Advanced Health Assessment Exam 2
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1. Which of the following is inconsistent with the descrip- D. Boggy gland
tion of benign prostatic hyperplasia (BPH)?
A. obliterated median sulcus
B. size larger than 2.5 cm × 3 cm
C. sensation of incomplete emptying
D. boggy gland
2. When assessing a 78-year-old man with suspected A. prostate size does not
BPH, the NP considers that: correlate well with severity
A. prostate size does not correlate well with severity of of symptoms.
symptoms.
B. BPH affects less than 50% of men of this age.
C. he is at increased risk for prostate cancer.
D. limiting fluids is a helpful method of relieving se-
vere symptoms.
3. Concerning BPH, which of the following statements is B. The use of a validat-
true? ed patient symptom tool is
A. Digital rectal examination is accurate in diagnosing an important part of diag-
the condition. nosing the condition.
B. The use of a validated patient symptom tool is an
important part of diagnosing the condition.
C. Prostate size directly correlates with symptoms and
bladder emptying.
D. Bladder distention is usually present in early dis-
ease.
4. The presentation of acute epididymitis in an other- A. the presence of a posi-
wise-well 22-year-old man includes: tive Prehn sign
A. the presence of a positive Prehn sign
B. low back pain.
, Advanced Health Assessment Exam 2
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C. absent cremasteric reflex.
D. diffuse abdominal pain.
5. Risk factors for prostate cancer include all of the fol- B. history of genital trau-
lowing except: ma.
A. African ancestry.
B. history of genital trauma.
C. family history of prostate cancer.
D. high-fat diet.
6. A 24-year-old man presents with sudden onset of D. relief of pain with scro-
left-sided scrotal pain. He reports having intermittent tal elevation.
unilateral testicular pain in the past but not as se-
vere this current episode. Confirmation of testicular
torsion would include all of the following findings ex-
cept:
A. unilateral loss of the cremasteric reflex.
B. the affected testicle held higher in the scrotum.
C. testicular swelling.
D. relief of pain with scrotal elevation.
7. In assessing a man with testicular torsion, the NP is C. left testicle most often
most likely to note: affected
A. elevated PSA level.
B. white blood cells reported in urinalysis.
C. left testicle most often affected.
D. increased testicular blood flow by color-flow
Doppler ultrasound.
8. Which is the most potent risk factor for PVD? C. cigarette smoking
A. HTN
B. older age
, Advanced Health Assessment Exam 2
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C. cigarette smoking
D. leg injury
9. Typically, the earliest sign of venous insufficiency is: A. edema
A. edema
B. altered pigmentation
C. skin atrophy
D. shiny skin
10. What is the "lub" or the S1 sound? Closure of the AV valves
Beginning of systole
11. What is the "dub" or the S2 sound? Closure of the semi lunar
valves
End of systole
12. Where is the S1 the loudest? APEX
"S1=1=A" (a for apex!)
13. Where is the s2 the loudest? BASE
"S2=2=B" (b for base)
14. What is the order of examination for the abdomen? Inspection
Auscultation
Percussion
Palpation
15. OLDCARTS. O: onset
O -when it started
What question would you ask?
Study online at https://quizlet.com/_h8gzv7
1. Which of the following is inconsistent with the descrip- D. Boggy gland
tion of benign prostatic hyperplasia (BPH)?
A. obliterated median sulcus
B. size larger than 2.5 cm × 3 cm
C. sensation of incomplete emptying
D. boggy gland
2. When assessing a 78-year-old man with suspected A. prostate size does not
BPH, the NP considers that: correlate well with severity
A. prostate size does not correlate well with severity of of symptoms.
symptoms.
B. BPH affects less than 50% of men of this age.
C. he is at increased risk for prostate cancer.
D. limiting fluids is a helpful method of relieving se-
vere symptoms.
3. Concerning BPH, which of the following statements is B. The use of a validat-
true? ed patient symptom tool is
A. Digital rectal examination is accurate in diagnosing an important part of diag-
the condition. nosing the condition.
B. The use of a validated patient symptom tool is an
important part of diagnosing the condition.
C. Prostate size directly correlates with symptoms and
bladder emptying.
D. Bladder distention is usually present in early dis-
ease.
4. The presentation of acute epididymitis in an other- A. the presence of a posi-
wise-well 22-year-old man includes: tive Prehn sign
A. the presence of a positive Prehn sign
B. low back pain.
, Advanced Health Assessment Exam 2
Study online at https://quizlet.com/_h8gzv7
C. absent cremasteric reflex.
D. diffuse abdominal pain.
5. Risk factors for prostate cancer include all of the fol- B. history of genital trau-
lowing except: ma.
A. African ancestry.
B. history of genital trauma.
C. family history of prostate cancer.
D. high-fat diet.
6. A 24-year-old man presents with sudden onset of D. relief of pain with scro-
left-sided scrotal pain. He reports having intermittent tal elevation.
unilateral testicular pain in the past but not as se-
vere this current episode. Confirmation of testicular
torsion would include all of the following findings ex-
cept:
A. unilateral loss of the cremasteric reflex.
B. the affected testicle held higher in the scrotum.
C. testicular swelling.
D. relief of pain with scrotal elevation.
7. In assessing a man with testicular torsion, the NP is C. left testicle most often
most likely to note: affected
A. elevated PSA level.
B. white blood cells reported in urinalysis.
C. left testicle most often affected.
D. increased testicular blood flow by color-flow
Doppler ultrasound.
8. Which is the most potent risk factor for PVD? C. cigarette smoking
A. HTN
B. older age
, Advanced Health Assessment Exam 2
Study online at https://quizlet.com/_h8gzv7
C. cigarette smoking
D. leg injury
9. Typically, the earliest sign of venous insufficiency is: A. edema
A. edema
B. altered pigmentation
C. skin atrophy
D. shiny skin
10. What is the "lub" or the S1 sound? Closure of the AV valves
Beginning of systole
11. What is the "dub" or the S2 sound? Closure of the semi lunar
valves
End of systole
12. Where is the S1 the loudest? APEX
"S1=1=A" (a for apex!)
13. Where is the s2 the loudest? BASE
"S2=2=B" (b for base)
14. What is the order of examination for the abdomen? Inspection
Auscultation
Percussion
Palpation
15. OLDCARTS. O: onset
O -when it started
What question would you ask?
