Assessment Final

29 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.  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.
2.  What is the preferred order for examination of the abdomen?
A.
B.
C.
D.
3.  With which illness may you see a Pigeon Breast?
A.
B.
C.
D.
4.  You are percussing the chest of a patient with emphysema, what sound would you expect to hear?
A.
B.
C.
D.
5.  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.
6.  What is Paraphimosis?
A.
B.
C.
D.
E.
7.  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.
8.  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.
9.  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.
10.  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.
11.  Which of the following is NOT a sign of labored breathing.
A.
B.
C.
D.
12.  Icterus is a yellow discoloration of....
A.
B.
C.
D.
13.   In a healthy adult, the expected measurement of descent of the diaphragm is:
A.
B.
C.
D.
14.  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.
15.  In a patient with lobar pneumonia, you would expect breath sounds on auscultation to reveal:
A.
B.
C.
D.
16.  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.
17.  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.
18.  What is Cryptorchidism?
A.
B.
C.
D.
E.
19.  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.
20.  What areas do we auscultate for bowel sounds and for how long?
A.
B.
C.
D.
21.  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.
22.    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.
23.  All of the following may cause dullness upon abdominal percussion EXCEPT:
A.
B.
C.
D.
24.  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.
25.  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.
26.  What is Rovsings sign?
A.
B.
C.
D.
27.  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.
28.  After what age should all men start receiving yearly PSA's and colonoscopy's?
A.
B.
C.
D.
29.  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.
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