Assessment Practice Quiz For Final Exam
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What is Ascites?
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Accumulation of fluid in the peritoneal cavity.
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An abnormally high level of bilirubin in the blood leading to golden brown coloration of urine.
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Yellow discoloration of the sclera
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An abnormally large palpable liver.
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This quiz is designed to assess knowledge in diagnosing and evaluating respiratory conditions like pneumonia, COPD, and pneumothorax, focusing on clinical examinations and interpretations.
Quiz Preview
- 2.
In a healthy adult, the respiratory rate is:
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4 to 14 breaths per minute
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14-16 breaths per minute
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14 - 20 breaths per minute
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26-40 breaths per minute
Correct Answer
A. 14 - 20 breaths per minuteExplanation
The correct answer is 14 - 20 breaths per minute. This range is considered normal for a healthy adult. A respiratory rate below 14 or above 20 breaths per minute may indicate an underlying health condition.Rate this question:
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- 3.
What is the preferred order for examination of the abdomen?
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Inspection, auscultation, percussion, palpation
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Percussion, auscultation, palpation, inspection
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Auscultation, inspection, palpation, percussion
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Inspection, palpation, auscultation, percussion
Correct Answer
A. Inspection, auscultation, percussion, palpation -
- 4.
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?
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Color
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Size
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Presence of Discharge
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Presence of Rash
Correct Answer
A. Size -
- 5.
How would you properly auscultate lung sounds?
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Directly compare one lobe to the other, auscultating while moving your stethoscope back and forth across the chest.
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Assess entire left side before moving on to assess right side.
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Start at top, then work your way down. You only need to listen posteriorly.
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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.Explanation
The correct answer is to directly compare one lobe to the other, auscultating while moving your stethoscope back and forth across the chest. This method ensures that you are able to assess the lung sounds on both sides of the chest and compare them for any abnormalities or differences. By moving the stethoscope back and forth, you can listen to different areas of the lungs and detect any variations in sound. This approach allows for a comprehensive assessment of lung sounds.Rate this question:
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- 6.
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:
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Increased AP diameter
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Decreased AP diameter
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No change in AP diameter
Correct Answer
A. Increased AP diameter -
- 7.
Which one of the following positions is acceptable for examining the anus and rectum?
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Patient lying down on his or her side on the examining table
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Patient sitting down with arms forward, leaning over the examining table
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Patient standing upright with feet together and arms extended
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Patient sitting upright with arms braced backward
Correct Answer
A. Patient lying down on his or her side on the examining table -
- 8.
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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Pneumonia
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Emphysema
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Croup
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Bronchitis
Correct Answer
A. EmphysemaExplanation
Based on the given description, the 72-year-old female patient is exhibiting signs of emphysema. Emphysema is a chronic lung condition characterized by damage to the air sacs in the lungs, causing shortness of breath and difficulty exhaling. The patient's posture, with hands on her knees and leaning forward, is a common position taken by individuals with emphysema to help improve breathing. The pursing of lips during exhalation is also a characteristic sign of emphysema, as it helps to create backpressure in the airways, preventing them from collapsing.Rate this question:
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- 9.
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?
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Psoas sign
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Obturator sign
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Rovsing’s sign
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Cuteaneuos hyperesthesia
Correct Answer
A. Rovsing’s signExplanation
Rovsing's sign refers to the presence of pain in the right lower quadrant of the abdomen when pressure is applied to the left lower quadrant. This sign is suggestive of appendicitis, as the pain typically starts in the periumbilical area and then localizes to the right lower quadrant. The fact that the patient experiences pain in the right lower quadrant when pressure is applied to the left lower quadrant indicates irritation of the peritoneum, which is a characteristic finding in appendicitis.Rate this question:
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- 10.
What sort of breathe sound may you expect to hear on an asthmatic patient?
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High pitch wheeze
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Rhonchi
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Low Pitch wheeze
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Crackles
Correct Answer
A. High pitch wheezeExplanation
In asthmatic patients, the airways become narrowed due to inflammation and constriction of the muscles surrounding the airways. This narrowing causes a high-pitched wheezing sound during breathing. This sound is typically heard during exhalation and can sometimes be heard during inhalation as well. It is a characteristic sound of asthma and is caused by the turbulent airflow through the narrowed airways.Rate this question:
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- 11.
