Assessment Practice Quiz For Final Exam

64 Questions | Total Attempts: 313

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Final Assessment Quizzes & Trivia

Review of material for final exam in Assessment class.


Questions and Answers
  • 1. 
    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. 

      Increased

    • B. 

      Decreased

    • C. 

      Unchanged

    • D. 

      Displaced

  • 2. 
    What would you expect to hear when percussing the left lower throax of a pt with lobar pneumonia?
    • A. 

      Dull

    • B. 

      Resonant

    • C. 

      Flat

    • D. 

      Hyperresonant

  • 3. 
    When performing a test for Egophony on a pt with lobar pneumonia, what would you expect to hear?
    • A. 

      Eeeee

    • B. 

      Aaay

    • C. 

      Ooooo

    • D. 

      Whisper Petriloquoy

  • 4. 
    In a patient with lobar pneumonia, you would expect breath sounds on auscultation to reveal:
    • A. 

      Rhonchi

    • B. 

      Egophany

    • C. 

      Decreased Resonance

    • D. 

      Increased Air Movement

  • 5. 
    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. 

      Increased AP diameter

    • B. 

      Decreased AP diameter

    • C. 

      No change in AP diameter

  • 6. 
    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. 

      Decreased resonance on the affected side

    • B. 

      Increased resonance (hyperresonance) on the affected side

    • C. 

      Increased resonance on the nonaffected side

    • D. 

      Dullness

  • 7. 
    In a patient with pneumothorax, what findings would you expect with auscultation of the thorax on the affected side?
    • A. 

      Wheezes

    • B. 

      Rhonchi

    • C. 

      Absence of Breath Sounds

    • D. 

      Hyperresonance

  • 8. 
     In a healthy adult, the expected measurement of descent of the diaphragm is:
    • A. 

      1-2 cm

    • B. 

      5-6 cm

    • C. 

      7-8 cm

    • D. 

      10-12 cm

  • 9. 
    In a healthy adult, the respiratory rate is:
    • A. 

      4 to 14 breaths per minute

    • B. 

      14-16 breaths per minute

    • C. 

      14 - 20 breaths per minute

    • D. 

      26-40 breaths per minute

  • 10. 
    What is the preferred order for examination of the abdomen?
    • A. 

      Inspection, auscultation, percussion, palpation

    • B. 

      Percussion, auscultation, palpation, inspection

    • C. 

      Auscultation, inspection, palpation, percussion

    • D. 

      Inspection, palpation, auscultation, percussion

  • 11. 
    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. 

      Rebound tenderness

    • B. 

      Involuntary guarding

    • C. 

      Rigidity of the abdomen

    • D. 

      Voluntary guarding

  • 12. 
    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. 

      Psoas sign

    • B. 

      Obturator sign

    • C. 

      Rovsing’s sign

    • D. 

      Cuteaneuos hyperesthesia

  • 13. 
    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. 

      Psoas sign

    • B. 

      CVA (costovertebral angle) tenderness

    • C. 

      Rosving’s sign

    • D. 

      Murphy’s sign

  • 14. 
    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. 

      Psoas sign

    • B. 

      Rovsing’s sign

    • C. 

      Murphy’s sign

    • D. 

      Grey Turner’s sign

  • 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. 

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

    • B. 

      Liver edge is nonpalpable

    • C. 

      Liver edge is tender and 1 finger breadth below the RCM

    • D. 

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

  • 16. 
    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. 

      Appendicitis

    • B. 

      Testicular torsion

    • C. 

      Hernia

    • D. 

      Pelvic inflammatory disease

  • 17. 
    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. 

      Carcinoma of the penis

    • B. 

      Venereal Wart

    • C. 

      Syphilitic chancre

    • D. 

      Genital herpes

  • 18. 
    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?
    • A. 

      Hydrocele

    • B. 

      Testicular tumor

    • C. 

      Varicocele

    • D. 

      Epidermoid inclusion cyst

  • 19. 
    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
    • A. 

      Epididymytis

    • B. 

      Testicular torsion

    • C. 

      Acute orchitis

    • D. 

      Testicular cancer

  • 20. 
    What is Phimosis?
    • A. 

      Undescended testicle

    • B. 

      Ventral displacement of the urethral meatus on the penis

    • C. 

      Tight prepuce; once retracted, cannot be returned

    • D. 

      Tight prepuce that cannot be retracted over the glans

    • E. 

      Inflammation of the glans

  • 21. 
    What is Paraphimosis?
    • A. 

      Undescended testicle

    • B. 

      Ventral displacement of the urethral meatus on the penis

    • C. 

      Tight prepuce; once retracted, cannot be returned

    • D. 

      Tight prepuce that cannot be retracted over the glans

    • E. 

      Inflammation of the glans

  • 22. 
    What is Balanitis?
    • A. 

      Undescended testicle

    • B. 

