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PDX quizes 9-15
Final
| Question | Answer |
|---|---|
| T or F- Physiologic splitting of the heart is accentuated by inspiration & typically disappears on expiration | True |
| This finding is often present with pectus excavatum | Mitral Valve Prolapse (MVP) |
| A PMI located at the xiphoid or epigastric region suggests? | Right ventricular hypertrophy |
| Physiologic splitting of S2 is best heard in the____area? | Pulmonic |
| 40 y/o-fatigue-SOB (shortness of breath) during/after exercise- swollen ankles-rapid/fluttering heartbeat- Loud 1st sound & opening snap in diastole. What? | Mitral stenosis |
| Erbs point is necessary to assess for the murmur of? | Aortic Regurgitation |
| Young athlete- episodes of fatigue, chest pain, & SOB. Mid systolic click at apex. diagnosis? | Mitral valve Prolapse (MVP) |
| Displacement of the PMI lateral to the midclavicular line suggests? | Left Ventricular Hypertrophy |
| Increased Jugular Venous Pressure (JVP) suggests? | Right sided congestive heart failure |
| 40 y/o receptionist- fatigue- long history of smoking- had rheumatic fever as child. S2 sound widely split. Diagnosis? | Pulmonic Stenosis |
| Systole is the period of ventricular _____? | Contraction |
| Diastole is the period of ventricular_____? | Relaxation |
| Closure of the____&_____ valves produce the 1st heart sound (S1). | Mitral & Tricuspid (AV valves) |
| Purple striae on the abdomen suggest? | Cushings syndrome |
| Patient w/ stomach pain-vomiting & bloody diarrhea- 1hr before pain, she had big meal-normally has small meals-she is pale and tachycardic-abdomen rigid w/ voluntary guarding & rebound. Diagnosis? | Mesenteric Ischemia |
| T or F- Abdominal pain & tenderness may result from acute pleural inflammation? | True |
| A positive fluid wave, shifting dullness & peripheral edema is indicative of? | Ascites |
| Name the sign: Resisted hip elevation increases abdominal pain- suggesting appendicitis | Psoas Sign |
| Name the sign: Pain in the RLQ during left sided pressure- suggests appendicitis | Rovsings Sign |
| Name the sign: Pain when pinching skin fold of RLQ- Suggests appendicitis | Cutaneous Hyperthesia |
| Name the sign: Patient in full inspiration-then full expiration-percussion of left lowest intercostal space in mid axillary line changes from resonant to dull. | Splenic percussion sign |
| Name the sign: A sharp increase in tenderness under the right ant. costal margin, w/ a sudden stop in inspiratory effort-suggesting acute cholecystitis | Murphys sign |
| Name the sign: Hip Flex, Knee flex, & Hip Int. Rot. increases abdominal pain-suggesting appendicitis | Obturator sign |
| Patient @ ER w/ severe upper abdominal pain-began 2 hrs ago-after eating fast food-pain 10/10-hurts in back-reports nausea-tender in RUQ-positive murphys sign. Diagnosis? | Acute Cholecystitis |
| An enlarged liver cw/ a smooth, tender edge suggests hepatitis or____? | Right-sided Heart Failure |
| Signs & symptoms of a left sided appendicitis are consistent w/ acute ______, a condition that most often involves the sigmoid colon. | Acute Diverticulitis |
| Chest pain mimicking angina or myocardial infarction suggests? | Diffuse esophageal spasm |
| Neurological evidence of dysphagia suggests? | Oropharyngeal dysphagia |
| Blood-streaked stool suggests | Sigmoid colon cancer |
| Diarrhea worse in the morning-rarely at night suggests? | Irritable bowel syndrome |
| Particularly foul-smelling stool suggests? | Malabsorption syndrome |
| Nocturnal regurgitation & cough suggests? | Achalasia |
| T or F- Epigastric referral may occur in acute myocardial infarction? | True |
| This cervical cyst is often asymptomatic & most likely has no clinical significance. | Nabothian |
| What objective findings suggest the possible presence of uterine myomas? | Enlarged or Retroflexed Uterus |
| A patient has vaginal pruritus, inflamed vulva, & thick white discharge. Diagnosis? | Candidal Vaginitis |
| Mildly elevated ulcers on erythematous bases that cause labial pain. Diagnosis? | Genital Herpes |
| Yellowish cystic nodules in the labia that are small, firm, & round. Diagnosis? | Epidermoid cyst |
| Common nontender or painful discrete swelling on the side of the vaginal opening. Diagnosis? | Bartholins Cyst |
| Benign fleshy outgrowths of the urethral meatus & occur post-menopause. Diagnosis? | Caruncle |
| Bladder herniates into the vagina. Diagnosis? | Cystocele |
| Infection caused by the human papillomavirus. Diagnosis? | Venereal Wart |
| Rectovaginal exams include palpation for? | A retroflexed uterus & Polyps or tissue growths in the rectum |
| Which anatomical structures can you identify when observing the vestibule? | Urethral meatus and Vaginal Orifice |
| Infection from sexually transmitted disease typically causes a _______ from the cervical os. | Mucopurulent discharge |
| Menopause symptoms include all of the following except? | Hypertrophy of the urethra....(SX it does include: Sleep disturbances, Dyspareunia, & Hirsutism) |
