Bates Chapter 11-Abdomen

Question 1

What are mechanisms of jaundice?

Answer 1

• increased production of bilirubin
• decreased uptake of bilirubin by hepatocytes
• decreased ability of liver to conjugate bilirubin
• decreased excretion of bilirubin into bile, resulting in absorption of conjugated bilirubin back into blood

Question 2

What are 5 risk factors for liver disease?

Answer 2

1. hepatitis
2. alcoholic hepatitis or cirrhosis
3. toxic liver damage
4. gallbladder disease or surgery
5. hereditary disorders (family hx)

Question 3

What are 6 recommendations for hep B vaccine?

Answer 3

1. sexual contacts
2. people with percutaneous or mucosal exposure to blood
3. Others (travelers, chronic liver disease, HIV)
4. All adults in high-risk settings
5. Adults in primary care and speciality settings
6. Adults in occupational exposure settings

Question 4

What is binge drinking in men and women?

Answer 4

Females > or equal to 4

Males > or equal to 5

Question 5

What is maximum drinking?

Answer 5

less than or equal to:
3 in women or males >65 y/o
4 males <65

Question 6

A change in percussion note from tympany to dullness on inspiration when palpating for the spleen may suggest….

Answer 6

positive splenic percussion sign (enlargement spleen)

Question 7

In ascites, _________ shifts to the more dependent side, where _______ shifts to the top

Answer 7

dullness, tympany

Question 8

Area 2 inches from ASIS on a line drawn from that process to umbilicus

Answer 8

McBurney’s point

Question 9

What action will usually allow a hidden groin hernia to appear?

Answer 9

raise both head and shoulders off a table