Assessment Final

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  • 1/68 Questions

    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?

    • Color
    • Size
    • Presence of Discharge
    • Presence of Rash
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About This Quiz

Review of material for final exam in Assessment class. Abdomen, Respiratory, male & female genitalia.

Final Assessment Quizzes & Trivia

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  • 2. 

    What is the preferred order for examination of the abdomen?

    • Inspection, auscultation, percussion, palpation

    • Percussion, auscultation, palpation, inspection

    • Auscultation, inspection, palpation, percussion

    • Inspection, palpation, auscultation, percussion

    Correct Answer
    A. Inspection, auscultation, percussion, palpation
  • 3. 

    What is Ascites?

    • Accumulation of fluid in the peritoneal cavity.

    • An abnormally high level of bilirubin in the blood leading to golden brown coloration of urine.

    • Yellow discoloration of the sclera

    • An abnormally large palpable liver.

    Correct Answer
    A. Accumulation of fluid in the peritoneal cavity.
  • 4. 

    In a healthy adult, the respiratory rate is:

    • 4 to 14 breaths per minute

    • 14-16 breaths per minute

    • 14 - 20 breaths per minute

    • 26-40 breaths per minute

    Correct Answer
    A. 14 - 20 breaths per minute
  • 5. 

    How would you properly auscultate lung sounds?

    • Directly compare one lobe to the other, auscultating while moving your stethoscope back and forth across the chest.

    • Assess entire left side before moving on to assess right side.

    • Start at top, then work your way down. You only need to listen posteriorly.

    • However the heck I want to do it.... it doesn't matter as long as i auscultate it.

    Correct Answer
    A. Directly compare one lobe to the other, auscultating while moving your stethoscope back and forth across the chest.
  • 6. 

    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....

    • Pneumonia

    • Emphysema

    • Croup

    • Bronchitis

    Correct Answer
    A. Emphysema
  • 7. 

    Which one of the following positions is acceptable for examining the anus and rectum?

    • Patient lying down on his or her side on the examining table

    • Patient sitting down with arms forward, leaning over the examining table

    • Patient standing upright with feet together and arms extended

    • Patient sitting upright with arms braced backward

    Correct Answer
    A. Patient lying down on his or her side on the examining table
  • 8. 

    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:

    • Appendicitis

    • Testicular torsion

    • Hernia

    • Pelvic inflammatory disease

    Correct Answer
    A. Hernia
  • 9. 

    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?

    • External hemorrhoids

    • Rectal prolapse

    • Uterine prolapse

    • Crohn’s disease

    Correct Answer
    A. External hemorrhoids
  • 10. 

    You are performing abdominal palpation on a 78 yr old Female. She states she emptied her bladder immediately prior to your exam, yet you can easily palpate the urinary bladder. Is this normal?

    • No, she may have bladder cancer

    • Yeah, you should be able to palpate the bladder at all times

    • No, she may have urinary Retention

    • Oh my god!!! That is not a bladder that is her uterus!! It's a miracle... She's pregnant!!!!!

    Correct Answer
    A. No, she may have urinary Retention
  • 11. 

    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:

    • Increased AP diameter

    • Decreased AP diameter

    • No change in AP diameter

    Correct Answer
    A. Increased AP diameter
  • 12. 

    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?

    • Appendicitis

    • Cholecystitis

    • Pancreatitis

    • Hepatitis

    Correct Answer
    A. Appendicitis
  • 13. 

    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:

    • Carcinoma of the penis

    • Venereal Wart

    • Syphilitic chancre

    • Genital herpes

    Correct Answer
    A. Genital herpes
  • 14. 

    You are performing an abdominal auscultation on a patient with gastroenteritis, what sort of bowel sounds would you expect to hear?

    • Hypoactive

    • Normal

    • Hyperactive

    • None

    Correct Answer
    A. Hyperactive
  • 15. 

    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?

    • Cheyne-Stokes Respirations

    • Kussmaul Breathing

    • Agonal Breathing

    • Normal variations in breathing

    Correct Answer
    A. Cheyne-Stokes Respirations
  • 16. 

    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?

    • Bacterial vaginosis

    • Trichomonas vaginalis infection

    • Candida vaginitis

    • Pelvic inflammatory disease

    Correct Answer
    A. Candida vaginitis
  • 17. 

    What are crackles?

    • Bubbling, liquidy noise

    • Low pitch wheeze

    • Popping noises (kind of sound like rice krispies)

    • Absence of breath sounds

    Correct Answer
    A. Popping noises (kind of sound like rice krispies)
  • 18. 