What is Cryptorchidism?
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Undescended testicle
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Ventral displacement of the urethral meatus on the penis
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Tight prepuce; once retracted, cannot be returned
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Tight prepuce that cannot be retracted over the glans
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Inflammation of the glans
Correct Answer
A. Undescended testicleExplanation
Cryptorchidism refers to the condition of having an undescended testicle. This means that one or both testicles fail to descend into the scrotum from the abdomen during fetal development. Instead, they remain in the abdomen or get stuck along the path of descent, such as in the inguinal canal. This condition is commonly seen in newborns and may resolve on its own within the first year of life. However, if the testicle does not descend spontaneously, medical intervention may be required to prevent potential complications such as infertility or an increased risk of testicular cancer.Rate this question:
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- 12.
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?
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External hemorrhoids
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Rectal prolapse
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Uterine prolapse
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Crohn’s disease
Correct Answer
A. External hemorrhoids -
- 13.
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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Hypoactive
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Normal
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Hyperactive
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None
Correct Answer
A. HyperactiveExplanation
In patients with gastroenteritis, the intestines can become inflamed and irritated, leading to increased motility and hyperactive bowel sounds. This is because the muscles in the intestines are working harder than normal to move the contents along. Therefore, it is expected to hear hyperactive bowel sounds during an abdominal auscultation in a patient with gastroenteritis.Rate this question:
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- 14.
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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Cheyne-Stokes Respirations
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Kussmaul Breathing
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Agonal Breathing
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Normal variations in breathing
Correct Answer
A. Cheyne-Stokes RespirationsExplanation
Cheyne-Stokes Respirations is the correct answer. This breathing pattern is characterized by a period of apnea, followed by gradually increasing depth and frequency of respirations. It is commonly seen in patients with severe illness or neurological conditions. The pattern is caused by an abnormal control of breathing, leading to fluctuations in the levels of carbon dioxide and oxygen in the blood.Rate this question:
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- 15.
What are crackles?
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Bubbling, liquidy noise
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Low pitch wheeze
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Popping noises (kind of sound like rice krispies)
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Absence of breath sounds
Correct Answer
A. Popping noises (kind of sound like rice krispies)Explanation
Crackles are abnormal lung sounds that can be heard during auscultation. They are characterized by popping noises that resemble the sound of rice krispies. Crackles are often associated with conditions such as pneumonia, congestive heart failure, or chronic obstructive pulmonary disease. These sounds occur when air passes through fluid-filled or collapsed alveoli in the lungs.Rate this question:
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- 16.
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?
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Psoas sign
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Rovsing’s sign
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Murphy’s sign
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Grey Turner’s sign
Correct Answer
A. Murphy’s signExplanation
Murphy's sign is a sign used to assess for cholecystitis. It is elicited by palpating the right upper quadrant of the abdomen while the patient takes a deep breath. If the patient experiences pain and abruptly stops breathing due to the pain, it is considered a positive Murphy's sign. This indicates inflammation of the gallbladder, which is a characteristic feature of cholecystitis. Therefore, the presence of Murphy's sign increases the suspicion for cholecystitis in this patient.Rate this question:
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- 17.
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:
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Appendicitis
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Testicular torsion
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Hernia
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Pelvic inflammatory disease
Correct Answer
A. Hernia -
- 18.
Which of the following is NOT a sign of labored breathing.
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Use of accessory muscles
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Auscultation of bilateral rhonchi
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Nasal Flaring
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Intercostal retractions
Correct Answer
A. Auscultation of bilateral rhonchiExplanation
Auscultation of bilateral rhonchi refers to the presence of abnormal breath sounds in the lungs, characterized by low-pitched wheezing or rattling sounds. This is actually a sign of labored breathing and indicates the presence of airway obstruction or inflammation. Labored breathing is commonly associated with the use of accessory muscles, nasal flaring, and intercostal retractions, which are all compensatory mechanisms to help the body breathe more effectively. Therefore, auscultation of bilateral rhonchi is the correct answer as it contradicts the statement that it is not a sign of labored breathing.Rate this question:
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- 19.
