Exam Three - Think Tank Flashcards
Absence of cremasteric response may be caused by
testicular torsion
When doing cultures for woman’s health exam, the order should be ….
STD/STIs, end with PAP
A positive Murphy’s sign indicates
cholecystitis
Montgomery tubercles (in the nipple area) will be seen in
pregnant women
A painless, indurated lesion on the glans penis is called a
chancre
Pain at the beginning of urination suggests a
bladder outlet obstruction
Most likely explanation for venous hum on auscultation in the supraclavicular area in kids
continuous murmur, which is not pathological in children
High-pitched, tinkling bowel sounds and rushes suggest
bowel obstruction
Patient presenting with breath smelling of feces is suspicious of
severe bowel obstruction
One reason more than 50% of pregnant women experience GI symptoms is
delayed intestinal motility
Young man with painful, frequent urination and fever should be asked about
scrotal pain
Most important element of a patient’s history to support pyelonephritis in females will be
flank pain, nausea, fever, & chills
Most common finding associated with prostate cancer during digital exam is a
hard nodule
Assessment technique that will confirm dullness of bladder is
percussion
Patient presenting with severe, abrupt, spasm-like pain referred to umbilicus and epigastrium may have
intestinal obstruction
Contents of indirect inguinal hernia pass through the
internal inguinal ring
Tail of Spence extends into the
axillary
_____ should be done to confirm diagnosis of epididymitis
Urine culture
Auscultation of the abdomen should be done
after inspection, before percussion and palpation
Vulval vaginitis can be caused by
wet clothing, foreign object insertion, and bubble baths, but not menstruation
Pyloric stenosis in infants should be suspected when infant has
projectile vomiting with immediate hunger afterward and oval-shaped mass in epigastric region
Female patient with profuse green/gray vaginal discharge, itching & burning should be checked for
trichomoniasis
What is the lubricant of choice during a vaginal exam?
water-based lube
What causes breasts of a newborn to be swollen
hormonal changes for mom (not pathological)
Most accurate description for use of speculum?
45-degree angle on insertion, slowly, no push/no pull, anchor down, rotate horizontal, open the blade
What diagnostic exam will confirm a UTI?
Urine culture, look for bacteria count >200,000
One possible sign of breast cancer?
Dimpling of breasts
When does milk production start?
2-4 days after delivery
Pre-teen that is a swimmer, white vaginal discharge will most likely be
candida albicans (yeast infection)
How to provide privacy when doing a breast exam?
Keep 1 side covered
How to get a patient to relax during an abdominal exam
Pillow under the knees
Female with inverted nipple and now its everted could suggest
breast cancer
How many centimeters is a healthy prostate into the rectal wall
LESS than 1cm
Young man with RLQ epigastric pain & vomiting. 1st thought should be
appendicitis
Woman complains of breast lump. The next question you should ask is ……
are you on your menstrual cycle? When do you feel lumps?
Unexpected finding on a prostate exam ?
Protruding into the rectal lumen
Flap, opening at vagina that can occlude and cause pain
hymen
What is not normal for a newborn in the 1st 24 hours of life?
Not to void, not to cry
Describe Chadwick’s sign?
bluish hue to cervix of pregnant woman
What are some finding of male genital herpes?
Penile fluid-filled vesicles, burning, painful vesicles
What are characteristics of benign breast mass?
Tender, non-blanchable, can be firm, regular shaped, round & moveable. Benign might be moveable. Immoveable is malignant.
A positive Cullen sign is indicative of a
ruptured ectopic pregnancy
Infant comes in with trouble feeding, constipated, and weak, floppy muscles. This is …
congenital hypothyroidism
Which zone is squamous cell metaplasia ?
transformation zone
Auscultation ____ inspection
after
Molluscum is the ….
pearly gray, smooth, dome-shaped often umbilicated of the glans penis
Increased thirst, hypernatremia, signs of hypervolemia, urine output is diluted and 2800 mL/day. You can suspect ….
diabetes insipidus
A cervical polyp during an exam will look like
bright red, protrudes out of canal
