Assessment Final

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

  
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1.  You are doing a visual inspection on the abdomen of a patient with an abdominal Aortic aneurysm, what might you expect to see.
A.
B.
C.
D.
2.  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.
3.  Stridor is caused by...
A.
B.
C.
D.
4.  What is the preferred order for examination of the abdomen?
A.
B.
C.
D.
5.  What sort of breathe sound may you expect to hear on an asthmatic patient?
A.
B.
C.
D.
6.  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.
7.  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.
8.  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.
9.  Icterus is a yellow discoloration of....
A.
B.
C.
D.
10.  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.
11.  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.
12.  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.
13.  What is Balanitis?
A.
B.
C.
D.
E.
14.  Which one of the following positions is acceptable for examining the anus and rectum?
A.
B.
C.
D.
15.  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?
A.
B.
C.
D.
16.  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.
17.  When performing a test for Egophony on a pt with lobar pneumonia, what would you expect to hear?
A.
B.
C.
D.
18.  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.
19.  With which illness may you see a Pigeon Breast?
A.
B.
C.
D.
20.  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.
21.   In a healthy adult, the expected measurement of descent of the diaphragm is:
A.
B.
C.
D.
22.  After what age should all men start receiving yearly PSA's and colonoscopy's?
A.
B.
C.
D.
23.  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.
24.  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.
25.  In a patient with lobar pneumonia, you would expect breath sounds on auscultation to reveal:
A.
B.
C.
D.
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.  A patient who suffers from a chronic cough in the AM probably has a past history of....
A.
B.
C.
D.
28.  In a patient with pneumothorax, what findings would you expect with auscultation of the thorax on the affected side?
A.
B.
C.
D.
29.  All of the following may cause dullness upon abdominal percussion EXCEPT:
A.
B.
C.
D.
30.  In a healthy adult, the respiratory rate is:
A.
B.
C.
D.
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