NOW FOR AN ORIGINAL PAPER ASSIGNMENT:Discussion: Constipation and Urinary Retention.

Module 8 Final exam Question 1 Jeannie is a 24-year-old pregnant woman who asks you if her frequent urination is normal. Which of the following hormones is most likely responsible for this? TSH HCG Oxytocin Estradiol Question 2 Marion presents to your office with back pain associated with constipation and urinary retention. Which of the following is most likely? Sciatica Epidural abscess Cauda equine Idiopathic low back pain Question 3 Which is true of examination of the olfactory nerve? It is not tested unless patient reports a change in smell The smell must not be identified to declare a normal response Abnormal responses may be seen in otherwise normal elderly patients Allergies are unrelated to testing of this nerve Question 4 A woman in her 24th week of pregnancy notices she feels faint when lying down for a period. What would you suspect as the cause for this? Adrenal insufficiency Orthostatic hypotension Supine hypotensive syndrome Hypoglycemia Question 5 What is the most effective pattern of palpation for breast cancer? Beginning at the nipple, make an ever-enlarging spiral Divide the breast into quadrants and inspect each systematically Examine in lines resembling the back and forth pattern of mowing the lawn Inspect the breast in a circular motion Question 6 You are assessing a patient with diffuse joint pains and want to make sure that it is only the joints that are the problem, and that the pain is not related to other diseases. Which of the following is a systemic cause of joint pain? Gout Osteoarathritis Tendonitis Spondylosis Question 7 You are examining a child with severe cerebral palsy. When you suddenly move his foot dorsally, a sustained “beating” of the foot against your hand ensues. What does this represent? A focal seizure Clonus Kernig’s sign Brudzinski’s sign Question 8 A young woman comes in experiencing brief, rapid, jerky, irregular movements. They can occur at rest or during other intentional movements. They mostly involve her face, head, lower arms, and hands. How would you describe these movements? Tics Dystonia Athetosis Chorea Question 9 An infant presents with a heart rate of 180, a respiratory rate of 68, and an enlarged liver. What diagnosis does this suggest? Pneumonia Heart failure Sepsis Necrotizing enterocolitis Question 10 You are assessing a patient with joint pain and are trying to decide whether it is inflammatory or non-inflammatory in nature. Which one of the following symptoms is consistent with an inflammatory process? Stiffness Cool temperature Ecchymosis Deformity Question 11 Which is true of women who have had unilateral mastectomy? Examination of the remaining breast only Lymohedema of the ipsilateral arm usually suggests recurrence of breast cancer Breast reconstruction over the mastectomy site no longer requires examination Examination starts at the nipple, making an ever-enlarging spiral Question 12 Which is true of prostate cancer? It is commonly lethal It is one of the less common forms of cancer Family history does not appear to be a risk factor Ethnicity is a risk factor Question 13 Which of the following will help to optimize yield from a pediatric examination? Take advantage of quiet periods for auscultation Perform a head to toe exam Use firmness, as needed to make it through your examination Encourage Mom to hold the child’s hand Question 14 A patient presents with a daily headache which has worsened over the past few months. On funduscopic examination, you notice that the disk edge is indistinct and the veins do not pulsate. Which is most likely? Migraine Retinal vascular disease Stroke Increased intracranial pressure Question 15 Which of the following is true about the human papilloma virus (HPV) infection? Pap smear is a relatively ineffective screening method It commonly resolves spontaneously in 1-2 years It is the second most common STI in the United States HPV infections cause a small but significant number of cervical cancers Question 16 Which of the following is most likely benign on breast examination? Thickening of the skin One breast larger than the other One nipple inverted One breast with a dimple when the patient leans forward Question 17 Mrs. Jaeger is a 67-year-old who went through menopause at the age of 55. She is now experiencing some vaginal bleeding. Which of the following should be considered? Hormone Replacement Therapy Ovarian Cysts Fallopian Tube Torsion None of the above Question 18 You are conducting a mental status examination and note impairment of judgement, but the rest of your examination is intact. Where is the most likely location of the problem? Frontal lobe Cerebellum Brainstem Basal ganglia Question 19 Pain, swelling, loss of both active and passive motion, locking, and deformity are consistent with which of the following? Articular joint pain Bursitis Muscular injury Nerve damage Question 20 Abby is a newly married woman who is unable to have intercourse due to vaginismus. This is most likely due to Lack of lubrication Atrophic vaginitis Volvodynia Psychosocial reasons Question 21 A patient with alcoholism is brought in with confusion. You ask him to “stop traffic” with his palms and notice that every few seconds his palms suddenly move toward the floor. What does this indicate? Stroke Metabolic problems Carpal tunnel syndrome Dupuytren’s contracture Question 22 Which of the following accompanies decreased ovarian function? Increased sloop Diminution of sexual interest Enlargement of the clitoris Decrease in vaginal secretions Question 23 Important techniques in performing the rectal examination include all the following except? Lubrication Waiting for the sphincter to relax