Solutions.
H&P Exam 3 questions and correct 165
Solutions.
Where is the exact location of the tail of Spence?
A. any breast tissue palpated between the examiner's finger tips
B. any area of the breast that shows an extension of erythema
C. breast tissue that extends laterally across the anterior axillary fold
D. any area of the breast that has extra superficial vasculature
E. breast tissue extending inferomedial towards the umbilicus - ANSWER C. breast tissue that extends
laterally across the anterior axillary fold
During which Tanner stage does menstruation typically start?
A. I
B. II
C. III
D. V
E. VI - ANSWER C. III
What does the term "thelarche" refer to?
A. Perimenopause
B. First trimester of pregnancy
C. Tanner stage I
D. Breast development
E. Premenstrual tension - ANSWER D. Breast development
Which of the following physical examination findings arouses suspicion of breast cancer?
A. areola and nipple retraction
,H&P Exam 3 questions and correct 165
Solutions.
B. pendulous breasts
C. small, pliable, and mobile lymph nodes
D. Gynecomastia
E. smooth, firm skin - ANSWER A. areola and nipple retraction
Which of the following is an appropriate postmenopausal symptom to discuss with your 68-year-old
female patient?
A. vaginal dryness
B. age of thelarche
C. increased libido
D. premenstrual headaches
E. mental prowess - ANSWER A. vaginal dryness
The position of the cervix correlates with the position of which of the following structures?
A. the uterus
B. the left fallopian tube
C. the right ovary
D. both ovaries
E. the lumbar spine - ANSWER A. the uterus
Which of the following denotes the size of a "normal" ovary upon bimanual examination?
A. 0.5-1 cm
B. 1 cm
C. 1-3 cm
D. 4.5-5 cm
E. 4 cm - ANSWER C. 1-3 cm
, H&P Exam 3 questions and correct 165
Solutions.
List 5 items in regard to pregnancy you must ask a female patient when performing the review of
systems (ROS) for the female GU (genitourinary) system: - ANSWER 1. Number of pregnancies
2. Number and type of pregnancies
3. Complications of pregnancy
4. Methods of contraception
5. Number of abortions (spontaneous or induced)
Why are gloves used for examination of male genitalia?
A. facilitate grasp of external organs
B. make masses easier to detect
C. prevent spread of unsuspected infection
D. protect the patient from embarrassment
E. helps hold instrumentation - ANSWER C. prevent spread of unsuspected infection
Which technique is the most appropriate to detect an inguinal hernia in a male patient?
A. conduct percussion while the patient coughs
B. have the patient strain as you lift the scrotum
C. inspect rectal areas as the patient bears down
D. always perform exam while patient lays supine
E. move your dominant finger upward along the spermatic cord - ANSWER E. move your dominant finger
upward along the spermatic cord
Where would a femoral hernia be located?
A. lateral to Hesselbach's triangle
B. below the inguinal ligament
C. medial lower thigh
D. above the inguinal ligament
E. inside Hesselbach's triangle - ANSWER B. below the inguinal ligament