160 FINAL EXAM QUESTIONS WITH ACCURATE
ANSWERS
"Normal" muscle strength is documented as grade _____ correct answer 5
5/8 correct answer Subcutaneous injection
A 6-month-old infant is brought to the clinic for immunizations. While examining
the baby, the examiner notes that the anterior fontanel has not closed. What is
the significance of this finding? correct answer this is a normal finding
A 15 year old high school student complains pain, nausea, and anorexia (loss of
appetite). He describes the pain as generalized in the abdomen yesterday, but
today it's localized to the right lower abdominal quadrant. When you palpate the
left lower quadrant, the patient has pain in the right lower quadrant. What is the
name of this sign? correct answer Rovsing's sign
A 30 year old patient complains of flank pain, dysuria, nausea and fever. On
physical exam, what finding would you assess for? correct answer CVA tenderness
A 40 year old female complains of right upper abdominal pain that gets worse
after she eats, especially if the meal is spicy or high in fat. Based on the
symptoms, you suspect cholecystitis (gall bladder disease). Which sign, on
examination increases your suspicion? correct answer Murphy's sign
A 46-year-old woman is in the clinic for her annual gynecological examination. She
voices a concern about cervical cancer because her mother and sister died of it.
Which of the following is correct regarding cervical cancer? correct answer A pap
smear detects for the presence of cervical cancer
, A 52-year-old patient states that when she sneezes or coughs she "wets herself a
little." She is very concerned that something may be wrong with her. You know
that this is called: correct answer stress incontinence and is usually due to muscle
weakness.
A 55 year old construction worker reports pain in both legs when walking. The
pain eases after about 10 minutes of rest. He has smoked 2 packs of cigarettes
daily since he was 16. On physical exam you note that his dorsalis pedis pulses are
decreased bilaterally in comparison with his femoral pulses. His feet are cool to
the touch compared to his upper legs. The skin on the lower legs is shiny, pink,
and tight with hair loss. Based on your assessment, what would you suspect?
correct answer Arterial insufficiency
A 60-year-old man has just been told he has benign prostatic hypertrophy. He has
a friend who just died from cancer of the prostate and is concerned this will
happen to him. How would you respond? correct answer the enlargement of your
prostate is caused by hormone changes and not cancer
A 62-year-old male states that his doctor told him that he has an "inguinal
hernia." He asks you to explain what a hernia is. You: correct answer explain that
a hernia is a loop of bowel protruding through a weak spot in the abdominal
muscles.
A 65 year old patient who smokes complains of dyspnea that's exacerbated by
exertion. He has a 100 pack year history of tobacco use. He denies fever or chills.
You suspect COPD. On physical examination of the thorax, you'd expect to find
correct answer increased A-P diameter
ANSWERS
"Normal" muscle strength is documented as grade _____ correct answer 5
5/8 correct answer Subcutaneous injection
A 6-month-old infant is brought to the clinic for immunizations. While examining
the baby, the examiner notes that the anterior fontanel has not closed. What is
the significance of this finding? correct answer this is a normal finding
A 15 year old high school student complains pain, nausea, and anorexia (loss of
appetite). He describes the pain as generalized in the abdomen yesterday, but
today it's localized to the right lower abdominal quadrant. When you palpate the
left lower quadrant, the patient has pain in the right lower quadrant. What is the
name of this sign? correct answer Rovsing's sign
A 30 year old patient complains of flank pain, dysuria, nausea and fever. On
physical exam, what finding would you assess for? correct answer CVA tenderness
A 40 year old female complains of right upper abdominal pain that gets worse
after she eats, especially if the meal is spicy or high in fat. Based on the
symptoms, you suspect cholecystitis (gall bladder disease). Which sign, on
examination increases your suspicion? correct answer Murphy's sign
A 46-year-old woman is in the clinic for her annual gynecological examination. She
voices a concern about cervical cancer because her mother and sister died of it.
Which of the following is correct regarding cervical cancer? correct answer A pap
smear detects for the presence of cervical cancer
, A 52-year-old patient states that when she sneezes or coughs she "wets herself a
little." She is very concerned that something may be wrong with her. You know
that this is called: correct answer stress incontinence and is usually due to muscle
weakness.
A 55 year old construction worker reports pain in both legs when walking. The
pain eases after about 10 minutes of rest. He has smoked 2 packs of cigarettes
daily since he was 16. On physical exam you note that his dorsalis pedis pulses are
decreased bilaterally in comparison with his femoral pulses. His feet are cool to
the touch compared to his upper legs. The skin on the lower legs is shiny, pink,
and tight with hair loss. Based on your assessment, what would you suspect?
correct answer Arterial insufficiency
A 60-year-old man has just been told he has benign prostatic hypertrophy. He has
a friend who just died from cancer of the prostate and is concerned this will
happen to him. How would you respond? correct answer the enlargement of your
prostate is caused by hormone changes and not cancer
A 62-year-old male states that his doctor told him that he has an "inguinal
hernia." He asks you to explain what a hernia is. You: correct answer explain that
a hernia is a loop of bowel protruding through a weak spot in the abdominal
muscles.
A 65 year old patient who smokes complains of dyspnea that's exacerbated by
exertion. He has a 100 pack year history of tobacco use. He denies fever or chills.
You suspect COPD. On physical examination of the thorax, you'd expect to find
correct answer increased A-P diameter
