Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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A patient diagnosed with Appendicitis. When asked to flex his right thigh at the hip, he moans in pain. When you ask him “Where does it hurt” he points to his right lower quadrant. What is this ‘sign’ called?
  1. Psoas sign
  2. McBurney’s sign
  3. Obturator sign
  4. Roving’s sign
Explanation
Answer: A - A patient suffering from Appendicitis is likely to point to Psoas sign. The psoas sign is indicative of a retrocecal appendix. McBurney's point tenderness is described as maximal tenderness at 1.5 to 2 inches from the anterior superior iliac spine (ASIS) on a straight line from the ASIS to the umbilicus. The Obturator sign is indicative of a pelvic appendix. The Rovsing's sign refers to pain in the right lower quadrant with palpation of the left lower quadrant.
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