Exam 10: Abdomen

The major sign of ectopic pregnancy is:

Your 66-year-old male patient complains of weakness, fatigue, chronic constipation for the last month, and dark stools. On complete blood count, his results show iron-deficiency anemia. Colon cancer is diagnosed. Which of the following laboratory tests is used to follow progress of colon cancer?

While assessing the abdomen, the clinician deeply palpates the left lower quadrant and this causes pain in the patient's right lower abdomen. This is most commonly indicative of:

Your 44-year-old female patient complains of right upper quadrant pain. Her skin and sclera are yellow, and she has hyperbilirubinemia and elevated liver enzymes. The clinician should suspect:

A nurse practitioner reports that your patient's abdominal x-ray demonstrates multiple air-fluid levels in the bowel. This is a diagnostic finding found in:

A 9-year-old boy accompanied by his mother reports that since he came home from summer camp he has had fever, nausea, vomiting, severe abdominal cramps, and watery stools that contain blood and mucus. The clinician should recognize the importance of:

A 22-year-old female enters the emergency room with complaints of right lower quadrant abdominal pain, which has been worsening over the last 24 hours. On examination of the abdomen there is a palpable mass and rebound tenderness over the right lower quadrant. The clinician should recognize the importance of:

A patient presents to the emergency department with nausea and severe, colicky back pain that radiates into the groin. When asked to locate the pain, he points to the right costovertebral angle region. His physical examination is unremarkable. Which of the following laboratory tests is most important for the diagnosis?

In abdominal assessment, a digital rectal exam is performed to assess for all of the following except:

On abdominal examination, as the clinician presses on the right upper quadrant to assess liver size, jugular vein distension becomes obvious. Hepatojugular reflux is indicative of:

The following symptom(s) in the patient's history should raise the clinician's suspicion of colon cancer:

Your patient is lying supine and you ask him to raise his leg while you place resistance against the thigh. You are testing the patient for:

A 48-year-old male presents to the clinic with complaints of anorexia, nausea, weakness, and unintentional weight loss over the last few weeks. On physical examination, the patient has jaundice of the skin, as well as sclera and a palpable mass in the epigastric region. In addition to complete blood count and bilirubin levels, all of the following tests would be helpful except:

A 16-year-old patient presents with sore throat, cervical lymphadenopathy, fever, extreme fatigue, and left upper quadrant pain. The physical examination reveals splenomegaly. The clinician should recognize the probability of:

Your patient complains of left upper quadrant pain, fever, extreme fatigue, and spontaneous bruising. The clinician should recognize that these symptoms are often related to:

The majority of colon cancers are located in the:

Your patient demonstrates positive shifting dullness on percussion of the abdomen. This is indicative of:

Rebound tenderness of the abdomen is a sign of:

A 5-year-old female patient presents to the emergency department with sore throat, vomiting, ear ache, 103°F degree fever, photophobia, and nuchal rigidity. She has an episode of projectile vomiting while you are examining her. The clinician should recognize that the following should be done:

Your 34-year-old female patient complains of a feeling of heaviness in the right lower quadrant, achiness, and bloating. On pelvic examination, there is a palpable mass in the right lower quadrant. Urine and serum pregnancy tests are negative. The diagnostic tool that would be most helpful is: