When performing abdominal assessment, the clinician should ...

[pragya sharda]

When performing abdominal assessment, the clinician should perform examination techniques in the following order:
 
  A. Inspection, palpation, percussion, and auscultation
  B. Inspection, percussion, palpation, and auscultation
  C. Inspection, auscultation, percussion, and palpation
  D. Auscultation, palpation, percussion, and inspection

Question 2

A 12-year-old boy is brought into the clinic by his mother. The teen boy is embarrassed because he has developed breast tissue and would like to know if there is any treatment.
 
  The physical examination reveals early stages of puberty, otherwise it is normal. This presentation is:
  A. Associated with a high rate of malignancy
  B. Most often due to altered hormonal levels in puberty
  C. Commonly indicative of pituitary tumor triggered by puberty
  D. Too dense for a mammogram and requires biopsy

[yeungji]

Answer to Question 1

ANS: C
The abdominal examination begins with inspection, followed by auscultation, percussion, and palpation. Light palpation should precede deep palpation. Auscultating before percussion or palpation allows the examiner to listen to the abdominal sounds undisturbed. Moreover, if pain is present, it is best to leave palpation until last and to gather other data before possibly causing the patient discomfort.

Answer to Question 2

ANS: B
Gynecomastia most often occurs during infancy, puberty, and senescence. It is caused by an altered balance between estradiol and testosterone levels. Although it can be an indication of primary hypogonadism, hyperthyroidism, cirrhosis, or renal disease, the majority of the cases are specific to hormonal changes of puberty, are drug induced, or are idiopathic. With the presentation of breast enlargement in a male, malignancy must always be considered.

[pragya sharda]

Excellent

[daiying98]

Gracias!