Assessment Final

30 Questions  I  By Scottishduffy on November 16, 2008
Review of material for final exam in Assessment class. Abdomen, Respiratory, male & female genitalia.

  

Question Excerpt

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1.   In a healthy adult, the expected measurement of descent of the diaphragm is:
A.
B.
C.
D.
2.  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.
3.  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.
4.  What is the purpose of Bartholins gland?
A.
B.
C.
D.
5.  In a patient with lobar pneumonia, you would expect breath sounds on auscultation to reveal:
A.
B.
C.
D.
6.  Which pattern of breathing would you expect to see on a patient with diabetic ketoacidosis?
A.
B.
C.
D.
7.  What is Phimosis?
A.
B.
C.
D.
E.
8.    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.
9.  What is Paraphimosis?
A.
B.
C.
D.
E.
10.  You are assessing a 2 day old baby boy and notice yellow discoloration of his skin. What is your diagnosis?
A.
B.
C.
D.
11.  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.
12.  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.
13.  How would you properly auscultate lung sounds?
A.
B.
C.
D.
14.  All of the following may cause dullness upon abdominal percussion EXCEPT:
A.
B.
C.
D.
15.  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.
16.  Which breath sounds should be heard over the majority of the chest upon auscultation?
A.
B.
C.
D.
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.  A patient who suffers from a chronic cough in the AM probably has a past history of....
A.
B.
C.
D.
19.  Upon auscultation in a patient with COPD, you would expect to hear:
A.
B.
C.
D.
20.  What is Balanitis?
A.
B.
C.
D.
E.
21.  What are crackles?
A.
B.
C.
D.
22.  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.
23.  What is Ascites?
A.
B.
C.
D.
24.  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.
25.  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.
26.  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.
27.  You are percussing the chest of a patient with emphysema, what sound would you expect to hear?
A.
B.
C.
D.
28.  What is Rovsings sign?
A.
B.
C.
D.
29.  In a healthy adult, the respiratory rate is:
A.
B.
C.
D.
30.  In a patient with pneumothorax, what findings would you expect with auscultation of the thorax on the affected side?
A.
B.
C.
D.
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