H&P Final Bates MC Qestions Rated A+

H&P Final Bates MC Qestions Rated A+ 1. What is a normal finding when assessing an adolescent male's urethral meatus? A) A stricture B) The result of a circumcision C) The urethral meatus is ventrally positioned due to aging D) Hypospadius Correct answer: D) Hypospadius 2. What type of hernia is characterized by a swelling in the scrotum that increases with increased intraabdominal pressure and decreases when lying down, and causes pain when straining? A) An incisional hernia B) A direct inguinal hernia C) An indirect inguinal hernia D) A femoral hernia Correct answer: C) An indirect inguinal hernia 3. What is a normal finding when assessing an aging male's genitalia? A) Enlargement of the testes and scrotum B) Decrease in scrotal color C) Presence of a hydrocele (fluid in the scrotum) D) Decrease in the size of the penis Correct answer: D) Decrease in the size of the penis 4. When instructing patients about how to perform a testicular self-exam, which of the following statements is most correct: (A) "A good time to examine your testicles is just before you take a shower." (B) "Perform the testicular exam at least once a week to detect the early stages of cancer." (C) "The testicle should feel firm and has a lumpy consistency, be movable, and shaped like an egg." (D) "If you notice any change from what you normally see or feel, call your health care provider." ️(D) "If you notice any change from what you normally see or feel, call your health care provider." A firm painless lump, a hard area, or an enlarged testicle is each an abnormal and unexpected finding, which should be assessed by a trained clinician. Time of week and time of day are not factors men should consider relating to self-testicular examination. Regular examination should be encouraged, and changes or abnormal findings need to be reported. 5. Which of the findings is a normal finding when examining the glands? (A) The skin is wrinkled and without lesions (B) The dorsal vein may be visible (C) Smegma may be present under the foreskin of an uncircumcised male (D) There is no hair ️(C) Smegma may be present under the foreskin of an uncircumcised male Some cheesy smegma may collect under the foreskin of an uncircumcised male. The glans looks smooth and without lesions. Pubic lice and nits settle in the base of the penis and excoriations or wrinkling may suggest activity. Hair distribution is variable. 6. Which of the following statements is true when performing a male genital examination? (A) Auscultate for the presence of bowel sounds over the scrotum in all males (B) Palpate for the vertical chain of lymph nodes along the groin inferior to the inguinal ligament (C) Palpate the inguinal canal only if there is a bulge present in the inguinal region during inspection (D) When palpating for a hernia on the right side, have the client shift his standing weight onto the left leg ️(D) When palpating for a hernia on the right side, have the client shift his standing weight onto the left leg Positioning to the left leg allows the examiner to follow the inguinal canal and document any hernia related bulge. You have just completed a vaginal examination of a woman who is 6 weeks pregnant. You read on her chart that her cervix is softened and looks cyanotic. You know that she is exhibiting which of the following signs? (A) Chadwick's sign and Hegar's sign (B) Goodell's sign and Chadwick's sign (C) Hegar's sign and Goodell's sign (D) Tanner's sign and Hegar's sign ️(C) Hegar's sign and Goodell's sign Shortly after the first missed menstrual period, the female genitalia show signs of the hormonal changes of pregnancy. The cervix softens (Goodell's sign) at 4-6 weeks, and the vaginal mucosa and the isthmus of the uterus softens (Hegar's sign) at 6-8 weeks. The cervix looks cyanotic (Chadwick's sign) at 8-12 weeks. These changes reflect increased vascularity and edema of the cervix, and hypertrophy and hyperplasia of the cervical glands. Tanner's signs refer to sexual maturity ratings in adolescents. Mrs. W is in her first trimester of pregnancy. She is experiencing significant nausea and vomiting and asks if it will get better. Your response is: (A) "At about the time the baby moves, it will get better.'' (B) "Many women experience nausea and vomiting until the third trimester." (C) "Did your mother have significant nausea and vomiting?" (D) "Usually, by the beginning of the second trimester, the nausea and vomiting improve." ️(D) "Usually, by the beginning of the second trimester, the nausea and vomiting improve." The nausea, vomiting, and the fatigue of pregnancy usually improve by weeks 12-16. Fetal movement occurs at approximately 20 weeks gestation. During your examination of a woman in her second trimester of pregnancy, you note the presence of a small amount of yellow drainage from the nipples. You know that this is: (A) Most likely to be colostrum and considered a normal finding this late in her pregnancy (B) A sign of breast cancer (C) Too early in the pregnancy for lactation to begin; the woman needs a referral to a specialist (D) An indication that the woman's milk is forming ️(A) Most likely to be colostrum and considered a normal finding this late in her pregnancy. During the second trimester, colostrum, the precursor of breast milk, may appear. Colostrum is yellow in color and contains more minerals and protein, but less sugar and fat than breast milk. When palpating the fundus, you know that: (A) Fundal height is usually less than the number of weeks gestation, unless there is an abnormal condition such as too much amniotic fluid present (B) The fundus should be hard and slightly tender to palpation during the first trimester (C) After 20 weeks gestation, the number of centimeters should approximate the number of weeks gestation (D) Fetal movement should be felt by the examiner at the beginning of the second trimester ️(C) After 20 weeks gestation, the number of centimeters should approximate the number of weeks' gestation After 20 weeks, the number of centimeters should approximate the number of weeks gestation. Also, at 20 weeks the examiner may feel fetal movement, and the head can be balloted. You are palpating the abdomen of a 35-week pregnant woman and note that the fetal head is facing downward toward the pelvis. You would document this as: (A) Fetal lie (B) Fetal presentation (C) Fetal attitude (D) Fetal variety ️(B) Fetal presentation Fetal presentation describes the part of the fetus that is entering the pelvis first. Fetal lie is orientation of the fetal spine to the maternal spine. Attitude is the position of the fetal parts in relation to each other, and fetal variety is the location of the fetal back to the maternal pelvis A 28-year-old bus driver presents to the ER for pain and drainage from an area at the bottom of her spine. This has never occurred before. On examination of the rectum, a small opening is identified in the midline superficial to the lower sacrum. There is a surrounding halo of erythe