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Elevation of testes

Module 8 Final exam

Question 1

Jeannie is a 24-year-old pregnant woman who asks you if her frequent urination is normal. Which of the following hormones is most likely responsible for this?





Question 2

Marion presents to your office with back pain associated with constipation and urinary retention. Which of the following is most likely?


Epidural abscess

Cauda equine

Idiopathic low back pain

Question 3

Which is true of examination of the olfactory nerve?

It is not tested unless patient reports a change in smell

The smell must not be identified to declare a normal response

Abnormal responses may be seen in otherwise normal elderly patients

Allergies are unrelated to testing of this nerve

Question 4

A woman in her 24th week of pregnancy notices she feels faint when lying down for a period. What would you suspect as the cause for this?

Adrenal insufficiency

Orthostatic hypotension

Supine hypotensive syndrome


Question 5

What is the most effective pattern of palpation for breast cancer?

Beginning at the nipple, make an ever-enlarging spiral

Divide the breast into quadrants and inspect each systematically

Examine in lines resembling the back and forth pattern of mowing the lawn

Inspect the breast in a circular motion

Question 6

You are assessing a patient with diffuse joint pains and want to make sure that it is only the joints that are the problem, and that the pain is not related to other diseases. Which of the following is a systemic cause of joint pain?





Question 7

You are examining a child with severe cerebral palsy. When you suddenly move his foot dorsally, a sustained “beating” of the foot against your hand ensues. What does this represent?

A focal seizure


Kernig’s sign

Brudzinski’s sign

Question 8

A young woman comes in experiencing brief, rapid, jerky, irregular movements. They can occur at rest or during other intentional movements. They mostly involve her face, head, lower arms, and hands. How would you describe these movements?





Question 9

An infant presents with a heart rate of 180, a respiratory rate of 68, and an enlarged liver. What diagnosis does this suggest?


Heart failure


Necrotizing enterocolitis

Question 10

You are assessing a patient with joint pain and are trying to decide whether it is inflammatory or non-inflammatory in nature. Which one of the following symptoms is consistent with an inflammatory process?


Cool temperature



Question 11

Which is true of women who have had unilateral mastectomy?

Examination of the remaining breast only

Lymohedema of the ipsilateral arm usually suggests recurrence of breast cancer

Breast reconstruction over the mastectomy site no longer requires examination

Examination starts at the nipple, making an ever-enlarging spiral

Question 12

Which is true of prostate cancer?

It is commonly lethal

It is one of the less common forms of cancer

Family history does not appear to be a risk factor

Ethnicity is a risk factor

Question 13

Which of the following will help to optimize yield from a pediatric examination?

Take advantage of quiet periods for auscultation

Perform a head to toe exam

Use firmness, as needed to make it through your examination

Encourage Mom to hold the child’s hand

Question 14

A patient presents with a daily headache which has worsened over the past few months. On funduscopic examination, you notice that the disk edge is indistinct and the veins do not pulsate. Which is most likely?


Retinal vascular disease


Increased intracranial pressure

Question 15

Which of the following is true about the human papilloma virus (HPV) infection?

Pap smear is a relatively ineffective screening method

It commonly resolves spontaneously in 1-2 years

It is the second most common STI in the United States

HPV infections cause a small but significant number of cervical cancers

Question 16

Which of the following is most likely benign on breast examination?

Thickening of the skin

One breast larger than the other

One nipple inverted

One breast with a dimple when the patient leans forward

Question 17

Mrs. Jaeger is a 67-year-old who went through menopause at the age of 55. She is now experiencing some vaginal bleeding. Which of the following should be considered?

Hormone Replacement Therapy

Ovarian Cysts

Fallopian Tube Torsion

None of the above

Question 18

You are conducting a mental status examination and note impairment of judgement, but the rest of your examination is intact. Where is the most likely location of the problem?

Frontal lobe



Basal ganglia

Question 19

Pain, swelling, loss of both active and passive motion, locking, and deformity are consistent with which of the following?

Articular joint pain


Muscular injury

Nerve damage

Question 20

Abby is a newly married woman who is unable to have intercourse due to vaginismus. This is most likely due to

Lack of lubrication

Atrophic vaginitis


Psychosocial reasons

Question 21

A patient with alcoholism is brought in with confusion. You ask him to “stop traffic” with his palms and notice that every few seconds his palms suddenly move toward the floor. What does this indicate?


Metabolic problems

Carpal tunnel syndrome

Dupuytren’s contracture

Question 22

Which of the following accompanies decreased ovarian function?

Increased sloop

Diminution of sexual interest

Enlargement of the clitoris

Decrease in vaginal secretions

Question 23

Important techniques in performing the rectal examination include all the following except?


Waiting for the sphincter to relax

Explaining each step before it occurs

Position patient on right side

Question 24

Which of the following synovial joints would be an example of a condylar joint?


Interphalangeal joints of the hand

Temporomandibular joint

Intervertebral joint

Question 25

Which of the following changes are expected in vision as part of the normal aging process?

Fluctuating vision


Macular degeneration

Blurring of near vision

Question 26

Which of the following represents metrorrhagia?

Irregular uterine bleeding

Excessive flow of menses

Infrequent uterine bleeding

Bleeding between periods

Question 27

Induration along the ventral surface of the penis suggests which of the following?

Urethral stricture

Peripheral inflammation

Peyronie’s disease

Epidermoid cyst

Question 28

Which of the following is commonly seen in aging men?

Erectile dysfunction in 20 percent of all men

Testicles riding higher within the right scrotom

Strong response to visual erotic cues

Persistent sexual interest

Question 29

A patient comes to you because she is experiencing a tremor that only appears when she reaches for things. This becomes worse as she nears the “target.” When you ask her to hold out her hands, no tremor is apparent. What type of tremor does this most likely represent?

Intention tremor

Postural tremor

Essential tremor

Physiologic tremor

Question 30

Which of the following would lead you to suspect a hydrocele versus other causes of scrotal swelling?

Elevation of testes

Being able to palpate superior to the mass

Positive translumination

Absence of cremasteric reflex

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