27 Dec Elevation of testes
Module 8 Final exam
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?
Marion presents to your office with back pain associated with constipation and urinary retention. Which of the following is most likely?
Idiopathic low back pain
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
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?
Supine hypotensive syndrome
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
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?
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
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?
An infant presents with a heart rate of 180, a respiratory rate of 68, and an enlarged liver. What diagnosis does this suggest?
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?
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
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
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
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
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
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
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
Fallopian Tube Torsion
None of the above
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?
Pain, swelling, loss of both active and passive motion, locking, and deformity are consistent with which of the following?
Articular joint pain
Abby is a newly married woman who is unable to have intercourse due to vaginismus. This is most likely due to
Lack of lubrication
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?
Carpal tunnel syndrome
Which of the following accompanies decreased ovarian function?
Diminution of sexual interest
Enlargement of the clitoris
Decrease in vaginal secretions
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
Which of the following synovial joints would be an example of a condylar joint?
Interphalangeal joints of the hand
Which of the following changes are expected in vision as part of the normal aging process?
Blurring of near vision
Which of the following represents metrorrhagia?
Irregular uterine bleeding
Excessive flow of menses
Infrequent uterine bleeding
Bleeding between periods
Induration along the ventral surface of the penis suggests which of the following?
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
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?
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
Absence of cremasteric reflex
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