Assessment Final

30 Questions  I  By Scottishduffy
Skill Assessment Quizzes & Trivia
Review of material for final exam in Assessment class. Abdomen, Respiratory, male & female genitalia.

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1.  After what age should all men start receiving yearly PSA's and colonoscopy's?
A.
B.
C.
D.
2.  What are normal bowel sounds?
A.
B.
C.
D.
3.  You are performaing a routine physical exam on a 70 y/o retired banker. On exam of the prostate, you palpate a mass that is 1 cm in diameter, hard and non tender. The pt has had a 6 mo history of fatigue. He denies weight loss and night sweats. What is your most likely diagnosis?
A.
B.
C.
D.
4.  You are visually assessing a 48 yr old Male in the ER. He came in for abdominal pain and nausea/vomitting. He states he has a lot of pain after eating and his stomach is swollen. You notice a small red circle around his belly button. What is your most likely diagnosis?
A.
B.
C.
D.
5.  Which pattern of breathing would you expect to see on a patient with diabetic ketoacidosis?
A.
B.
C.
D.
6.  You are reading an ABG for a patient who has overdosed cocaine. The ABG looks like this:pH 7.30     CO2 60      HCO3    26     What is this indicative of?
A.
B.
C.
D.
7.  You are performing abdominal palpation on a 78 yr old Female. She states she emptied her bladder immediately prior to your exam, yet you can easily palpate the urinary bladder. Is this normal?
A.
B.
C.
D.
8.  All of the following may cause dullness upon abdominal percussion EXCEPT:
A.
B.
C.
D.
9.  What is Ascites?
A.
B.
C.
D.
10.  What would you expect to hear when percussing the left lower throax of a pt with lobar pneumonia?
A.
B.
C.
D.
11.  In a patient with pneumothorax, what findings would you expect with auscultation of the thorax on the affected side?
A.
B.
C.
D.
12.  What is the first thing we ask the client before assessing the abdomen?
A.
B.
C.
D.
13.  How would you properly auscultate lung sounds?
A.
B.
C.
D.
14.  With which illness may you see a Pigeon Breast?
A.
B.
C.
D.
15.  You are percussing the chest of a patient with emphysema, what sound would you expect to hear?
A.
B.
C.
D.
16.  What sort of breathe sound may you expect to hear on an asthmatic patient?
A.
B.
C.
D.
17.  A patient with a history of cardiac problems will most commonly display what type of cough?
18.  You are in the emergency room assessing a patient with abdominal pain and fever.  You are performing an abdominal examination to assess for peritoneal signs.  Which one of the following is NOT a peritoneal sign?
A.
B.
C.
D.
19.  A patient who suffers from a chronic cough in the AM probably has a past history of....
A.
B.
C.
D.
20.  What is hypospadius?
A.
B.
C.
D.
E.
21.    A 24 y/o computer programmer presents to your office for evaluation of pain in the anal region. He is sexually active with the opposite sex. He denies bleeding from the rectum. He denies fever or chills. On physical exam, you note a tender, shallow, ulcerated lesion at the 10 o’clock position on the external anal region. What is your most likely diagnosis?
A.
B.
C.
D.
22.  What is the preferred order for examination of the abdomen?
A.
B.
C.
D.
23.  An 80 y/o retired secretary presents to the emergency room because of difficulty having a bowel movement, stating that “it feels like something is coming out.” She denies fever or chills and weight loss. She has had constipation and has used an over-the-counter stool softener and increased her water intake. She denies pain with defecation. On physical examination of the anus, you see a doughnut of red tissue, with concentrically circular folds where the anus should be. What is your most likely diagnosis?
A.
B.
C.
D.
24.  Which one of the following positions is acceptable for examining the anus and rectum?
A.
B.
C.
D.
25.   In a healthy adult, the expected measurement of descent of the diaphragm is:
A.
B.
C.
D.
26.  You are assessing for tactile fremitus on a patient you suspect has a pneumothorax. Which finding would help to cofirm your suspicion?
A.
B.
C.
27.  You are doing a visual inspection on the abdomen of a patient with an abdominal Aortic aneurysm, what might you expect to see.
A.
B.
C.
D.
28.  A 35 y/o woman presents for evaluation of several new lesions on her vagina. She denies any previous medical problems. She is sexually active. She has had four pregnancies and has given birth to two children. She has had more than ten sexual partners in her lifetime. She is currently divorced but involved in a new relationship with a man whose past sexual history is unknown. On physical examination of the external vagina, you see cauliflower-like lesions scattered on the labia. These are nontender to palpation; the largest is 1 cm in diameter. The remainder of the pelvic exam is unremarkable, and there is no vaginal discharge. Based on this information, what is your most likely diagnosis?
A.
B.
C.
D.
29.  You are interviewing a 32 yr old Female. She had been pregnant 5 times, she has 3 children (twin girls, and a boy). She also has had 2 miscarriages and one premature stillborn child. What is her gravida/para classification?
30.  A 18 year old high school student presents to his family doctor’s office for evaluation of acute onset of pain in the left testicle.  He has had no problems until this morning.  The pain has been intermittent, sharp, and radiates into the left groin.  On physical examination, the testicle feels swollen and is tender to palpation.  What is your most likely diagnosis
A.
B.
C.
D.
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