MRCP UK EXAMINATIONS

ABDOMINAL

ABDOMINAL STATION

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
What position should the patient be in to perform the abdominal assessment?
A
Supine/ventral decubitus
B
Supine/dorsal decubitus
C
Prone/lateral decubitus
D
Prone/ventral 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 supine position, also known as the dorsal decubitus position, refers to one of the ways an individual can lie on a table during a surgical procedure or a physical exam. In the supine position, the individual is lying on their back, with their face and abdomen facing upwards.

Detailed explanation-5: -Position of the patient Place the patient in the supine position on a radiolucent pad with the right or left side against the grid device. Elevate their arms and place them along side their head or across the upper chest. Placing a support under the knee helps to relieve strain when a patient is in the supine position.

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