| During patient exam you note: Cervix feels smooth, firm, round, & is fixed. Pain with palpation. Diagnosis? | Malignancy...The cervix should move when palpated |
| How to correctly insert a speculum? | Press the inferior margin of the itroitus down to enlarge the vaginal opening & insert the speculum w/ blades at an oblique downward angle |
| All are lymph nodes found in the breast/axilla region except? | Costoclavicular.... (others listed: lateral humeral, pectoral, subscapular) |
| 21 y/o woman. White discharge from breasts. No period for 6 months. Not sexually active. Mother had cystic breasts and Aunt had breast cancer. No masses palpated. Normal axillae. What is the cause of the nipple discharge? | Nonpuerperal galactorrhea |
| 35 y/o woman. R breast pain near nipple. Recently started birth control pills. No relevant family hist, no tobacco/alcohol use. Has a round, soft, tender 1cm lump medial to her R areola & a 1/2 cm soft lump medial to L areola. No skin rxns. Diagnosis? | Cyst |
| 25 y/o woman. Felt lump in L breast above nipple for 3 months. No nipple discharge or past relevant history. You feel a firm, disc like lump on L breast above nipple. It is mobile & nontender. What breast kind of mass does she have? | Fibroadenoma |
| Male breast cancer constitutes__%of cases, peaking in frequency around age 71. | 1% |
| A potential cause of nonpuerperal galactorrhea is? | Hypothyroidism |
| A small part of the mammary gland often extends into the axilla, forming the axillary_____. | Tail of Spence |
| An inverted nipple suggests? | Breast cancer |
| T or F- The American Cancer Society recommends monthly breast self-examinations? | False |
| Which of the following increases the relative risk in developing breast cancer the most? | BRCA1/2 genetic mutation... (other options: Chest radiation, No full-term pregnancies, Never breast-fed your child.) |
| Upon performing a genitourinary assessment, you notice a swollen scrotum. It increase with increase in intraabdominal pressure, & decreases when lying down. Diagnosis? | Indirect inguinal hernia |
| Which of the following is considered a normal finding in a genitourinary assessment of an aging male? | Decreased penis size... (other options: Enlarged testes, lighter scrotal color, presence of hydrocele) |
| Testes may be enlarged & painful while scrotum is erythematous. cosexisting UTI or prostatis. Diagnosis? | Epididymitis |
| variable genital plaques that may cause itching & pain. Diagnosis? | Human Papllomavirus |
| This Predisposes patients to testicular cancer? | Cryptorchidism |
| Testes may be enlarged & painful while scrotum is erthematous. Coexisting mumps or other viral infection. Diagnosis? | Orchitis |
| Progressive small red papulle with inguinal lymphadenopathy. Diagnosis? | Primary Syphilis |
| Tiny scattered vesicular lesions that may be asymptomatic or cause various constitutional symptoms. Diagnosis? | Genital Herpes Simplex (2) |
| Patient presents with a swollen, bluish, ovoid mass at the anal margin. Diagnosis? | External Hemorrhoid |
| Female patient.Chief complaint is rectal bleeding. Has intermittent constipation & uses laxatives. You see a reddish protruding mass @ 5 oclock position of the rectum. Diagnosis? | Internal Hemorrhoid |
| The lymphatics form the penile & scrotal surfaces drain in the inguinal nodes, whereas lymphatics of the testes drain into the_______. | Abdomen |
| Enduring penile sore or ulcer. Diagnosis? | Penile carcinoma |
| Pitting edema of the scrotum. Diagnosis? | Congestive heart failure |
| Congenital defect where the opening of the urethra is on the underside of the penis is called? | Hypospadias |
| Examiner can palpate above the mass within the scrotum. Diagnosis? | Hydrocele |
| Curvature of the penis. Diagnosis? | Peyronie's disease |
| Examiner cannot palpate above the mass within the scrotum. Diagnosis? | Scrotal hernia |
| On exam of the rectum, a small opening is found in the midline, superficial to the lower sacrum. There is a surrounding halo of erythema which is tender to palpation. Purulent discharge is expressed. Diagnosis? | Pilonidal cyst |
| A hardened prostate suggests all of the following except? | Acute prostatitis... (other options: Praostatic calculi, prostatic cancer) |
| What is the order of the location of the femoral structures from lateral to medial? | Artery, Vein, canal |
| which statement is most correct when performing a male genital exam? | When palpating for a hernia on the right side, have the client shift his standing weight onto the left leg. |
| Yellow discharge from the penis suggests? | Gonococcal urethritis |
| 62 y/o man. chief complaint is frequent urination. other symptoms are decreased bladder emptying, dribbling, decreased urinary stream force for many years. You feel an enlarged, smooth & firm prostate absent of lesions. Diagnosis? | Benign prostatic hyperplasia |
Created by:
Snowrow
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