      Ventral displacement of the urethral meatus on the penis

    • C. 

      Tight prepuce; once retracted, cannot be returned

    • D. 

      Tight prepuce that cannot be retracted over the glans

    • E. 

      Inflammation of the glans

  • 23. 
    What is Cryptorchidism?
    • A. 

      Undescended testicle

    • B. 

      Ventral displacement of the urethral meatus on the penis

    • C. 

      Tight prepuce; once retracted, cannot be returned

    • D. 

      Tight prepuce that cannot be retracted over the glans

    • E. 

      Inflammation of the glans

  • 24. 
    What is hypospadius?
    • A. 

      Undescended testicle

    • B. 

      Ventral displacement of the urethral meatus on the penis

    • C. 

      Tight prepuce; once retracted, cannot be returned

    • D. 

      Tight prepuce that cannot be retracted over the glans

    • E. 

      Inflammation of the glans

  • 25. 
    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?
    • A. 

      Bacterial vaginosis

    • B. 

      Trichomonas vaginalis infection

    • C. 

      Candida vaginitis

    • D. 

      Pelvic inflammatory disease

  • 26. 
    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?
    • A. 

      Leiomyoma or fibroid

    • B. 

      Cervical cancer

    • C. 

      Uterine cancer

    • D. 

      Cystocele

  • 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. 

      Ovarian tumor

    • B. 

      Ruptured ovarian cyst

    • C. 

      Ruptured tubal pregnancy

    • D. 

      Tubo-ovarian abscess

  • 28. 
    Which one of the following positions is acceptable for examining the anus and rectum?
    • A. 

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

    • B. 

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

    • C. 

      Patient standing upright with feet together and arms extended

    • D. 

      Patient sitting upright with arms braced backward

  • 29. 
    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. 

      Color

    • B. 

      Size

    • C. 

      Presence of Discharge

    • D. 

      Presence of Rash

  • 30. 
    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. 

      Benign prostatic hyperplasia

    • B. 

      Internal hemmorrhoid

    • C. 

      Prostatitis

    • D. 

      Prostate cancer

  • 31. 
    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. 

      External hemorrhoids

    • B. 

      Rectal prolapse

    • C. 

      Uterine prolapse

    • D. 

      Crohn’s disease

  • 32. 
    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. 

      Thrombosed external hemorrhoid

    • B. 

      Anal fissure

    • C. 

      Rectal prolapse

    • D. 

      Rectal cancer

  • 33. 
      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. 

      Human papilloma virus (general warts)

    • B. 

      Syphilis

    • C. 

      Herpes

    • D. 

      External hemorrhoid

  • 34. 
    According to our notes, which of the following pts would qualify as abusing alcohol?
    • A. 

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

    • B. 

      17 yr old patient who drinks 3 drinks per week.

    • C. 

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

    • D. 

      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.

  • 35. 
    You are doing a visual inspection on the abdomen of a patient with an abdominal Aortic aneurysm, what might you expect to see & hear?
    • A. 

      Swollen stomach, dull to percussion

    • B. 

      Increased pulsations in the stomach

    • C. 

      Scaphoid stomach, hypoactive bowel sounds

    • D. 

      Increased vascularity of stomach & bruits

  • 36. 
    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. 

      Pancreatitis

    • B. 

      Peritonitis

    • C. 

      Hepatitis

    • D. 

      Stomach Flu

  • 37. 
    What is the first thing we ask the client before assessing the abdomen?
    • A. 

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

    • B. 

      If they emptied their bladder.

    • C. 

      If they have any contagious diseases

    • D. 

      If they are ticklish.

  • 38. 
    What areas do we auscultate for bowel sounds and for how long?
    • A. 

      Only the RLQ for 30 seconds.

    • B. 

      All four quadrants for 2 minutes each.

    • C. 

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

    • D. 

      Only the RUQ and LUQ for 15 seconds each.

  • 39. 
    What are normal bowel sounds?
    • A. 

      20-55 per minutes

    • B. 

      You should only hear them within 2 hours of eating.

    • C. 

      < 10 per minute.

    • D. 

      5- 34 per min

  • 40. 
    What is Ascites?
    • A. 

      Accumulation of fluid in the peritoneal cavity.

    • B. 

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

    • C. 

      Yellow discoloration of the sclera

    • D. 

      An abnormally large palpable liver.

  • 41. 
    You are performing an abdominal auscultation on a patient with gastroenteritis, what sort of bowel sounds would you expect to hear?
    • A. 

      Hypoactive

    • B. 

      Normal

    • C. 

      Hyperactive

    • D. 

      None

  • 42. 
    All of the following may cause dullness upon abdominal percussion EXCEPT:
    • A. 

      Pregnancy

    • B. 

      Ascites

    • C. 

      Abdominal Tumor

    • D. 

      Intestinal Obstruction

  • 43. 
    After what age should all men start receiving yearly PSA's and colonoscopy's?
    • A. 