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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Psoas sign
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CVA (costovertebral angle) tenderness
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Rosving’s sign
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Murphy’s sign
Correct Answer
A. CVA (costovertebral angle) tendernessExplanation
The most likely sign on physical examination for a 25-year-old veterinarian presenting with flank pain, dysuria, nausea, and fever, along with a positive urine dipstick for leukocyte esterase, would be CVA (costovertebral angle) tenderness. CVA tenderness refers to pain or tenderness in the area of the back overlying the kidneys, which can indicate inflammation or infection in the kidneys or urinary tract. This finding is often associated with conditions such as pyelonephritis or kidney stones.Rate this question:
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- 20.
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?
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Hydrocele
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Testicular tumor
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Varicocele
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Epidermoid inclusion cyst
Correct Answer
A. Hydrocele -
- 21.
What is hypospadius?
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Undescended testicle
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Ventral displacement of the urethral meatus on the penis
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Tight prepuce; once retracted, cannot be returned
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Tight prepuce that cannot be retracted over the glans
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Inflammation of the glans
Correct Answer
A. Ventral displacement of the urethral meatus on the penisExplanation
Hypospadias is a congenital condition where the urethral opening is located on the ventral side of the penis, instead of the tip. This results in a ventral displacement of the urethral meatus on the penis. The condition can vary in severity, with the opening being located anywhere along the ventral surface, from near the tip to the base of the penis. It can cause difficulties with urination and may require surgical correction.Rate this question:
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- 22.
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?
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Bacterial vaginosis
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Trichomonas vaginalis infection
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Candida vaginitis
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Pelvic inflammatory disease
Correct Answer
A. Candida vaginitisExplanation
Based on the given information, the most likely diagnosis is Candida vaginitis. The patient's symptoms of thick, white, curd-like discharge, itching, and inflamed vulva are consistent with a yeast infection caused by Candida. The absence of cervical motion tenderness and adnexal masses suggests that pelvic inflammatory disease and other sexually transmitted infections like trichomoniasis are less likely. Bacterial vaginosis typically presents with a thin, grayish discharge and a fishy odor, which the patient does not report. Therefore, Candida vaginitis is the most probable diagnosis in this case.Rate this question:
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- 23.
A patient who suffers from a chronic cough in the AM probably has a past history of....
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Cardiac Issues
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Pneumonia
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Smoker
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Allergies
Correct Answer
A. SmokerExplanation
The correct answer is "Smoker" because chronic cough in the morning is a common symptom of smoking-related respiratory conditions such as chronic bronchitis. Smoking damages the airways and causes inflammation, leading to excessive mucus production and coughing. This symptom is often worse in the morning due to the accumulation of mucus during sleep. Therefore, a patient with a chronic morning cough is likely to have a history of smoking.Rate this question:
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- 24.
In a healthy adult, the expected measurement of descent of the diaphragm is:
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1-2 cm
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5-6 cm
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7-8 cm
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10-12 cm
Correct Answer
A. 5-6 cmExplanation
The diaphragm is a dome-shaped muscle that separates the chest cavity from the abdominal cavity. During normal breathing, the diaphragm contracts and moves downward, allowing the lungs to expand and fill with air. The expected measurement of descent of the diaphragm in a healthy adult is typically around 5-6 cm. This indicates that the diaphragm is functioning properly and able to create enough space for adequate lung expansion during breathing.Rate this question:
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- 25.
After what age should all men start receiving yearly PSA's and colonoscopy's?
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40
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50
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60
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35
Correct Answer
A. 50Explanation
Men should start receiving yearly PSA's (Prostate-Specific Antigen tests) and colonoscopies after the age of 50. These screenings are important for detecting prostate cancer and colorectal cancer, which are more common in older men. Starting these screenings at age 50 allows for early detection and treatment if necessary, improving the chances of successful outcomes. It is important to note that the recommended age may vary based on individual risk factors and medical history, so it is best to consult with a healthcare professional for personalized advice.Rate this question:
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- 26.
What is the purpose of Bartholins gland?
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Tranports sperm from epididymis to urethra during ejaculation.
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Provides lubrication to the vagina.
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Small gland located in Anus which alerts you to sensation of having to defecate.
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Located in breasts and produce milk in females.
Correct Answer
A. Provides lubrication to the vagina.Explanation
The Bartholin's gland is responsible for providing lubrication to the vagina. During sexual arousal, the gland secretes mucus-like fluid that helps to reduce friction and enhance comfort during sexual intercourse. This lubrication is essential for maintaining vaginal health and facilitating pleasurable sexual experiences.Rate this question:
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- 27.
