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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.  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.
2.  What is Phimosis?
A.
B.
C.
D.
E.
3.  A patient who suffers from a chronic cough in the AM probably has a past history of....
A.
B.
C.
D.
4.  In a patient with lobar pneumonia, you would expect breath sounds on auscultation to reveal:
A.
B.
C.
D.
5.  Stridor is caused by...
A.
B.
C.
D.
6.  What would you expect to see on an ABG for a patient who has had severe nauseau and vomitting for several days & NG suctioning of their stomach?
A.
B.
C.
D.
7.    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.
8.  You ask the patient to say 'ninety-nine' will you ausculate their posterior chest and attempt to distinguish their words. What are you testing for?
A.
B.
C.
D.
9.  Which breath sounds should be heard over the majority of the chest upon auscultation?
A.
B.
C.
D.
10.  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.
11.  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?
A.
B.
C.
D.
12.  A 42 year old waitress presents to your office for evaluation of shortness of breath.  She has had a fever as high as 103F for the last few days and has a cough productive of green sputum.  On physical examination, you hear crackles in her lungs.  A chest radiograph reveals a consolidation in the left lower lobe.  You diagnose her with lobar pneumonia.  When you perform tactile fremitus of the left lower thorax, you would expect the fremitus to be:
A.
B.
C.
D.
13.  What is Cryptorchidism?
A.
B.
C.
D.
E.
14.  What is Paraphimosis?
A.
B.
C.
D.
E.
15.  Which one of the following positions is acceptable for examining the anus and rectum?
A.
B.
C.
D.
16.  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....
A.
B.
C.
D.
17.  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.
18.  You are reading an ABG that was drawn on a pt who is vented in the unit to determine if this pt may be ready for extubation. What does this ABG tell you?pH 7.41      CO2   38     HCO3  24  O2Sat 96
A.
B.
C.
D.
19.  What would you expect to hear when percussing the left lower throax of a pt with lobar pneumonia?
A.
B.
C.
D.
20.  What is Ascites?
A.
B.
C.
D.
21.  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:
A.
B.
C.
22.  Upon auscultation in a patient with COPD, you would expect to hear:
A.
B.
C.
D.
23.  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?
A.
B.
C.
D.
24.  What is the preferred order for examination of the abdomen?
A.
B.
C.
D.
25.  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.
26.  You are performing an abdominal auscultation on a patient with gastroenteritis, what sort of bowel sounds would you expect to hear?
A.
B.
C.
D.
27.  In a patient with pneumothorax, what findings would you expect with auscultation of the thorax on the affected side?
A.
B.
C.
D.
28.  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.
29.  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.
30.  What is Rovsings sign?
A.
B.
C.
D.
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