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Assessment Final

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

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Question Excerpt

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1.  You are reading an ABG on a  58 yr old dialysis patient. What does this ABG tell you?pH 7.32    CO2   36    HCO3  18
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2.  What is Cryptorchidism?
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3.  Icterus is a yellow discoloration of....
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4.  A 15 year old high school student wishing to join the school’s football and basketball teams presents to your office for a sports physical.  As a part of the physical, you perform a hernia check.  You notice that his right scrotum is markedly larger than his left.  He denies pain or tenderness, as well as fever, night sweats, and weight loss.  On palpitation, you feel a fluid filled mass in the scrotum but can’t get above the mass with your fingers.  What is your most likely diagnosis?
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D.
5.  You are doing a visual inspection on the abdomen of a patient with an abdominal Aortic aneurysm, what might you expect to see.
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6.  An 18 y/o college student presents to your office for evaluation of rectal bleeding. You obtain a more thorough history and find that the blood was seen when she wiped after having a bowel movement; she has been constipated and has needed to strain to move her bowels. She denies a family history of colon cancer of inflammatory bowel disease. On physical examination, you note a 1 cm round mass at the 10 o’clock position at the rectum externally. What is your most likely diagnosis?
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D.
7.  A 40 year old flight attendant presents to your office for evaluation of abdominal pain.  It is worse after eating, especially if she has a meal that is spicy or high in fat.  She has tried over the counter antacids, but they have not helped the pain.  After examining her abdomen, you strongly suspect cholecystitis.  Which sign on examination increases your suspicion for this diagnosis?
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8.  A 19 year old college athlete presents to the student health center for evaluation of penile pain.  He is sexually active and his last sexual encounter was one week ago.  He has had more than 5 partners in his lifetime to date.  You inspect his penis and see a cluster of small vesicles and a few swallow ulcerated areas.  Your diagnosis based on this history and the physical examination is:
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D.
9.  In a patient with pneumothorax, what findings would you expect with auscultation of the thorax on the affected side?
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10.  How would you properly auscultate lung sounds?
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11.  A 19 year old college student presents to the emergency room for sudden onset of dyspnea.  The general survey reveals that she is 6 feet 2 inches tall and weighs 135 pounds.  She denies fever, chills, cough, and sore throat.  She is a nonsmoker.  You suspect that she has a pneumothorax.  What findings would you expect with percussion of the thorax?
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12.  What are normal bowel sounds?
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13.   In a healthy adult, the expected measurement of descent of the diaphragm is:
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14.  A 25 year old truck driver presents to the ER for evaluation of pain in his left groin.  He has noticed that the pain increases after lifting several boxes, each weighing more than 100 lbs, to fill up his truck.  He has had this pain intermittently over the past 5 years, but it has gone away on its own.  He is here because the pain has not gone away, and he is becoming nauseated.  He denies fever, chills, constipation, or diarrhea.  He denis urethral discharge; he is married and states he is faithful to his wife.  On physical examination of the left testicular area, you note there is a buldge when you palpate the inguinal canal as you ask the patient to strain.  You listen to the left testicular area and hear bowel sounds.  Your most likely diagnosis is:
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D.
15.    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?
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D.
16.  Upon auscultation in a patient with COPD, you would expect to hear:
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17.  After what age should all men start receiving yearly PSA's and colonoscopy's?
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18.  Stridor is caused by...
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19.  What are crackles?
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20.  A patient who suffers from a chronic cough in the AM probably has a past history of....
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21.  As part of a routine checkup, you are examining the prostate of a 55 y/o man. He denies nocturia and urinary hesitancy. On physical exam, you palpate the prostate gland and feel a mass. Which of the following descriptors would you use to characterize this mass?
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22.  What is the preferred order for examination of the abdomen?
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23.  A 22 year old celebrity with a known history of intravenous drug use presents to the emergency room for evaluation of a 5 day history of nausea, emesis, and right upper quadrant abdominal pain.  On general survey, he appears ill and his skin is distinctly yellow.  He has a temperature of 102.5 F and a heart rate of 112 bpm.  You provisionally diagnose him with acute hepatitis.  What would you expect to find on abdominal examination?
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D.
24.  What would you expect to hear when percussing the left lower throax of a pt with lobar pneumonia?
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D.
25.  A 65 year old smoker presents for evaluation of dyspnea.  He has a 100-pack/year history of tobacco use.  The dyspnea is exacerbated by exertion.  He denies fever or chills; he has not had recent contact with anyone who is sick.  You diagnose chronic obstructive pulmonary disease (COPD).  On physical examination of the thorax, you would expect to find:
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B.
C.
26.  You are doing an abdominal assessment on a 50 yr old male and notice parietal pain and guarding on expiration. This would be suggestive of what?
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27.  You are percussing the chest of a patient with emphysema, what sound would you expect to hear?
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28.  What areas do we auscultate for bowel sounds and for how long?
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29.  You are up on the floor doing rounds and walk into the room of a 72 yr old female. She is sitting up in a chair, hands on her knees and leaning slightly forward, and pursing her lips when she exhales. You look at her Past Medical history and are not at all surprised to see she has....
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30.  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?
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D.
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