ANSWERS
A 12-year-old boy relates that his left scrotum has a soft swollen mass. The
scrotum is not painful on palpation. The left inguinal canal is without masses. The
mass transilluminates with a penlight. This collection of symptoms is consistent
with
A. orchitis.
B. a hydrocele.
C. a rectocele.
D. a scrotal hernia. correct answer B. hydrocele
A 22-year-old female nurse is interviewing an 86-year-old male patient. The
patient avoids eye contact and answers questions only by saying, Yeah, No, or I
guess so. Which of the following is appropriate for the interviewer to say or ask?
A. We will be able to communicate better if you look at me.
B. It's hard for me to gather useful information because your answers are so
short.
C. Are you uncomfortable talking with me?
D. Does your religion make it hard for you to answer my questions? correct
answer C. Are you uncomfortable talking with me?
A 36-year-old woman complains that she has had crushing chest pain for the past
2 days. She seems nervous as she speaks to you. An appropriate response is to
A. continue to collect information regarding the chief complaint in an unhurried
,manner.
B. finish the interview as rapidly as possible.
C. ask the patient to take a deep breath and calm down.
D. ask the patient if she wants to wait until another day to talk to you. correct
answer A.
It's better with an anxious, vulnerable patient to not hurry. A calm demeanor will
communicate caring to the patient.
A 69-year-old truck driver presents with a sudden loss of the ability to understand
spoken language. This indicates a lesion in the
A. temporal lobe.
B. Broca area.
C. frontal cortex.
D. cerebellum. correct answer A. Temporal lobe
Specifically Wernicke speech area
A bluish color to the cervix during pregnancy is called (the)
A. McDonald sign.
B. Spinnbarkeit.
C. Goodell sign.
D. Chadwick sign. correct answer D
A cervical polyp usually appears as a
A. grainy area at the ectocervical junction.
B. bright red, soft protrusion from the endocervical canal.
,C. transverse or stellate scar.
D. hard granular surface at or near the os. correct answer B.
cervical polyps are bright red, soft and fragile
usually protrude from the endocervical canal
A characteristic related to syphilis or diabetic neuropathy is testicular
A. dropping, with asymmetry.
B. enlargement.
C. insensitivity to painful stimulation.
D. recession into the abdomen. correct answer C.
A clinical syndrome of failing memory and impairment of other intellectual
functions, usually related to obvious structural diseases of the brain, describes
a. delirium.
b. dementia.
c. depression.
d. anxiety. correct answer B.
Dementia results from a chronic progressive deterioration of the brain that results
in failing memory and impairment of other intellectual functioning
A common finding in markedly obese patients and pregnant women is
a. kyphosis.
b. lordosis.
c. paraphimosis.
d. scoliosis. correct answer B. lordosis
, A condition that typically develops by the age of 45 years is
a. presbyopia.
b. hyperopia.
c. myopia.
d. astigmatism. correct answer A. presbyopia
involves weakening of accommodation
A finding that is indicative of osteoarthritis is (are)
A. swan neck deformities.
B. Bouchard nodes.
C. ganglions.
D. Heberden nodes. correct answer D.
A goniometer is used to assess
A. bone maturity.
B. joint proportions.
C. range of motion.
D. muscle strength. correct answer C. ROM
A guideline for history taking is for caregivers to
A. ask direct questions before open-ended questions so that data move from
simple to
complex.