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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Liver edge is tender and 4 to 5 finger breadths below RCM
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Liver edge is nonpalpable
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Liver edge is tender and 1 finger breadth below the RCM
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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 RCMExplanation
In a patient with acute hepatitis, the liver is often enlarged and tender. The tenderness is typically felt on palpation of the right upper quadrant of the abdomen. The liver edge is also expected to be palpable and may be found to be 4 to 5 finger breadths below the right costal margin (RCM). This finding is consistent with hepatomegaly, which is commonly seen in acute hepatitis. The combination of the patient's symptoms, including nausea, emesis, right upper quadrant pain, and jaundice, along with the physical examination findings of a tender and palpable liver, supports the provisional diagnosis of acute hepatitis.Rate this question:
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- 28.
What would you expect to hear when percussing the left lower throax of a pt with lobar pneumonia?
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Dull
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Resonant
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Flat
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Hyperresonant
Correct Answer
A. DullExplanation
When percussing the left lower thorax of a patient with lobar pneumonia, you would expect to hear a dull sound. This is because lobar pneumonia is characterized by consolidation of lung tissue, which causes the air-filled spaces to be filled with fluid or inflammatory exudate. This results in a loss of the normal resonance and a dull sound upon percussion.Rate this question:
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- 29.
When performing a test for Egophony on a pt with lobar pneumonia, what would you expect to hear?
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Eeeee
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Aaay
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Ooooo
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Whisper Petriloquoy
Correct Answer
A. AaayExplanation
When performing a test for Egophony on a patient with lobar pneumonia, the expected sound is "Aaay." Egophony is a clinical test used to assess lung consolidation, and in the case of lobar pneumonia, it causes the lung tissue to become denser. This density alters the transmission of sound waves, resulting in a change in the quality of sound heard during auscultation. The "Aaay" sound is characteristic of increased transmission of high-frequency sounds, indicating lung consolidation.Rate this question:
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- 30.
A 28 y/o housewife presents for an annual checkup. When queried, she mentions that she has noticed bleeding in between her periods for the past several months. She has been pregnant five times and has given birth to five infants. She is sexually active in a monogamous relationship with her husband. On physical exam of the uterus, you palpate an irregular nodule that is approximately 3 cm in diameter. Based on this information, what is your most likely diagnosis?
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Leiomyoma or fibroid
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Cervical cancer
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Uterine cancer
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Cystocele
Correct Answer
A. Leiomyoma or fibroidExplanation
Based on the information provided, the most likely diagnosis for the patient is Leiomyoma or fibroid. This is suggested by the presence of an irregular nodule on physical examination of the uterus, coupled with the patient's symptoms of bleeding in between periods. Leiomyomas are benign tumors that commonly occur in the uterus and can cause abnormal bleeding. The patient's history of multiple pregnancies and births is also consistent with leiomyoma, as they are more common in women who have been pregnant. Cervical cancer, uterine cancer, and cystocele are less likely diagnoses based on the given information.Rate this question:
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- 31.
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:
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Carcinoma of the penis
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Venereal Wart
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Syphilitic chancre
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Genital herpes
Correct Answer
A. Genital herpes -
- 32.
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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Gravida 5 Para 4
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Gravida 3 Para 5
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Gravida 5 Para 3
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Gravida 5 Para 2
Correct Answer
A. Gravida 5 Para 3Explanation
The correct answer is Gravida 5 Para 3. This classification indicates that the woman has been pregnant a total of 5 times (gravida 5) and has given birth to 3 children (para 3). The 2 miscarriages and one premature stillborn child do not count towards the para classification, as they did not result in a live birth.Rate this question:
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- 33.
You are percussing the chest of a patient with emphysema, what sound would you expect to hear?
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Resonant
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Hyperresonant
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Dull
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Wheezing
Correct Answer
A. HyperresonantExplanation
In patients with emphysema, the lungs become hyperinflated due to the destruction of the alveoli. This causes increased air trapping and decreased lung elasticity. When percussing the chest of a patient with emphysema, a hyperresonant sound would be expected. This is because the hyperinflated lungs produce a more resonant sound than normal lungs. The increased air in the lungs creates a more hollow and booming sound upon percussion.Rate this question:
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- 34.
