1.Which of the following techniques may elicit rebound tenderness? A. light palp
ID: 14861 • Letter: 1
Question
1.Which of the following techniques may elicit rebound tenderness?A. light palpation over the affected area
B. deep palpation over the affected area
C. light palpation and sudden fingertip withdrawal
D. deep palpation and sudden fingertip withdrawal
2. During the neurological assessment of a “healthy” 35-year-old patient you ask him to relax his muscles completely. You then move each extremity through full range of motion. Which of the following would you expect to
find?
A. Firm, rigid resistance to movement
B. Mild, even resistance to movement
C. Hypotonic muscles due to total relaxation
D. Slight pain with some directions of movement
3. Full range of motion for each muscle or group of muscles, while
applying resistance to the muscle is testing:
A. MUSCLE STREGTH
B. coordination
C. muscle tone
D. equilibrium
4.Muscle tone is assessed by:
A. the feeling of slight resistance when a limb is passively moved
B. applying resistance to muscles while in active motion
C. inspecting symmetry of muscle mass
D. palpating for crepitations as joint is actively moved
5. Stimulation of the biceps tendon:
A. is accomplished by flexing the arm and delivering a rapid blow
with the reflex hammer directly on the biceps tendon
B. elicits extension of the forearm
C. elicits flexion of the forearm
D. elicits extension of the knee
6. Stimulation of the triceps tendon normally causes:
A. extension of the forearm
B. flexion of the forearm
C. relaxation of the triceps muscle
D. relaxation of the deltoid muscle
Explanation / Answer
B or D Rebound tenderness is the elicitation of tenderness by rapidly removing the examining hand. Again, this is a difficult sign for the beginning examiner to master. The most common error is to remove the hand very quickly with an exaggerated motion and thus startle the patient. All that needs to be done is smoothly but quickly to lift the palpating hand off the abdomen and observe for pain, facial grimace, or spasm of the abdominal wall. Both tenderness and rebound tenderness may be elicited by palpation in a different quadrant. Thus, palpation of the left lower quadrant may produce tenderness and rebound tenderness in the right lower quadrant in appendicitis (Rovsing's sign). This is called referred tenderness and referred rebound.
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