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.  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.
2.  What is the first thing we ask the client before assessing the abdomen?
A.
B.
C.
D.
3.  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.
4.  What is Balanitis?
A.
B.
C.
D.
E.
5.  What are crackles?
A.
B.
C.
D.
6.  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.
7.  Stridor is caused by...
A.
B.
C.
D.
8.  You are assessing a 2 day old baby boy and notice yellow discoloration of his skin. What is your diagnosis?
9.  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?
A.
B.
C.
D.
10.  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.
11.  What is the purpose of Bartholins gland?
A.
B.
C.
D.
12.  After what age should all men start receiving yearly PSA's and colonoscopy's?
A.
B.
C.
D.
13.  When performing a test for Egophony on a pt with lobar pneumonia, what would you expect to hear?
A.
B.
C.
D.
14.  Upon auscultation in a patient with COPD, you would expect to hear:
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.  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.
17.  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.
18.  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.
19.  All of the following may cause dullness upon abdominal percussion EXCEPT:
A.
B.
C.
D.
20.  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.
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.  What areas do we auscultate for bowel sounds and for how long?
A.
B.
C.
D.
23.  According to our notes, which of the following pts would qualify as abusing alcohol?
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.  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.
26.  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.
27.  Which breath sounds should be heard over the majority of the chest upon auscultation?
A.
B.
C.
D.
28.  What are normal bowel sounds?
A.
B.
C.
D.
29.  You are reading an ABG on a  58 yr old dialysis patient. What does this ABG tell you?pH 7.32    CO2   36    HCO3  18
A.
B.
C.
D.
E.
30.  What is Rovsings sign?
A.
B.
C.
D.
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