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?
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No, she may have bladder cancer
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Yeah, you should be able to palpate the bladder at all times.
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No, she may have urinary Retention
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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 RetentionExplanation
It is not normal to easily palpate the urinary bladder in a patient who claims to have emptied their bladder prior to the exam. This could indicate urinary retention, which is the inability to completely empty the bladder. This condition can be caused by various factors such as bladder outlet obstruction or weakened bladder muscles. Bladder cancer or pregnancy are not likely explanations for this finding.Rate this question:
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- 35.
Which breath sounds should be heard over the majority of the chest upon auscultation?
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Vesicular
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Bronchial
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Bronchovesicular
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Tracheal
Correct Answer
A. VesicularExplanation
Vesicular breath sounds should be heard over the majority of the chest upon auscultation. These sounds are normal and indicate the movement of air through the smaller airways and into the alveoli of the lungs. They are characterized by a soft, low-pitched sound during inspiration and a longer, quieter expiration. Vesicular breath sounds are typically heard over the peripheral lung fields and are the most common breath sounds heard in healthy individuals. Bronchial, bronchovesicular, and tracheal breath sounds are heard in specific areas of the chest and may indicate abnormal lung conditions.Rate this question:
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- 36.
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
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Epididymytis
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Testicular torsion
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Acute orchitis
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Testicular cancer
Correct Answer
A. Testicular torsion -
- 37.
What areas do we auscultate for bowel sounds and for how long?
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Only the RLQ for 30 seconds.
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All four quadrants for 2 minutes each.
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On all 4 quadrants and for 15 – 20 seconds each.
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Only the RUQ and LUQ for 15 seconds each.
Correct Answer
A. On all 4 quadrants and for 15 – 20 seconds each. -
- 38.
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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Decreased Fremitus
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Increased Fremitus
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Presence of Fremitus
Correct Answer
A. Decreased FremitusExplanation
A pneumothorax is a condition where air accumulates in the pleural space, causing the lung to collapse partially or completely. Tactile fremitus refers to the vibrations felt by the examiner's hand on the patient's chest while the patient speaks. In a normal lung, these vibrations are transmitted well and felt strongly. However, in a pneumothorax, the presence of air in the pleural space disrupts the transmission of vibrations, leading to a decrease in tactile fremitus. Therefore, a finding of decreased fremitus would support the suspicion of a pneumothorax.Rate this question:
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- 39.
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?
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Rebound tenderness
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Involuntary guarding
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Rigidity of the abdomen
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Voluntary guarding
Correct Answer
A. Voluntary guardingExplanation
Voluntary guarding is not a peritoneal sign because it is a conscious and intentional contraction of the abdominal muscles by the patient in an attempt to protect the underlying organs from pain or discomfort. Peritoneal signs, on the other hand, are involuntary and indicate inflammation or irritation of the peritoneum, such as rebound tenderness, involuntary guarding, and rigidity of the abdomen.Rate this question:
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- 40.
According to our notes, which of the following pts would qualify as abusing alcohol?
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44 yr old Male who has 12 drinks per week, 2 per ocassion
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17 yr old patient who drinks 3 drinks per week.
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32 yr old female who drinks 10 drinks per week, 4-5 per ocassion
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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 ocassionExplanation
The 32-year-old female who drinks 10 drinks per week, 4-5 per occasion would qualify as abusing alcohol. This is because she is consuming a high amount of alcohol per week and per occasion, which exceeds the recommended limits for moderate alcohol consumption. Abusing alcohol can have negative effects on physical and mental health, and can increase the risk of developing alcohol-related problems such as liver disease, addiction, and impaired judgment.Rate this question:
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- 41.
What are normal bowel sounds?
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20-55 per minutes
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You should only hear them within 2 hours of eating.
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< 10 per minute.
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5- 34 per min
Correct Answer
A. 5- 34 per minExplanation
Normal bowel sounds refer to the sounds produced by the movement of the intestines. These sounds can vary in frequency, but they are typically heard between 5 and 34 times per minute. The range of 5-34 per minute encompasses the normal range of bowel sounds and indicates healthy intestinal activity.Rate this question:
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- 42.
Which pattern of breathing would you expect to see on a patient with diabetic ketoacidosis?