    What is Cryptorchidism?

    • Undescended testicle

    • Ventral displacement of the urethral meatus on the penis

    • Tight prepuce; once retracted, cannot be returned

    • Tight prepuce that cannot be retracted over the glans

    • Inflammation of the glans

    Correct Answer
    A. Undescended testicle
  • 19. 

    Which of the following is NOT a sign of labored breathing.

    • Use of accessory muscles

    • Auscultation of bilateral rhonchi

    • Nasal Flaring

    • Intercostal retractions

    Correct Answer
    A. Auscultation of bilateral rhonchi
  • 20. 

    What sort of breathe sound may you expect to hear on an asthmatic patient?

    • High pitch wheeze

    • Rhonchi

    • Low Pitch wheeze

    • Crackles

    Correct Answer
    A. High pitch wheeze
  • 21. 

    What are normal bowel sounds?

    • 20-55 per minutes

    • You should only hear them within 2 hours of eating.

    • < 10 per minute.

    • 5- 34 per min

    Correct Answer
    A. 5- 34 per min
  • 22. 

    What is the purpose of Bartholins gland?

    • Tranports sperm from epididymis to urethra during ejaculation.

    • Provides lubrication to the vagina.

    • Small gland located in Anus which alerts you to sensation of having to defecate.

    • Located in breasts and produce milk in females.

    Correct Answer
    A. Provides lubrication to the vagina.
  • 23. 

    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?

    • Psoas sign

    • Rovsing’s sign

    • Murphy’s sign

    • Grey Turner’s sign

    Correct Answer
    A. Murphy’s sign
  • 24. 

    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?

    • Psoas sign

    • Obturator sign

    • Rovsing’s sign

    • Cuteaneuos hyperesthesia

    Correct Answer
    A. Rovsing’s sign
  • 25. 

    You are percussing the chest of a patient with emphysema, what sound would you expect to hear?

    • Resonant

    • Hyperresonant

    • Dull

    • Wheezing

    Correct Answer
    A. Hyperresonant
  • 26. 

    What is Balanitis?

    • Undescended testicle

    • Ventral displacement of the urethral meatus on the penis

    • Tight prepuce; once retracted, cannot be returned

    • Tight prepuce that cannot be retracted over the glans

    • Inflammation of the glans

    Correct Answer
    A. Inflammation of the glans
  • 27. 

    According to our notes, which of the following pts would qualify as abusing alcohol?

    • 44 yr old Male who has 12 drinks per week, 2 per ocassion

    • 17 yr old patient who drinks 3 drinks per week.

    • 32 yr old female who drinks 10 drinks per week, 4-5 per ocassion

    • 67 yr old female who drinks 6 drinks per week, but feels very ashamed of it because her religious convictions do not look kindly on this.

    Correct Answer
    A. 32 yr old female who drinks 10 drinks per week, 4-5 per ocassion
  • 28. 

    You are doing a visual inspection on the abdomen of a patient with an abdominal Aortic aneurysm, what might you expect to see.

    • Swollen stomach, dull to percussion

    • Increased pulsations in the stomach

    • Scaphoid stomach, hypoactive bowel sounds

    • Increased vascularity of stomach & bruits

    Correct Answer
    A. Increased pulsations in the stomach
  • 29. 

    After what age should all men start receiving yearly PSA's and colonoscopy's?

    • 40

    • 50

    • 60

    • 35

    Correct Answer
    A. 50
  • 30. 

    A patient who suffers from a chronic cough in the AM probably has a past history of....

    • Cardiac Issues

    • Pneumonia

    • Smoker

    • Allergies

    Correct Answer
    A. Smoker
  • 31. 

    What areas do we auscultate for bowel sounds and for how long?

    • Only the RLQ for 30 seconds.

    • All four quadrants for 2 minutes each.

    • On all 4 quadrants and for 15 – 20 seconds each.

    • Only the RUQ and LUQ for 15 seconds each.

    Correct Answer
    A. On all 4 quadrants and for 15 – 20 seconds each.
  • 32. 

    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?

    • Psoas sign

    • CVA (costovertebral angle) tenderness

    • Rosving’s sign

    • Murphy’s sign

    Correct Answer
    A. CVA (costovertebral angle) tenderness
  • 33. 

    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?

    • Egophony

    • Whisper Petriloquoy

    • Bronchophony

    • Nothing, i'm just messing with him.

    Correct Answer
    A. Bronchophony
  • 34. 

