Exam Three - Think Tank Flashcards

(48 cards)

1
Q

Absence of cremasteric response may be caused by

A

testicular torsion

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2
Q

When doing cultures for woman’s health exam, the order should be ….

A

STD/STIs, end with PAP

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3
Q

A positive Murphy’s sign indicates

A

cholecystitis

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4
Q

Montgomery tubercles (in the nipple area) will be seen in

A

pregnant women

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5
Q

A painless, indurated lesion on the glans penis is called a

A

chancre

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6
Q

Pain at the beginning of urination suggests a

A

bladder outlet obstruction

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7
Q

Most likely explanation for venous hum on auscultation in the supraclavicular area in kids

A

continuous murmur, which is not pathological in children

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8
Q

High-pitched, tinkling bowel sounds and rushes suggest

A

bowel obstruction

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9
Q

Patient presenting with breath smelling of feces is suspicious of

A

severe bowel obstruction

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10
Q

One reason more than 50% of pregnant women experience GI symptoms is

A

delayed intestinal motility

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11
Q

Young man with painful, frequent urination and fever should be asked about

A

scrotal pain

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12
Q

Most important element of a patient’s history to support pyelonephritis in females will be

A

flank pain, nausea, fever, & chills

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13
Q

Most common finding associated with prostate cancer during digital exam is a

A

hard nodule

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14
Q

Assessment technique that will confirm dullness of bladder is

A

percussion

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15
Q

Patient presenting with severe, abrupt, spasm-like pain referred to umbilicus and epigastrium may have

A

intestinal obstruction

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16
Q

Contents of indirect inguinal hernia pass through the

A

internal inguinal ring

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17
Q

Tail of Spence extends into the

A

axillary

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18
Q

_____ should be done to confirm diagnosis of epididymitis

A

Urine culture

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19
Q

Auscultation of the abdomen should be done

A

after inspection, before percussion and palpation

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20
Q

Vulval vaginitis can be caused by

A

wet clothing, foreign object insertion, and bubble baths, but not menstruation

21
Q

Pyloric stenosis in infants should be suspected when infant has

A

projectile vomiting with immediate hunger afterward and oval-shaped mass in epigastric region

22
Q

Female patient with profuse green/gray vaginal discharge, itching & burning should be checked for

A

trichomoniasis

23
Q

What is the lubricant of choice during a vaginal exam?

A

water-based lube

24
Q

What causes breasts of a newborn to be swollen

A

hormonal changes for mom (not pathological)

25
Most accurate description for use of speculum?
45-degree angle on insertion, slowly, no push/no pull, anchor down, rotate horizontal, open the blade
26
What diagnostic exam will confirm a UTI?
Urine culture, look for bacteria count >200,000
27
One possible sign of breast cancer?
Dimpling of breasts
28
When does milk production start?
2-4 days after delivery
29
Pre-teen that is a swimmer, white vaginal discharge will most likely be
candida albicans (yeast infection)
30
How to provide privacy when doing a breast exam?
Keep 1 side covered
31
How to get a patient to relax during an abdominal exam
Pillow under the knees
32
Female with inverted nipple and now its everted could suggest
breast cancer
33
How many centimeters is a healthy prostate into the rectal wall
LESS than 1cm
34
Young man with RLQ epigastric pain & vomiting. 1st thought should be
appendicitis
35
Woman complains of breast lump. The next question you should ask is ......
are you on your menstrual cycle? When do you feel lumps?
36
Unexpected finding on a prostate exam ?
Protruding into the rectal lumen
37
Flap, opening at vagina that can occlude and cause pain
hymen
38
What is not normal for a newborn in the 1st 24 hours of life?
Not to void, not to cry
39
Describe Chadwick's sign?
bluish hue to cervix of pregnant woman
40
What are some finding of male genital herpes?
Penile fluid-filled vesicles, burning, painful vesicles
41
What are characteristics of benign breast mass?
Tender, non-blanchable, can be firm, regular shaped, round & moveable. Benign might be moveable. Immoveable is malignant.
42
A positive Cullen sign is indicative of a
ruptured ectopic pregnancy
43
Infant comes in with trouble feeding, constipated, and weak, floppy muscles. This is ...
congenital hypothyroidism
44
Which zone is squamous cell metaplasia ?
transformation zone
45
Auscultation ____ inspection
after
46
Molluscum is the ....
pearly gray, smooth, dome-shaped often umbilicated of the glans penis
47
Increased thirst, hypernatremia, signs of hypervolemia, urine output is diluted and 2800 mL/day. You can suspect ....
diabetes insipidus
48
A cervical polyp during an exam will look like
bright red, protrudes out of canal