South university NRSG 6020 quiz

Question 1. 1. Mr. Maxwell has noticed that he is gaining
weight and has increasing girth. Which of the following would argue for the
presence of ascites? (Points : 1)

Bilateral
flank tympany

Dullness which
remains despite change in position

Dullness
centrally when the patient is supine

Tympany which
changes location with patient position

Question 2. 2. A 76-year-old retired farmer comes to your
office complaining of abdominal pain, constipation, and a low-grade fever for
about three days. He denies any nausea, vomiting, or diarrhea. The only unusual
thing he remembers eating is two bags of popcorn at the movies with his
grandson, three days before his symptoms began. He denies any other recent
illnesses. His past medical history is significant for coronary artery disease
and high blood pressure. He has been married for over fifty years. He denies
any tobacco, alcohol, or drug use. His mother died of colon cancer and his
father had a stroke. On examination, he appears his stated age and is in no
acute distress. His temperature is 100.9 degrees and his other vital signs are
unremarkable. His head, cardiac, and pulmonary examinations are normal. He has
normal bowel sounds and is tender over the left lower quadrant. He has no
rebound or guarding. His rectal examination is unremarkable and his fecal
occult blood test is negative. His prostate is slightly enlarged but his
testicular, penile, and inguinal examinations are all normal. Blood work is
pending.

What diagnosis for abdominal pain best describes his
symptoms and signs? (Points : 1)

Acute
diverticulitis

Acute
cholecystitis

Acute appendicitis

Mesenteric
ischemia

Question 3. 3. A 57-year-old maintenance worker comes to
your office for evaluation of pain in his legs. He has smoked two packs per day
since the age of sixteen, but is otherwise healthy. You are concerned that he
may have peripheral vascular disease. Which of the following is part of common
or concerning symptoms for the peripheral vascular system? (Points : 1)

Intermittent
claudication

Chest pressure
with exertion

Shortness of
breath

Knee pain

Question 4. 4. An elderly woman with a history of coronary
bypass comes in with severe, diffuse, abdominal pain. Strangely, during your
examination, the pain is not made worse by pressing on the abdomen. What do you
suspect? (Points : 1)

Malingering

Neuropathy

Ischemia

Physical abuse

Question 5. 5. Which is the proper sequence of examination
for the abdomen? (Points : 1)

Auscultation,
inspection, palpation, percussion

Inspection,
percussion, palpation, auscultation

Inspection,
auscultation, percussion, palpation

Auscultation,
percussion, inspection, palpation

Question 6. 6. Josh is a 14-year-old boy who presents with a
sore throat. On examination, you notice dullness in the last intercostal space
in the anterior axillary line on his left side with a deep breath. What does
this indicate? (Points : 1)

His spleen is
definitely enlarged and further workup is warranted.

His spleen is
possibly enlarged and close attention should be paid to further examination.

His spleen is
possibly enlarged and further workup is warranted.

His spleen is
definitely normal.

Question 7. 7. Which of the following is consistent with
obturator sign? (Points : 1)

Pain distant
from the site used to check rebound tenderness

Right
hypogastric pain with the right hip and knee flexed and the hip internally
rotated

Pain with
extension of the right thigh while the patient is on her left side or while
pressing her knee against your hand with thigh flexion

Pain that
stops inhalation in the right upper quadrant (RUQ)

Question 8. 8. A 55-year-old secretary with a recent history
of breast cancer, for which she underwent surgery and radiation therapy, and a
history of hypertension comes to your office for a routine checkup. Which of
the following aspects of the physical are important to note when assessing the
patient for peripheral vascular disease in the arms? (Points : 1)

Femoral pulse,
popliteal pulse

Dorsalis pedis
pulse, posterior tibial pulse

Carotid pulse

Radial pulse,
brachial pulse

Question 9. 9. You are assessing a 59-year-old gas station
owner for atherosclerosis in the lower extremities. In which of the following
locations would the patient’s pain make you concerned for this disease process?
(Points : 1)

Thigh

Knee

Calf

Ankle

Question 10. 10. Jim is a 60-year-old man who presents with
vomiting. He denies seeing any blood with emesis, which has been occurring for
two days. He does note a dark, granular substance resembling the coffee left in
the filter after brewing. What do you suspect? (Points : 1)

Bleeding from
a diverticulum

Bleeding from
a peptic ulcer

Bleeding from
a colon cancer

Bleeding from
cholecystitis

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