Assessment Final

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

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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
A.
B.
C.
D.
E.
2.  What would you expect to hear when percussing the left lower throax of a pt with lobar pneumonia?
A.
B.
C.
D.
3.  You are doing an abdominal assessment on a 16 yr old Male who came into the ER with severe abdominal pain. He states the pain is worst when he coughs. When palpating his stomach you notice a positive Rovsings sign and rebound tenderness. What is your most likely diagnosis?
A.
B.
C.
D.
4.  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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B.
C.
D.
5.    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.
6.  Which one of the following positions is acceptable for examining the anus and rectum?
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B.
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D.
7.  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.
8.  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?
A.
B.
C.
D.
9.  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?
A.
B.
C.
D.
10.  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.
11.  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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B.
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D.
12.  What is the first thing we ask the client before assessing the abdomen?
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D.
13.  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.
14.  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.
15.  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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B.
C.
D.
16.  What is the purpose of Bartholins gland?
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D.
17.  You are performing an abdominal auscultation on a patient with gastroenteritis, what sort of bowel sounds would you expect to hear?
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B.
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D.
18.  In a patient with lobar pneumonia, you would expect breath sounds on auscultation to reveal:
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B.
C.
D.
19.  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.
20.  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?
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B.
C.
D.
21.  What is Rovsings sign?
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B.
C.
D.
22.  What sort of breathe sound may you expect to hear on an asthmatic patient?
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B.
C.
D.
23.   In a healthy adult, the expected measurement of descent of the diaphragm is:
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B.
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D.
24.  What is Paraphimosis?
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25.  With which illness may you see a Pigeon Breast?
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D.
26.  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.
27.  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?
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D.
28.  What are crackles?
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29.  After what age should all men start receiving yearly PSA's and colonoscopy's?
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D.
30.  What areas do we auscultate for bowel sounds and for how long?
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D.
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