MN650 Exam Questions and Accurate Answers Assessment of Abdominal Cramps - Answer 1.) Obtain history 2.) Pattern 3.) Inspect / Assess 4.) Auscultate 5.) Percuss 6.) Palpate 7.) Fever? 8.) Lab values 9.) Radiography 10.) Menstrual Cycle 11.) Urinary Changes 12.) Changes in Diet Questions to Ask if the Patient has Abdominal Complaints - Answer 1.) N ausea? Vomiting? Diarrhea? Constipation? 2.) Rebound Tenderness? 3.) Where does it hurt? (Think Anatomy) a.) Appendicitis b.) Small Bowel Obstruction (SBO) c.) Pancreatitis d.) Cholecystitis e.) Gynecological Antiemetics - Answer 1.) Zofran 2.) Compazine 3.) Phenergan 4.) Reglan What kind of pain do the stomach, duodenum, liver, and pancrea s cause? (Foregut) - Answer upper abdominal pain. What kind of pain do small bowel, proximal colon, and appendix cause? (Midgut) - Answer periumbilical pain What kind of pain do distal colon and genitourinary tract ca use? (Hindgut) - Answer lower abdominal pain Somatic Pain - Answer comes from the parietal peritoneum. pain is sh arp and well localized. Referred pain - Answer pain perceived distant from its source an d results from convergence of nerve fibers at the spinal cord. Examples of Referred Pain - Answer 1.) scapular pain due to bilia ry colic, 2.) groin pain due to renal colic 3.) shoulder pain due to blood or infection irritating the dia phragm. Peritonitis - Answer inflammation of the peritoneal cavity; may be due to chemical irritation or bacterial invasion What do you not give if a patient is suspected gastrointestinal tract perforation. - Answer Barium because it causes severe caking and peritonitis spontaneous bacterial peritonitis - Answer the peritoneal cavity is infected by blood-borne bacteria. Occurs with Cirrhosis and ascites pts Pain in the right upper quadrant is from what body parts? - Answer 1.) Appendicitis with a gravid uterus 2.) Cholecystitis with biliary colic 3.) Congestive Heptomegally 4.) Hepatitis or Hepatic abscess 5.) Perforated duodenal ulcer Pain in the epigastric (right or left upper quadrants) is from w hat body parts? - Answer 1.) Acute pancreatitis 2.) Herpes Zoster 3.) Lower lobe pneumonia 4.) MI
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