1. Abdominal Examination MCQ
Kamal Bani-Hani
FRCS (Glasgow), M.D. (Leeds)
King Abdullah University Hospital
Department of Surgery – Faculty of Medicine
Jordan University of Science & Technology

2. All the following are true, Except:
The left kidney is palpable in thin females
The direction of spleen enlargement is mainly towards the RIF
The aorta may be palpable in thin person
Shifting dullness is more sensitive test than transmission thrill for ascitis
The edge of the liver may be palpable in normal person

3. All the following are true Except:
During examination of abdomen you should stand on the patient’s right side
Grey Turner’s sign is positive in acute appendicitis
Campbell de Morgan spot could be seen in old age
Spider angiomas are associated with chronic liver disease
Petechiae may be seen in fat embolism

4. During inspection of the abdomen all are true, Except
Caput Medusae is a sign of portal hypertension
Collateral veins may result from inferior vena cava obstruction
Absence of secondary sexual hair may indicate hypopituitarism
Cessation of respiratory movements of the abdomen is seen in peritonitis
Expansile pulsation is normal in thin persons

5. In gastric outlet obstruction all are true, Except
Visible gastric peristalsis may be seen
Could result from chronic duodenal ulcer or distal gastric carcinoma
Succussion splash may be detected
Venous hum is characteristic
The vomiting is projectile

6. In acute appendicitis all are true Except
Initially the pain start in the peri-umbilical region before it shift to the RIF
Anorexia is a common symptom
Murphy’s sign is positive
Rebound tenderness may be positive
Jaundice is not part of the classical picture

7. Palpable gall bladder may be seen in all the following Except
Carcinoma gallbladder
Carcinoma head of pancreas
Chronic cholecystitis
Empyema of gall bladder
Mucocele

8. During auscultation of the abdomen all are true Except
increase in frequency and intensity of bowel sound is associated with paralytic ileus
bruit may be heard in renal artery stenosis
venous hum may be heard in portal hypertension
in hepatoma a bruit may be detected
friction sounds may be heard in perisplenitis

9. During examination of the groin all are true Except
The femoral artery is found just below the mid-inguinal point
Strangulated hernia become tense and tender without impulse on coughing
Direct inguinal hernia commonly descend to the scrotum
In relation to pubic tubercle, inguinal hernia protrude above and medial, while femoral hernia protrude below and lateral
Following reduction, obliteration of the deep inguinal ring will control indirect inguinal hernia

10. Regarding hernia all are true Except
Examining the patient in standing position is essential
Risk of strangulation is more common in femoral than inguinal hernias
There is increase risk of incisional hernia if there is history of wound infection in abdominal incisions
Umbilical hernia is more common in adult males than in babies and multiparous women
In epigastric hernia the extraperitoneal fat bulge through a defect in linea alba

11. During examination of the rectum all are true Except
Normal prostate is smooth, firm, regular with 2 lateral lobes and median groove
In prostate carcinoma, the gland become hard, irregular with no median groove
Haemorrhoids and seminal vesicle are normally palpable
Anal fissure is tender
Small prostate is associated with Klinefelter’s syndrome

12. In vaginal hydrocele all are true Except
the swelling is confined to the scrotum
the testis and epididymis not definable
the swelling is opaque
usually not tender
feels like a bag of worm