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Preview
1. Select the sequence of techniques used during an examination of the abdomen:
a) percussion, inspection, palpation, auscultation
b) inspection, palpation, percussion, auscultation
c) inspection, auscultation, percussion, palpation ✅
d) auscultation, inspection, palpation, percussion
Correct Answer: c
Rationale: In abdominal assessment, inspection comes first, followed by
auscultation, then percussion, and finally palpation. This sequence prevents altering
bowel sounds, which can happen if you palpate or percuss first.
2. Which of the following may be noted through inspection of the abdomen?
a) fluid waves and abdominal contour
b) umbilical eversion and Murphy sign
c) venous pattern, peristaltic waves, and abdominal contour ✅
d) peritoneal irritation, general tympany, and peristaltic waves
Correct Answer: c
Rationale: Inspection can reveal external signs such as venous patterns, visible
peristalsis, and abdominal contour, which may indicate underlying issues.
3. Right upper quadrant tenderness may indicate pathology in the:
a) liver, pancreas, or ascending colon ✅
b) liver and stomach
c) sigmoid colon, spleen, or rectum
d) appendix or ileocecal valve
Correct Answer: a
Rationale: The right upper quadrant (RUQ) houses the liver, gallbladder, part of the
pancreas, and ascending colon, making them the likely sources of pain in that region.
4. Hyperactive bowel sounds are:
a) high pitched
b) rushing
c) tinkling
d) all of the above ✅
Correct Answer: d
Rationale: Hyperactive bowel sounds are often described as high-pitched, rushing,
and tinkling, indicating increased intestinal activity (e.g., early bowel obstruction,
diarrhea).
a) percussion, inspection, palpation, auscultation
b) inspection, palpation, percussion, auscultation
c) inspection, auscultation, percussion, palpation ✅
d) auscultation, inspection, palpation, percussion
Correct Answer: c
Rationale: In abdominal assessment, inspection comes first, followed by
auscultation, then percussion, and finally palpation. This sequence prevents altering
bowel sounds, which can happen if you palpate or percuss first.
2. Which of the following may be noted through inspection of the abdomen?
a) fluid waves and abdominal contour
b) umbilical eversion and Murphy sign
c) venous pattern, peristaltic waves, and abdominal contour ✅
d) peritoneal irritation, general tympany, and peristaltic waves
Correct Answer: c
Rationale: Inspection can reveal external signs such as venous patterns, visible
peristalsis, and abdominal contour, which may indicate underlying issues.
3. Right upper quadrant tenderness may indicate pathology in the:
a) liver, pancreas, or ascending colon ✅
b) liver and stomach
c) sigmoid colon, spleen, or rectum
d) appendix or ileocecal valve
Correct Answer: a
Rationale: The right upper quadrant (RUQ) houses the liver, gallbladder, part of the
pancreas, and ascending colon, making them the likely sources of pain in that region.
4. Hyperactive bowel sounds are:
a) high pitched
b) rushing
c) tinkling
d) all of the above ✅
Correct Answer: d
Rationale: Hyperactive bowel sounds are often described as high-pitched, rushing,
and tinkling, indicating increased intestinal activity (e.g., early bowel obstruction,
diarrhea).
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