Surgical pathology/Prof. Kou Kimheak/

1. Where is the appendix located in the body?:

2. McBurney Point is located ________:

3. Sam Ath is admitted to the hospital with a possible diagnosis of appendicitis. On physical examination, the nurse should be looking for tenderness on palpation at McBurney's point,

4. Who is most likely to develop appendicitis?:

5. Lower fiber:

6. Which of the following most often initiates the development of acute appendicitis?:

7. A client is admitted with right lower quadrant pain, anorexia, nausea, low-grade fever, and elevated white blood cell count. Which complication is most likely the cause?:

8. The diagnosis of acute appendicitis is most difficult to establish in:

9. Which of the following position should the client with appendicitis assume to relieve pain?:

10. When the abdominal muscles become rigid in an effort to protect the abdomen from further irritation, this is referred to as:

11. Rebound and percussion tenderness, Guarding; Roving’s sign = Pain > in RIF than LIF when LIF is pressed, PR painful on right; Tender mass (occasionally) in RIF, Tachardia, Fever, Lying still, coughing hurts, shallow breaths.:

12. Pressing the abdomen at Mc Burney's point and then rapidly released, the patient may increase in pain, is:

13. Pain felt in the right iliac fossa when you press deeply in his left iliac fossa is:

14. Rebound tenderness. Abdominal is compressed at Mc.Burneys point, and when release of pressure , pain is felt. :

15. Dunphy's sign:

16. Pain in the hypogastrium when internal rotation of the hip is :

17. Move the patient's legs the pain felt in the right iliac fossa on extension of the hip, and the right hip flexed for pain relief is:

18. Appendix shows the histology of the necrotic area, images of vascular thrombosis, an inflammatory infiltrate small. They are:

19. Mr. Sok, 19 y/o, is being admitted to a hospital unit complaining of severe pain in the lower abdomen. Admission vital signs reveal an oral temperature of 101.2 0F. The doctor ordered for a complete blood count. After the test, Nurse Sokha received the result from the laboratory. Which laboratory values will confirm the diagnosis of appendicitis? :

20. What US findings are suggestive of acute appendicitis?:

21. Complication of appendicitis:

22. What is volvulus?:

23. A passenger presents severe abdominal pain by moving crisis amid ongoing pain, and vomiting with lost materials and gases. The review shows that you practice a distended abdomen without contracture. You think:

24. In elderly patients the most frequent cause of obstructive bowel obstruction is:

25. Following abdominal surgeries, trauma, mesenteric ischemia, or infection:

26. The most frequent localisation of tumors which are complicated by oobstructive bowel obstruction is:

27. Handling of intestines during abdominal surgery causes it to lose function Electrolyte disturbances-especially hypokalemia; Peritonitis, intestinal ischemia/ lack of blood to intestines.:

28. Regarding small bowel obstruction:

29. Paralytic or adynamic, ileus is what kind of obstructions?:

30. Among the following which ones can be retained as a cause of intestinal obstruction by strangulation?: 1. The occlusion of the sigmoid cancer. 2. The occlusion by volvulus adhesion. 3. The gallstone ileus. 4. The strangulated hernia. 5. The acute intussusception.

31. Occlusion in strangulation of the small intestine: 1. The pain syndrome begins abruptly. 2. The central abdominal bloating. 3. Vomiting is early and abundant. 4. The infectious syndrome is important from the outset. 5. The cul de sac (uterorectal or vesicorectal pouch) is painful at rectal examination.

32. The aim sign of large bowel obstruction:

33. The most common area for volvulus is:

34. Before a bowel obstruction which is on the item for a small bowel obstruction due to strangulation?:

35. Closed-loop obstruction of sigmoid colon caused by the bowel twisting on itself. Can result in vascular compromise and bowel infarction?:

36. Bloat of the pelvic colon volvulus: 1. Has an asymmetrical layout. 2. Was tympanic to percussion. 3. Accompanied by peristaltic waves. 4. Accompanied by abdominal contraction. 5. Accompanied by removal of abdominal skin reflexes

37. The inability to pass a collection of hard stool:

38. A fecal impaction is a solid, immobile bulk of stool that can develop in the rectum as a result of chronic ________.:

39. The most helpful diagnostic radiographic procedure in small bowel obstruction is:

40. What is/are among the following radiological elements which permit to diagnose a small gut obstruction on erect film (APF)?:

41. Which of the following conditions is most likely to directly cause peritonitis?:

42. Chemical Causes of Peritonitis:

43. Before performing an abdominal examination, the examiner should:

44. After thorough inspection of the abdomen, the next assessment step is:

45. Peritonitis produces bowel sounds that are:

46. Which of the following is true of Spontaneous bacterial peritonitis?:

47. Gastric juices/bile/pancreatic/blood/urine:

48. What is clinical presentation of peritonitis?:

49. Peritonitis signs:

50. As part of a generalized acute peritonitis in young patients, regardless finding on clinical examination alone is an indication formal operational?: