MRCP UK EXAMINATIONS

ABDOMINAL

ABDOMINAL STATION

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
To examine the abdomen, the patient must initially be placed in the following position:
A
Dorsal decubitus
B
prone position
C
Semifowler
D
Lateral decubitus
Explanation: 

Detailed explanation-1: -The patient is initially positioned at 45 degrees for comfort, but a supine position is necessary to palpate the abdomen. Keeping a pillow under the patient’s head or knees can be considered.

Detailed explanation-2: -The dorsal decubitus view is a supplementary projection often replacing the lateral decubitus view in the context of an unstable patient who is unable to roll nor stand. Used to identify free intraperitoneal gas (pneumoperitoneum).

Detailed explanation-3: -The most useful position for detecting free intraperitoneal air is the left lateral decubitus position.

Detailed explanation-4: -The patient’s hands should remain at their sides with their heads resting on a pillow. If the head is flexed, the abdominal musculature becomes tensed and the examination made more difficult. Allowing the patient to bend their knees so that the soles of their feet rest on the table will also relax the abdomen.

Detailed explanation-5: -A dorsal decubitus abdomen is ordered on a patient. The patient is placed on his back on a cart. The CR will enter the left side of the patient with the patient’s right side against the image receptor.

There is 1 question to complete.