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Assessment Final

30 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.  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.
2.  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.
3.  Upon auscultation in a patient with COPD, you would expect to hear:
A.
B.
C.
D.
4.  Which pattern of breathing would you expect to see on a patient with diabetic ketoacidosis?
A.
B.
C.
D.
5.  All of the following may cause dullness upon abdominal percussion EXCEPT:
A.
B.
C.
D.
6.  In a healthy adult, the respiratory rate is:
A.
B.
C.
D.
7.  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.
8.  What sort of breathe sound may you expect to hear on an asthmatic patient?
A.
B.
C.
D.
9.  Which of the following is NOT a sign of labored breathing.
A.
B.
C.
D.
10.  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.
11.  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.
12.  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.
13.  What is the preferred order for examination of the abdomen?
A.
B.
C.
D.
14.  What is Ascites?
A.
B.
C.
D.
15.  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.
16.  A patient who suffers from a chronic cough in the AM probably has a past history of....
A.
B.
C.
D.
17.  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.
18.  Which breath sounds should be heard over the majority of the chest upon auscultation?
A.
B.
C.
D.
19.  A 25 year old veterinarian presents to the clinic for evaluation of flank pain, dysuria, nausea and fever.  A urine pregnancy test is negative.  A urine dipstick is positive for leukocyte esterase.  On physical examination, what would be the most likely sign?
A.
B.
C.
D.
20.  You are assessing a 2 day old baby boy and notice yellow discoloration of his skin. What is your diagnosis?
21.  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.
22.  What is hypospadius?
A.
B.
C.
D.
E.
23.  Which one of the following positions is acceptable for examining the anus and rectum?
A.
B.
C.
D.
24.    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.
25.  What is Balanitis?
A.
B.
C.
D.
E.
26.  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.
27.   In a healthy adult, the expected measurement of descent of the diaphragm is:
A.
B.
C.
D.
28.  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.
29.  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.
30.  With which illness may you see a Pigeon Breast?
A.
B.
C.
D.
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