4 Written Questions

1. Instruct: Rebound tenderness in Lower Left quadrant
   Positive: Pain over McBurney's point (lower Right quadrant)
   Indicates: Appendicitis
2. Pancreatitis
3. Instruct: Internally and Externally rotate Right hip against Resistance
   Positive: Increased pain
   Indicates: Ruptured appendix or
   Pelvic abscess
4. Duodenal ulcer
   Obstruction
   Acute pancreatitis

4 Multiple Choice Questions

1. Fluid wave
   Shifting dullness
   Puddle sign
   1. Tests for Ascites
   2. Some qualities of pain. Burning.
   3. Some qualities of pain. Cramping.
   4. Some qualities of pain. Aching.
2. Appendiceal irritation
   1. Some qualities of pain. Knifelike.
   2. Some qualities of pain. Cramping.
   3. Some qualities of pain. Burning.
   4. Some qualities of pain. Aching.
3. Gastroenteritis
   1. Some qualities of pain. Knifelike.
   2. Some qualities of pain. Cramping.
   3. Some qualities of pain. Aching.
   4. Some qualities of pain. Burning.
4. Infection
   1. Some qualities of pain. Cramping.
   2. Some qualities of pain. Sudden onset.
   3. Some qualities of pain. Burning.
   4. Some qualities of pain. Gradual onset.

4 True/False Questions

1. Psoas Sign
   Instruct:
   Positive:
   Indicates: → Instruct: Raise straight leg on Right side against Resistance
   Positive: Increased pain
   Indicates: Appendicitis

   True        False

2. Some qualities of pain. Burning. → Peptic ulcer

   True        False

3. Murphy's Punch
   Instruct:
   Positive:
   Indicates: → Instruct: Hand over costovertebral angle T10 to T12. Strike with ulnar surface of other hand
   Positive: Tenderness or pain
   Indicates: Inflamed kidney (nephritis)

   True        False

4. Blumberg's Sign
   Instruct:
   Positive:
   Indicates: → Instruct: Rebound tenderness in all four quadrants
   Positive: Sharp stabbing pain at site of problem
   Indicates: Peritonitis

   True        False