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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1.  What is Ascites?
A.
B.
C.
D.
2.  All of the following may cause dullness upon abdominal percussion EXCEPT:
A.
B.
C.
D.
3.  A 25 year old veterinarian presents to the clinic for evaluation of flank pain, dysuria, nausea and fever.  A urine pregnancy test is negative.  A urine dipstick is positive for leukocyte esterase.  On physical examination, what would be the most likely sign?
A.
B.
C.
D.
4.  What is Balanitis?
A.
B.
C.
D.
E.
5.  A 19 y/o sexually active college student presents for evaluation of a vaginal discharge. She has been in a monogamous relationship since becoming sexually active and is married to her partner. She denies that he has been unfaithful. She denies fever or shills. She states that the discharge is thick, white, and curd like and although there is no bad odor, she does experience some itching. Upon physical examination of the vagina, you see an inflamed vulva, with a slightly red vaginal mucosa. The discharge is thick and white. There is no cervical motion tenderness. The uterus is normal in size without adnexal masses. Based on this information, what is your most likely diagnosis?
A.
B.
C.
D.
6.  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?
7.  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.
8.  How would you properly auscultate lung sounds?
A.
B.
C.
D.
9.  A patient who suffers from a chronic cough in the AM probably has a past history of....
A.
B.
C.
D.
10.  In a patient with pneumothorax, what findings would you expect with auscultation of the thorax on the affected side?
A.
B.
C.
D.
11.  What is Cryptorchidism?
A.
B.
C.
D.
E.
12.  You are in the ICU and assessing a patient who is now a Comfort measures patients. When looking at the respiratory rate you see a breathing pattern characterized by a period of apnea, followed by gradually increasing depth and frequency of respirations. What is this?
A.
B.
C.
D.
13.  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.
14.  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.
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?
A.
B.
C.
D.
16.  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?
A.
B.
C.
D.
17.  A 28 y/o housewife presents for an annual checkup. When queried, she mentions that she has noticed bleeding in between her periods for the past several months. She has been pregnant five times and has given birth to five infants. She is sexually active in a monogamous relationship with her husband. On physical exam of the uterus, you palpate an irregular nodule that is approximately 3 cm in diameter. Based on this information, what is your most likely diagnosis?
A.
B.
C.
D.
18.  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:
A.
B.
C.
D.
19.  A 15 year old high school student presents to the clinic with a 1 day history of nausea and anorexia.  He describes the pain as generalized yesterday, but today it has localized to his right lower quadrant.  You palpate the left lower quadrant and the patient experiences pain in the right lower quadrant.  What is the name of this sign?
A.
B.
C.
D.
20.  A patient with a history of cardiac problems will most commonly display what type of cough?
21.  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?
A.
B.
C.
D.
22.  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.
23.  Which one of the following positions is acceptable for examining the anus and rectum?
A.
B.
C.
D.
24.  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
A.
B.
C.
D.
E.
25.  Icterus is a yellow discoloration of....
A.
B.
C.
D.
26.  What is Paraphimosis?
A.
B.
C.
D.
E.
27.  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?
A.
B.
C.
D.
28.  With which illness may you see a Pigeon Breast?
A.
B.
C.
D.
29.  After what age should all men start receiving yearly PSA's and colonoscopy's?
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B.
C.
D.
30.  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?
A.
B.
C.
D.
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