NUR 3065 - Health Assess Exam 3 Study Guide (Review Quizzes 10-12) Questions With Answers. Complete Solutions.

NUR 3065 - Health Assess Exam 3 Study Guide (Review Quizzes 10-12) Questions With Answers. Complete Solutions. Health Assess Exam 3 Study Guide (Review Quizzes 10-12) Quiz 10: 1. Your 20 yo male patient is ℅ growths on his penile shaft. He noticed them first about 6 weeks ago, and he thinks there are more now. Denies pain with intercourse or urination. He has had 3 former partners and has been with his current girlfriend for 6 months. She is on the pill so they do not use condoms. Denies fever, weight loss, night sweats. His PMH is unremarkable. He is in college part time and works in construction and is engaged to be married and has no children. On exam, you see several moist papules along all sides of the penile shaft and two on the cornea. He has been circumcised. On palpation of his inguinal region, there is no inguinal lymphadenopathy. Which abnormality of the penis does patient most likely have? -Condylomata acuminata 2. A 29 yo married computer programmer is ℅ “something strange” going on in his scrotum. Last month he felt a lump in his left testis and is still there. He has had some aching in the left testis but denies pain with urination or intercourse. Palpation of his scrotum is unremarkable on the right side but indicates a large mass on the left. You attempt to place your finger through the left inguinal ring but cannot get above the mass. What disorder of the testes is most likely the diagnosis? -Scrotal hernia 3. A 22 yo male presents in your clinic ℅ pain in his testicle and penis. The pain began last night and has steadily become worse. He hurts when he urinates. He has not attempted intercourse since the pain began. He has tried Tylenol and Ibuprofen without improvement. Denies fevers or night sweats. He has had 4 previous sexual partners and has had a new partner for the last month. She is using oral contraceptives and they do not use a condom. On exam, you see a young man lying on his side, mildly ill. His temp is 100.2. There are no visible lesions on the penis or discharge from the meatus. The scrotum appears normal. Palpation of the testes reveals severe tenderness at the superior pole of the normal-sized left testicle. He also has tenderness when you palpate the structures superior to the testicle through the scrotal wall. The right testicle is unremarkable. An examining finger is placed through each inguinal ring without bulges notes with bearing down. Urinalysis shows WBC and bacteria. What diagnosis of the male genitalia is most likely? -Acute epididymitis 4. A 15 yo high school football player is in your clinic, ℅ severe testicular pain since 8am this morning. Denies sexual activity. Unable to urinate due to pain. He is nauseated and is vomiting. He is lying on the exam table, uncomfortably shifting his position. His BP is 150/100, pulse is 110, respirations are 24. There are no lesions on the penis and no discharge from the meatus. The scrotal skin is tense and red. Palpation of the left testicle causes severe pain and the patient begins to cry. Prostate exam is normal. His cremasteric reflex is absent on the left but is normal on the right. The urine sample by catheter is normal. You send him to the ER, what do you think it could be? -Torsion of the spermatic cord 5. Frank is a 24 yo man who presents with multiple vesicles and burning erosions on the shaft of his penis and some tender inguinal adenopathy. Which of the following is most likely? -Herpes 6. Your 22 yo female patient ℅ severe burning with urination, fever of 101, and aching all over. She takes oral contraceptives. She reports one new partner within the last month. Palpation of the inguinal nodes reveals bilateral lymphadenopathy. There are more than 10 shallow ulcers along each side of the vulva. She is very tender at the introitus. Urine has some WBC but no RBC or bacteria. Which disorder of the vulva is most likely? -Genital herpes 7. Your 30 year old female patient is c/o bad-smelling vaginal discharge with mild itching for about 3 weeks. Douching did not help. Denies painful urination or intercourse. She noticed the smell increased after intercourse and during her period last week. There are no lesions on the perineum. No lymphadenopathy. On speculum examination, there is a thin gray-white discharge. The pH of the discharge is over 4.5 and there is a fishy odor when potassium hydroxide (KOH) is applied to the vaginal secretions on the slide. Wet prep shows epithelial cells with stippled border (clue cells). What type of vaginitis best describes the findings? -Bacterial vaginosis 8. Which of the following represents metrorrhagia? -Bleeding between periods 9. Which is a sign of benign prostatic hyperplasia? -Nocturia 10.Which is true of prostate cancer? -Ethnicity is risk factor Quiz 11: 1. During the delivery of a male infant, you are there to assess the Apgar score. He was born through an intact pelvis and had no complications during labor or delivery. At 1 minute he is pink all over and grimaces. He is flexing his arms and legs occasionally. He is breathing well and his heart rate is 110. At 5 minutes he is still pink all over but now is crying vigorously, with active movement. His respiratory effort is good and his heart rate is 130. What is his Apgar score? -8 at 1 minute, 10 at 5 minutes 2. Which of the following conditions involves a tight prepuce which, once retracted, cannot be returned? -Paramorphisis 3. A mother brings her 16 month old son in for an evaluation. She is afraid he is not meeting his developmental milestones and wants to know if he should be sent to therapy. He was the product of an uneventful pregnancy and a spontaneous vaginal delivery. His Apgar scores were 7 and 9. Until reaching a year old the mother believes he has hitting his milestones appropriately. You decide to administer the Denver Developmental Screening Test. You find that he is using a spoon to eat with and can take off his own shoes and shirt. He can build a tower of two cubes. His vocabulary consists of at least 10 words. He can stand alone and stoop and recover, but he is unable to walk without holding onto someone's hand. What type of developmental delay does he have? -Gross motor 4. A young Hispanic mother brings in her two month old son. She is upset because her neighbors have threatened to call the Child Protective Agency because they think his birthmark is a bruise. Her son was the product of an uneventful pregnancy and spontaneous vaginal delivery. On examination you see a large, smooth-bordered bluish mark on his buttock and lower back. Otherwise his examination is unremarkable. What form of birthmark is this likely to be?