Download PDF โ RRB NS UT10 | Medical-Surgical Nursing Practice Test 2: Gastrointestinal and Neurological Disorders
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RRB NS UT10 | Medical-Surgical Nursing Practice Test 2: Gastrointestinal and Neurological Disorders
Q1. A patient presents with acute appendicitis. During physical examination, deep palpation of the left lower quadrant elicits sharp pain in the right lower quadrant. What is this sign called?
Rovsing's sign is elicited when deep palpation of the left iliac fossa causes referred peritoneal pain in the right lower quadrant due to shifting of gas and peritoneal irritation in acute appendicitis.
Q2. Which anatomical surface landmark located one-third of the distance from the anterior superior iliac spine to the umbilicus represents the area of maximal tenderness in acute appendicitis?
A) เคฎเคฐเฅเคซเฅ เคฌเคฟเคเคฆเฅ (Murphy's point)
B) เคเฅเคนเคฐ เคฌเคฟเคเคฆเฅ (Kehr's point)
C) เคฎเฅเคเคฌเคฐเฅเคจเฅ เคฌเคฟเคเคฆเฅ (McBurney's point)
D) เคฌเฅเคเคธ เคฌเคฟเคเคฆเฅ (Boas' point)
Answer: (C)
McBurney's point lies one-third of the distance along a line drawn from the right anterior superior iliac spine to the umbilicus, corresponding to the base of the appendix and classic tenderness.
Q3. A patient with acute cholecystitis experiences sudden cessation of inspiration accompanied by severe pain during deep palpation beneath the right costal margin. What is this clinical finding?
A) เคฌเฅเคฒเคฎเคฌเคฐเฅเค เคธเคพเคเคจ (Blumberg's sign)
B) เคเฅเคฐเฅเคธเฅ เคธเคพเคเคจ (Trousseau's sign)
C) เคเคฐเฅเคจเคฟเค เคธเคพเคเคจ (Kernig's sign)
D) เคฎเคฐเฅเคซเฅ เคธเคพเคเคจ (Murphy's sign)
Answer: (D)
Murphy's sign is inspiratory arrest during deep palpation of the right upper quadrant as the inflamed gallbladder descends and contacts the examiner's fingers, pathognomonic for acute cholecystitis.
B) เคเฅเคฐเฅ เคเคฐเฅเคจเคฐ เคธเคพเคเคจ (Grey Turner's sign)
C) เคเฅเคตเฅเคธเฅเคเฅเค เคธเคพเคเคจ (Chvostek's sign)
D) เคเคฒเฅเคจ เคธเคพเคเคจ (Cullen's sign)
Answer: (D)
Cullen's sign is superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus, indicative of severe retroperitoneal hemorrhage seen in hemorrhagic acute pancreatitis.
Grey Turner's sign presents as ecchymosis of the flanks resulting from blood tracking from the retroperitoneum along the transversalis fascia, indicating severe necrotizing pancreatitis or retroperitoneal bleeding.
Q6. A patient with liver cirrhosis and portal hypertension has bleeding esophageal varices. Which multi-lumen tube is specifically utilized for emergency balloon tamponade?
The Sengstaken-Blakemore tube is a three-lumen tube equipped with gastric and esophageal balloons that exert direct mechanical pressure against bleeding varices to achieve emergency hemostasis.
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