    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:

    • Increased

    • Decreased

    • Unchanged

    • Displaced

    Correct Answer
    A. Increased
  • 35. 

     In a healthy adult, the expected measurement of descent of the diaphragm is:

    • 1-2 cm

    • 5-6 cm

    • 7-8 cm

    • 10-12 cm

    Correct Answer
    A. 5-6 cm
  • 36. 

    Which breath sounds should be heard over the majority of the chest upon auscultation?

    • Vesicular

    • Bronchial

    • Bronchovesicular

    • Tracheal

    Correct Answer
    A. Vesicular
  • 37. 

    Which pattern of breathing would you expect to see on a patient with diabetic ketoacidosis?

    • Cheyne-stokes Breathing

    • Ketotic Breathing

    • Ataxic Breathing

    • Kussmaul Breathing

    Correct Answer
    A. Kussmaul Breathing
  • 38. 

    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?

    • Liver edge is tender and 4 to 5 finger breadths below RCM

    • Liver edge is nonpalpable

    • Liver edge is tender and 1 finger breadth below the RCM

    • Liver edge is non tender and 4 to 5 finger breadths below the RCM

    Correct Answer
    A. Liver edge is tender and 4 to 5 finger breadths below RCM
  • 39. 

    What is the first thing we ask the client before assessing the abdomen?

    • If they have any pain which would prevent us from palpating.

    • If they emptied their bladder.

    • If they have any contagious diseases

    • If they are ticklish.

    Correct Answer
    A. If they emptied their bladder.
  • 40. 

    What is Rovsings sign?

    • Pain in the right lower quadrant during palpation of the left lower quadrant

    • Pain is elicited by gently picking up a fold of abdominal skin anteriorly without pinching it

    • Rebound tenderness

    • Pain elicited when the patient’s right thigh is flexed at the hip with the knee bent, and the leg is internally rotated at the hip

    Correct Answer
    A. Pain in the right lower quadrant during palpation of the left lower quadrant
  • 41. 

    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?

    • Hepatitis

    • Cholecystitis

    • Abdominal Obstruction

    • Peritonitis

    Correct Answer
    A. Peritonitis
  • 42. 

    What would you expect to hear when percussing the left lower throax of a pt with lobar pneumonia?

    • Dull

    • Resonant

    • Flat

    • Hyperresonant

    Correct Answer
    A. Dull
  • 43. 

    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?

    • Hydrocele

    • Testicular tumor

    • Varicocele

    • Epidermoid inclusion cyst

    Correct Answer
    A. Hydrocele
  • 44. 

    What is hypospadius?

    • Undescended testicle

    • Ventral displacement of the urethral meatus on the penis

    • Tight prepuce; once retracted, cannot be returned

    • Tight prepuce that cannot be retracted over the glans

    • Inflammation of the glans

    Correct Answer
    A. Ventral displacement of the urethral meatus on the penis
  • 45. 

    A 35 y/o woman presents for evaluation of several new lesions on her vagina. She denies any previous medical problems. She is sexually active. She has had four pregnancies and has given birth to two children. She has had more than ten sexual partners in her lifetime. She is currently divorced but involved in a new relationship with a man whose past sexual history is unknown. On physical examination of the external vagina, you see cauliflower-like lesions scattered on the labia. These are nontender to palpation; the largest is 1 cm in diameter. The remainder of the pelvic exam is unremarkable, and there is no vaginal discharge. Based on this information, what is your most likely diagnosis?

    • Epidermoid inclusion cysts

    • Venereal warts

    • Genital herpes

    • Syphilitic chancre

    Correct Answer
    A. Venereal warts
  • 46. 

    Icterus is a yellow discoloration of....

    • Skin

    • Eyes

    • Nails

    • Urine

    Correct Answer
    A. Eyes
  • 47. 

    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?

    • Rebound tenderness

    • Involuntary guarding

    • Rigidity of the abdomen

    • Voluntary guarding

    Correct Answer
    A. Voluntary guarding
  • 48. 

    Stridor is caused by...

    • Lower airway obstruction

    • Severe COPD

    • Upper airway obstruction

    • Narrowing of upper and lower airway.

    Correct Answer
    A. Upper airway obstruction
  • 49. 

    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

    • Epididymytis

    • Testicular torsion

    • Acute orchitis

    • Testicular cancer

    Correct Answer
    A. Testicular torsion

Quiz Review Timeline (Updated): Mar 15, 2022 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 15, 2022
    Quiz Edited by
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  • Nov 16, 2008
    Quiz Created by
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