National Physical Therapy Examination (NPTE) Practice Exam

What is the most appropriate action for a patient with right lower quadrant pain and tenderness upon palpation?

1. Inform the patient about possible diverticulitis

2. Test rectus abdominis strength

3. Stretch the right hip flexor muscles

4. Contact the physician about possible iliac vein thrombosis

The correct answer is: Stretch the right hip flexor muscles

In cases of right lower quadrant pain and tenderness upon palpation, the choice to stretch the right hip flexor muscles does not address the potential underlying causes of the pain accurately. The correct approach is to consider possible conditions that can cause right lower quadrant pain, such as appendicitis, ovarian cysts, or diverticulitis. Stretching the right hip flexors may be inappropriate and may even exacerbate the situation if there is an acute condition present, such as an appendicitis, where any movement could lead to further irritation or complications. Addressing the right lower quadrant pain appropriately begins with a thorough assessment and consideration of the patient's overall clinical condition, as well as a discussion with the physician to evaluate the need for imaging or further diagnostic tests. Options such as discussing diverticulitis or contacting the physician regarding potential serious conditions like iliac vein thrombosis could be more prudent, as they take into account possible medical emergencies that may require immediate attention. In summary, while stretching might be suggested in a different context related to muscle tension or tightness, in this specific scenario of presenting right lower quadrant pain, it is essential to focus on the underlying causes and to communicate with medical professionals to ensure a safe and effective approach to the patient's care.