Abdominal Pain Examination Hmi Finger Breadth

Choose the single best answer.

1. What is the preferred order for examination of the abdomen?

(A) Inspection, auscultation, percussion, palpation

(B) Percussion, auscultation, palpation, inspection

(C) Auscultation, inspection, palpation, percussion

(D) Inspection, palpation, auscultation, percussion

2. You are in the emergency room assessing a patient with abdominal pain and fever. You are performing an abdominal examination to assess for peritoneal signs. Which one of the following is NOT a peritoneal sign?

(A) Rebound tenderness

(B) Involuntary guarding

(C) Rigidity of the abdomen

(D) Voluntary guarding

3. A 15-year-old high school student presents to the clinic with a 1-day history of nausea and anorexia. He describes the pain as generalized yesterday, but today it has localized to the right lower quadrant. You palpate the left lower quadrant and the patient experiences pain in the right lower quadrant. What is the name of this sign?

(A) Psoas sign

(B) Obturator sign

(C) Rovsing's sign

(D) Cutaneous hyperesthesia

4. A 25-year-old veterinarian presents to the clinic for evaluation of flank pain, dysuria, nausea, and fever. A urine pregnancy test is negative. A urine dipstick is positive for leukocyte esterase. On physical examination, what would be the most likely sign expected?

(A) Psoas sign

(B) CVA tenderness

(C) Rovsing's sign

(D) Murphy's sign

5. A 40-year-old flight attendant presents to your office for evaluation of abdominal pain. It is worse after eating, especially if she has a meal that is spicy or high in fat. She has tried over-the-counter antacids, but they have not helped the pain. After examining her abdomen, you strongly suspect cholecystitis. Which sign on examination increases your suspicion for this diagnosis?

(A) Psoas sign

(B) Rovsing's sign

(C) Murphy's sign

(D) Grey Turner's sign

6. A 25-year-old celebrity with a known history of intravenous drug use presents to the emergency room for evaluation of a 5-day history of nausea, emesis, and right-upper-quadrant abdominal pain. On general survey, he appears ill and his skin is distinctly yellow. He has a temperature of 102.5°F and a heart rate of 112 bpm. You provisionally diagnose him with acute hepatitis. What would you expect to find on abdominal examination?

(A) Liver edge is tender and 4 to 5 finger-breadths below the RCM

(B) Liver edge is nonpalpable

(C) Liver edge is tender and 1 finger-breadth below the RCM

(D) Liver edge is nontender and 4 to 5 finger-breadths below the RCM

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