GIT ASSESSMENT 5th Flashcards
You are the intern assigned to interview mothers for prenatal check-up. Mrs. Rose is an 18 years old, 21 weeks AOG patient. She asked you what should be her ideal weight gain. You computed her BMI which was 23. What will you tell her?
1 lbs / week
Hormone responsible in promoting endometrial growth that supports the early embryo.
Estrogen
A 28 years old male was referred to you because of painful urination. He is a commercial sex worker catering to both sexes. The condition started 2 days prior to consultation and noted to be increasing in severity. Physical examination findings are as follows: Perirectal area inflamed; no ulcerations, warts, or discharge. Unable to examine external sphincter, rectal vault, or prostate because of spasm of external sphincter and marked inflammation and tenderness of anal canal. What would be an appropriate impression for the case?
Proctitis
A 65 years old male was brought to SWU-MC due to difficulty in urinating. The condition has been progressive and worsening for the past month. Physical examination findings are as follows: No perirectal lesions or fissures. External sphincter tone intact. Rectal vault without masses. Left lateral prostate lobe with 1 × 1 cm firm, hard nodule; right lateral lobe smooth; median sulcus obscured. Stool brown; no fecal blood. What is your primary impression?
Prostate cancer
The following are risk factors for prostate cancer except?
- Ethnicity
- Family history
- Age
- Protein intake
Protein intake
The pregnant woman should avoid the following seafoods except?
- Sardines
- King mackerel
- Swordfish
- Tilefish
Sardines
What should you consider in a patient with changes in stool caliber, especially pencil – thin stools?
Colon cancer
You are the intern monitoring patients in the labor room. you are assigned to a 17 years old, 37 weeks AOG patient. you are tasked to monitor her blood pressure. Her latest BP is 140/90 mmHg. She was not hypertensive before the pregnancy so you reviewed her chart and you noted proteinuria of 500mg/24 and a ++ urine dipstick. What is the impression of the patient?
Preeclampsia
According to the American urological association, what age should you begin screening for prostate cancer in 40 years old average-risk patients?
40 years old
You are the intern rotating in surgery when your senior resident instructed you to perform a rectal exam on his patient. you noted a hard nodule approx. 1x1 cm in the left lateral prostate lobe, the median sulcus is obscured. What is the likely clinical impression?
Prostate cancer
What is the ideal position in examining the rectum and prostate in a male patient?
side lying
Prenatal visits are scheduled monthly until what gestational week?
28 weeks
You are the intern in the OPD when a 15 years old pregnant teen came in for her routine prenatal check up. The first date of her last menstrual period was February 13, 2020. Using Naegele rule, when is the expected date of delivery?
November 20, 2020
These are dilated hemorrhoidal veins that originate below the pectinate line.
External hemorrhoids
At what trimester of pregnancy does a woman usually experience edema?
Third
