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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.  How would you properly auscultate lung sounds?
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B.
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D.
2.  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.
3.  A patient who suffers from a chronic cough in the AM probably has a past history of....
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B.
C.
D.
4.  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.
5.  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.
6.  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.
7.  You are assessing for tactile fremitus on a patient you suspect has a pneumothorax. Which finding would help to cofirm your suspicion?
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B.
C.
8.  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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B.
C.
D.
9.  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?
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B.
C.
D.
10.  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?
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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?
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D.
12.  Which of the following is NOT a sign of labored breathing.
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D.
13.  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?
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B.
C.
D.
14.  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?
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B.
C.
D.
15.  What are crackles?
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16.  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.
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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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D.
18.  In a patient with pneumothorax, what findings would you expect with auscultation of the thorax on the affected side?
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D.
19.  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?
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D.
20.  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?
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B.
C.
D.
21.  What is Ascites?
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D.
22.  Stridor is caused by...
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D.
23.  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....
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B.
C.
D.
24.  What is Rovsings sign?
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B.
C.
D.
25.  A 23 y/o sex worker presents to the ER for evaluation of pelvic pain and fever. You obtain a pregnancy test, which is negative. Her last menstrual period was 1 week ago and was normal. You obtain a complete blood count, and the white blood cell count is elevated. On pelvic exam, she has cervical motion tenderness and a right adnexal mass that is larger than 5 cm in diameter and is extremely tender to palpation. What is the most likely cause of this adnexal mass?
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B.
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D.
26.  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.
27.  Icterus is a yellow discoloration of....
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D.
28.    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?
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B.
C.
D.
29.  When performing a test for Egophony on a pt with lobar pneumonia, what would you expect to hear?
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D.
30.  What is Balanitis?
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