Health Assessment 225 Final Exam Questions and Correct
Answers.
What is the role of a nurse in a pelvic exam - Answer To be a witness, to show
support, and to prepare the patient for what will happen.
What do you ask you women before they are put on birth control? - Answer If they
smoke (because of the risk of blood clots)
Testicular cancer - Answer Rare in young men, 8000 new cases per year. Most
common cancer in men 15-35. More common in male with un-descended testicle. No
early symptoms; painless lump size of a pea. 90-100% survival rate if detected early
cervical cancer - Answer PAP smear screening method for cervical cancer.
Bethesda system - Answer Normal
atypical cervical cells- will have another pap smear in 6 months
Grade I: Low grade lesion, HPV
Grade II-III- cancer
What do normal female genitalia look like? - Answer Skin: normal color no lesions,
regular hair distribution
Labia major & minor pink, moist, no lesions
Clitoris; Common site for syphilitic chancre & cancer in older females
Urethral meatus slit like without redness or swelling
Normal vaginal os: pH 4.5 no odor white to clear discharge
What do normal male genitalia look like - Answer Penis: no lesions, dorsal vein may
be apparent
Foreskin- can be retracted
Meatus- centrally located, compress: no discharge
Benign Prostatic hypertrophy - Answer prostate enlarges as men get older, not
cancer, caused by hormone change (decrease in testosterone) May have have to
urinate more often and may have difficulty urinating
Prostate Cancer - Answer hard, irregular, rolled edges. occurs more often and has a
higher mortality rate in black men
symptoms: urgency, continuous low back, thigh, and pelvic pain.
What do you do if you think someone with an enlarged prostate is retaining urine? -
Answer palpate hypogastric/ suprapubic region and Catheterize immediately
What is a hernia? - Answer bowel protruding through the muscle
, Colonoscopy - Answer after 50 you get them every 5-10 years, most important
screening for colon cancer
Rectal prolapse - Answer Rectocele- behind cervix
bladder prolapse - Answer cystocele- front of cervix
Uterine prolapse - Answer uterine prolapse into vagina
Cervical prolapse - Answer Cervix sags into vagina
Range of motion on a joint - Answer Stop before pain and resistance.
Grade 5 - Answer Full resistance w/ ROM 100% Normal
Grade 4 - Answer Some resistance w/ROM 75% Good
Grade 3 - Answer Full ROM with gravity 50% Fair
Grade 2 - Answer Full passive ROM 25% Poor
Grade 1 - Answer Slight Contraction 10% Trace
Grade 0 - Answer No contraction 0% Zero
Scoliosis - Answer Lateral curvature
Have patient bend forward to assess the height of the iliac spines of the hips- if they
are off there is curvature
Lordosis - Answer extreme arch in back - obesity, pregnancy
Kyphosis - Answer little old lady hump
TMJ - Answer Normal is a smooth gliding motion,
Abnormal- pain, crepitus, or swelling
Age related MSK changes - Answer -Osteoporosis (loss of bone density- more in
female)
- Postural changes
-decrease in hight
-lengthening of arm/trunk axis (bc of shortened vertebral column)
-Kyphosis
- Flexion of hips and knees
Osteoarthritis - Answer SS- Unilateral or isolated stiffness swelling crepitus of joints
associated with aging.
Answers.
What is the role of a nurse in a pelvic exam - Answer To be a witness, to show
support, and to prepare the patient for what will happen.
What do you ask you women before they are put on birth control? - Answer If they
smoke (because of the risk of blood clots)
Testicular cancer - Answer Rare in young men, 8000 new cases per year. Most
common cancer in men 15-35. More common in male with un-descended testicle. No
early symptoms; painless lump size of a pea. 90-100% survival rate if detected early
cervical cancer - Answer PAP smear screening method for cervical cancer.
Bethesda system - Answer Normal
atypical cervical cells- will have another pap smear in 6 months
Grade I: Low grade lesion, HPV
Grade II-III- cancer
What do normal female genitalia look like? - Answer Skin: normal color no lesions,
regular hair distribution
Labia major & minor pink, moist, no lesions
Clitoris; Common site for syphilitic chancre & cancer in older females
Urethral meatus slit like without redness or swelling
Normal vaginal os: pH 4.5 no odor white to clear discharge
What do normal male genitalia look like - Answer Penis: no lesions, dorsal vein may
be apparent
Foreskin- can be retracted
Meatus- centrally located, compress: no discharge
Benign Prostatic hypertrophy - Answer prostate enlarges as men get older, not
cancer, caused by hormone change (decrease in testosterone) May have have to
urinate more often and may have difficulty urinating
Prostate Cancer - Answer hard, irregular, rolled edges. occurs more often and has a
higher mortality rate in black men
symptoms: urgency, continuous low back, thigh, and pelvic pain.
What do you do if you think someone with an enlarged prostate is retaining urine? -
Answer palpate hypogastric/ suprapubic region and Catheterize immediately
What is a hernia? - Answer bowel protruding through the muscle
, Colonoscopy - Answer after 50 you get them every 5-10 years, most important
screening for colon cancer
Rectal prolapse - Answer Rectocele- behind cervix
bladder prolapse - Answer cystocele- front of cervix
Uterine prolapse - Answer uterine prolapse into vagina
Cervical prolapse - Answer Cervix sags into vagina
Range of motion on a joint - Answer Stop before pain and resistance.
Grade 5 - Answer Full resistance w/ ROM 100% Normal
Grade 4 - Answer Some resistance w/ROM 75% Good
Grade 3 - Answer Full ROM with gravity 50% Fair
Grade 2 - Answer Full passive ROM 25% Poor
Grade 1 - Answer Slight Contraction 10% Trace
Grade 0 - Answer No contraction 0% Zero
Scoliosis - Answer Lateral curvature
Have patient bend forward to assess the height of the iliac spines of the hips- if they
are off there is curvature
Lordosis - Answer extreme arch in back - obesity, pregnancy
Kyphosis - Answer little old lady hump
TMJ - Answer Normal is a smooth gliding motion,
Abnormal- pain, crepitus, or swelling
Age related MSK changes - Answer -Osteoporosis (loss of bone density- more in
female)
- Postural changes
-decrease in hight
-lengthening of arm/trunk axis (bc of shortened vertebral column)
-Kyphosis
- Flexion of hips and knees
Osteoarthritis - Answer SS- Unilateral or isolated stiffness swelling crepitus of joints
associated with aging.
