
50The following are the characteristics of
significant abdominal pain except:- AA. Patient doesn’t feel hungry
- BB. Patient demonstrates a “touch me not” warning
- CC. During PE the patient usually have his eyes
open - DD. Location of abdominal pain is near the
umbilicus
51Where is the radiation of pain in
gallbladder pathology- AA. Shoulder
- BB. Midback
- CC. Tip of scapula
- DD. Epigastric
52PE findings that will point to jaundice as the
cause of yellowish discoloration of the skin?- AA. Buccal mucosa is sparred
- BB. Prominent palmar yellowish
discoloration - CC. Yellowish discoloration only on
abdomen - DD. Icteric sclerae
53Characteristic of acute abdominal pain
- AA. Very severe 10/10
- BB. Pain of less than 24 hours
- CC. Continuous pain
- DD. Always mandate surgical intervention
54What abdominal findings will differentiate early intestinal obstruction
from paralytic ileus as the cause of
distended abdomen?- AA. symmetrical abdominal distention
- BB. hyperactive bowel sounds
- CC. everted umbilicus
- DD. (+) tenderness
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?- AA. Visceral Pain
- BB. Somatic Pain
- CC. Referred Pain
- DD. Parietal Pain
56. Where is the site of intestinal obstruction in a 46
y/o male with vomiting of villous fluid associated with
intense epigastric pain?- AA. jejunum
- BB. rectum
- CC. duodenum
- DD. colon
57What is the kind of incontinence in a 26- year-old
female with dysuria 3 days duration?- AA. Stress incontinence
- BB. Mixed incontinence
- CC. Urge incontinence
- DD. Overflow incontinence
58. What lower urinary tract symptom is defined as
voiding at abnormally brief interval?- AA. Hesitancy
- BB. Dysuria
- CC. Pollakiuria
- DD. Urgency
59. Abdominal findings that will differentiate
whether the left flank mass is an enlarged left kidney
and not splenomegaly- AA. Tymphanitic left upper quadrant
- BB. Edge extend beyond midline
- CC. Traube’s space is dull
- DD. Palpating fingers can probe to medial and
lateral
60What is the type of rebound tenderness when
you press and release the pressure, the pain is
elicited on other areas?- AA. Rovsing’s sign
- BB. Jar tenderness
- CC. Blumberg’s sign
- DD. Markle’s sign
61The bell of stethoscope will be used to
appreciate this abdominal bruit cause by this
disease.- AA. Hepatocellular CA
- BB. Alcoholic hepatitis
- CC. Renal artery stenosis
62Significance of projectile vomiting
- AA. Associated with intestinal obstruction
- BB. Always indicate increase intracranial
pressure - CC. Associated with paralytic ileus
63In a 76 y/o male with grade III prostatomegaly
due to BPH, what will be the rectal examination
findings?- AA. Consistency of prostate is stony hard
- BB. Protrusion of 2 cm into anterior rectal wall
- CC. Median sulcus is obliterated
- DD. Prostate lobe is asymmetrical
64When doing rectal examination, the examining
finger can reach how many centimeters on the
rectum?- AA. 3-5 cm
- BB. 10-13 cm
- CC. 6-10 cm
- DD. 14-15 cm
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?- AA. Psoas sign
- BB. Boa’s sign
- CC. Puddle’s sign
- DD. Castell’s sign
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?- AA. Referred pain
- BC. Parietal pain
- CD. Visceral pain
- DB. Somatic pain
67Advantage of bent over the table position of
patient doing rectal examination?- AA. Adequate visualization of sacrococcygeal
areas - BB. Most often less uncomfortable to the
patient - CC. Allows more deeper examination
- DD. Allow bimanual examination in the patients
- AA. Adequate visualization of sacrococcygeal
68What part of the rectal wall will give
information on the peritoneum?- AA. Left
- BB. Posterior
- CC. Right
- DD. Anterior
69All but one are boundaries of Traubes’s
space- AA. Left midaxillary line
- BB. Left costophrenic area
- CD. Left 6th rib
- DC. Left subcostal margin
70What is the consistency of the splenic edges in
an alcoholic 56 years old male . alcoholic cirrhosis
with
portal hypertension.- A Sharp edges
- B Irregular edges
- C Blunted edges
- D Ill-defined edge
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?- A Tymphanitic hypogastric area
- B Asymmetrical distention over midabdomen
- C Tender palpable mass on hypogastric area
- D Palpable mass on hypogastric area
72What abdominal findings is most superior to
indicate peritonitis?- AA. Rebound tenderness
- BB. Rovsing’s Sign
- CC. Markle’s Sign
- DD. Blumberg’s sign
73What will you do to differentiate rigidity from
voluntary muscle guarding?- AA. Explain to the patient what you are supposed to
do - BB. Ask patient to breathe with the mouth wide
open and then palpate during respiration - CC. Ask patient to flex the knees
- DD. Ask patient to resists palpating your fingers
- AA. Explain to the patient what you are supposed to
74In a patient with alcoholic liver disease, what
findings will not indicate portal hypertension?- AA. Ascites
- BB. Palmar Erythema
- CC. Prominent superficial abdominal veins
- DD. Spider angiomas
- EE. Tymphanitic Traube’s space
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?- AA. Retching
- BB. Emesis
- CC. Nausea
- DD. Regurgitation
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:- AA. Endocarditis
- BB. Cardiac tamponade
- CC. Massive acute myocardial infarction
- DD. CHF
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- Quiz on ABDOMEN, created by Astrid Queyquep on 18/07/2021.
- Author
- Astrid Queyquep
- Language
- English
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