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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Question Excerpt

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1.  What is Rovsings sign?
A.
B.
C.
D.
2.  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.
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.  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.
5.  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.
6.  Icterus is a yellow discoloration of....
A.
B.
C.
D.
7.  What is hypospadius?
A.
B.
C.
D.
E.
8.  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.
9.  All of the following may cause dullness upon abdominal percussion EXCEPT:
A.
B.
C.
D.
10.  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.
11.  In a healthy adult, the respiratory rate is:
A.
B.
C.
D.
12.  What sort of breathe sound may you expect to hear on an asthmatic patient?
A.
B.
C.
D.
13.  With which illness may you see a Pigeon Breast?
A.
B.
C.
D.
14.  A patient with a history of cardiac problems will most commonly display what type of cough?
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.  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.
17.  What is Balanitis?
A.
B.
C.
D.
E.
18.  What is Paraphimosis?
A.
B.
C.
D.
E.
19.  Which of the following is NOT a sign of labored breathing.
A.
B.
C.
D.
20.  Which breath sounds should be heard over the majority of the chest upon auscultation?
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.  According to our notes, which of the following pts would qualify as abusing alcohol?
A.
B.
C.
D.
23.  Which pattern of breathing would you expect to see on a patient with diabetic ketoacidosis?
A.
B.
C.
D.
24.  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.
25.  A patient who suffers from a chronic cough in the AM probably has a past history of....
A.
B.
C.
D.
26.  What is Ascites?
A.
B.
C.
D.
27.  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.
28.  What is Phimosis?
A.
B.
C.
D.
E.
29.  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.
30.  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.
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