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Assessment Final

30 Questions  I  By Scottishduffy
Assessment  Final
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.  With which illness may you see a Pigeon Breast?
A.
B.
C.
D.
2.  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.
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.  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?
A.
B.
C.
D.
5.   In a healthy adult, the expected measurement of descent of the diaphragm is:
A.
B.
C.
D.
6.  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.
7.  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.
8.  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.
9.  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.
10.  A patient with a history of cardiac problems will most commonly display what type of cough?
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.  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.
13.  What is Rovsings sign?
A.
B.
C.
D.
14.  According to our notes, which of the following pts would qualify as abusing alcohol?
A.
B.
C.
D.
15.  What areas do we auscultate for bowel sounds and for how long?
A.
B.
C.
D.
16.  What is Balanitis?
A.
B.
C.
D.
E.
17.  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.
18.  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.
19.  You are assessing a 2 day old baby boy and notice yellow discoloration of his skin. What is your diagnosis?
A.
B.
C.
D.
20.  A patient who suffers from a chronic cough in the AM probably has a past history of....
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 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.
23.  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.
24.  Upon auscultation in a patient with COPD, you would expect to hear:
A.
B.
C.
D.
25.  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.
26.  Which of the following is NOT a sign of labored breathing.
A.
B.
C.
D.
27.  Which pattern of breathing would you expect to see on a patient with diabetic ketoacidosis?
A.
B.
C.
D.
28.  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:
A.
B.
C.
D.
29.  All of the following may cause dullness upon abdominal percussion EXCEPT:
A.
B.
C.
D.
30.  Which breath sounds should be heard over the majority of the chest upon auscultation?
A.
B.
C.
D.
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