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Cheyne-stokes Breathing
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Ketotic Breathing
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Ataxic Breathing
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Kussmaul Breathing
Correct Answer
A. Kussmaul BreathingExplanation
Kussmaul breathing is a pattern of deep, rapid, and labored breathing commonly seen in patients with diabetic ketoacidosis. This type of breathing is the body's attempt to compensate for the metabolic acidosis caused by the accumulation of ketones in the blood. The increased rate and depth of breathing helps to blow off excess carbon dioxide and increase the pH of the blood. It is characterized by deep, sighing breaths with a prolonged and forceful expiration.Rate this question:
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- 43.
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:
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Increased
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Decreased
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Unchanged
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Displaced
Correct Answer
A. Increased -
- 44.
What is Balanitis?
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Undescended testicle
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Ventral displacement of the urethral meatus on the penis
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Tight prepuce; once retracted, cannot be returned
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Tight prepuce that cannot be retracted over the glans
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Inflammation of the glans
Correct Answer
A. Inflammation of the glansExplanation
Balanitis is the inflammation of the glans, which is the rounded tip of the penis. It can be caused by various factors such as poor hygiene, infections, or irritation. Symptoms of balanitis include redness, swelling, pain, and discharge. Treatment may involve proper hygiene, topical medications, or antibiotics depending on the underlying cause.Rate this question:
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- 45.
What is the first thing we ask the client before assessing the abdomen?
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If they have any pain which would prevent us from palpating.
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If they emptied their bladder.
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If they have any contagious diseases
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If they are ticklish.
Correct Answer
A. If they emptied their bladder.Explanation
Before assessing the abdomen, it is important to ask the client if they have emptied their bladder. This is because a full bladder can interfere with the accuracy of the assessment and make it difficult to palpate the abdominal organs properly. By ensuring that the client has emptied their bladder, the healthcare provider can obtain more accurate information during the assessment.Rate this question:
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- 46.
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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Decreased resonance on the affected side
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Increased resonance (hyperresonance) on the affected side
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Increased resonance on the nonaffected side
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Dullness
Correct Answer
A. Increased resonance (hyperresonance) on the affected side -
- 47.
You are doing a visual inspection on the abdomen of a patient with an abdominal Aortic aneurysm, what might you expect to see & hear?
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Swollen stomach, dull to percussion
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Increased pulsations in the stomach
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Scaphoid stomach, hypoactive bowel sounds
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Increased vascularity of stomach & bruits
Correct Answer
A. Increased pulsations in the stomachExplanation
In a patient with an abdominal aortic aneurysm, increased pulsations in the stomach can be expected during a visual inspection. This is because the aneurysm causes the abdominal aorta to enlarge, leading to visible pulsations in the stomach area. The increased pulsations are a result of the weakened wall of the aorta and the turbulent blood flow within the aneurysm. It is important to note that an abdominal aortic aneurysm can be a potentially life-threatening condition and requires medical attention.Rate this question:
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- 48.
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?
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Pancreatitis
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Peritonitis
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Hepatitis
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Stomach Flu
Correct Answer
A. PancreatitisExplanation
Based on the symptoms described, such as abdominal pain after eating, nausea/vomiting, and a swollen stomach, along with the presence of a small red circle around the belly button, the most likely diagnosis is pancreatitis. Pancreatitis is inflammation of the pancreas, which can cause abdominal pain, digestive issues, and swelling. The red circle around the belly button could be a manifestation of Cullen's sign, which is associated with pancreatitis. Peritonitis, hepatitis, and stomach flu do not typically present with these specific symptoms and signs.Rate this question:
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- 49.
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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Metabolic Acidosis
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Metabolic Alkalosis
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Respiratory Acidosis
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Respiratory Alkalosis
Correct Answer
A. Respiratory AcidosisExplanation
The ABG results show a low pH (7.30) and an elevated CO2 level (60), indicating respiratory acidosis. In respiratory acidosis, there is a buildup of carbon dioxide in the blood due to inadequate ventilation or impaired gas exchange in the lungs. This leads to an increase in carbonic acid, resulting in a decrease in pH. The HCO3 level (26) is within the normal range, suggesting that there is no compensatory metabolic response. Therefore, the ABG results are indicative of respiratory acidosis.Rate this question:
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Mar 21, 2023Quiz Edited by
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Nov 16, 2008Quiz Created by
Scottishduffy
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