      40

    • B. 

      50

    • C. 

      60

    • D. 

      35

  • 44. 
    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. 

      Gravida 5 Para 4

    • B. 

      Gravida 3 Para 5

    • C. 

      Gravida 5 Para 3

    • D. 

      Gravida 5 Para 2

  • 45. 
    A patient who suffers from a chronic cough in the AM probably has a past history of....
    • A. 

      Cardiac Issues

    • B. 

      Pneumonia

    • C. 

      Smoker

    • D. 

      Allergies

  • 46. 
    A patient with a history of cardiac problems will most commonly display what type of cough?
    • A. 

      Hacking cough

    • B. 

      Coughing in AM

    • C. 

      Barking cough

    • D. 

      Dry Cough

  • 47. 
    You are assessing for tactile fremitus on a patient you suspect has a pneumothorax. Which finding would help to cofirm your suspicion?
    • A. 

      Decreased Fremitus

    • B. 

      Increased Fremitus

    • C. 

      Presence of Fremitus

  • 48. 
    You are percussing the chest of a patient with emphysema, what sound would you expect to hear?
    • A. 

      Resonant

    • B. 

      Hyperresonant

    • C. 

      Dull

    • D. 

      Wheezing

  • 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?
    • A. 

      Metabolic Acidosis

    • B. 

      Metabolic Alkalosis

    • C. 

      Respiratory Acidosis

    • D. 

      Respiratory Alkalosis

  • 50. 
    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. 

      Respiratory Acidosis

    • B. 

      Respiratory Alkalosis

    • C. 

      Metabolic Acidosis

    • D. 

      Metabolic Alkalosis

  • 51. 
    You are reading an ABG that was drawn on a pt who is vented in the unit to determine if this pt may be ready for extubation. What does this ABG tell you?pH 7.41      CO2   38     HCO3  24  O2Sat 96
    • A. 

      Respiratory Alkalosis

    • B. 

      Respiratory Acidosis

    • C. 

      Metabolic Alkalosis

    • D. 

      Looks normal!

  • 52. 
    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. 

      Metabolic Acidosis

    • B. 

      Metabolic Alkalosis

    • C. 

      Respiratory Alkalosis

    • D. 

      Respiratory Acidosis

    • E. 

      Normal ABG

  • 53. 
    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. 

      Pneumonia

    • B. 

      Emphysema

    • C. 

      Croup

    • D. 

      Bronchitis

  • 54. 
    What are crackles?
    • A. 

      Bubbling, liquidy noise

    • B. 

      Low pitch wheeze

    • C. 

      Popping noises (kind of sound like rice krispies)

    • D. 

      Absence of breath sounds

  • 55. 
    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. 

      Cheyne-Stokes Respirations

    • B. 

      Kussmaul Breathing

    • C. 

      Agonal Breathing

    • D. 

      Normal variations in breathing

  • 56. 
    How would you properly auscultate lung sounds?
    • A. 

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

    • B. 

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

    • C. 

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

    • D. 

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

  • 57. 
    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?
    • A. 

      No, she may have bladder cancer

    • B. 

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

    • C. 

      No, she may have urinary Retention

    • D. 

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

  • 58. 
    Which breath sounds should be heard over the majority of the chest upon auscultation?
    • A. 

      Vesicular

    • B. 

      Bronchial

    • C. 

      Bronchovesicular

    • D. 

      Tracheal

  • 59. 
    What is the purpose of Bartholins gland?
    • A. 

      Tranports sperm from epididymis to urethra during ejaculation.

    • B. 

      Provides lubrication to the vagina.

    • C. 

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

    • D. 

      Located in breasts and produce milk in females.

  • 60. 
    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?
    • A. 

      Egophony

    • B. 

      Whisper Petriloquoy

    • C. 

      Bronchophony

    • D. 

      Nothing, i'm just messing with him.

  • 61. 
    With which illness may you see a Pigeon Breast?
    • A. 

      Going hunting in Central park....

    • B. 

      Emphysema

    • C. 

      Babies

    • D. 

      Asthma

  • 62. 
    What sort of breathe sound may you expect to hear on an asthmatic patient?
    • A. 

      High pitch wheeze

    • B. 

      Rhonchi

    • C. 

      Low Pitch wheeze

    • D. 

      Crackles

  • 63. 
    Which of the following is NOT a sign of labored breathing.
    • A. 

      Use of accessory muscles

    • B. 

      Auscultation of bilateral rhonchi

    • C. 

      Nasal Flaring

    • D. 

      Intercostal retractions

  • 64. 
    Which pattern of breathing would you expect to see on a patient with diabetic ketoacidosis?
    • A. 

      Cheyne-stokes Breathing

    • B. 

      Ketotic Breathing

    • C. 

      Ataxic Breathing

    • D. 

      Kussmaul Breathing