Mouth, Throat, Abs, Genitourinary

Question 1

When do central incisors erupt on infants and children?

Answer 1

Eruption of deciduous lower central incisors 5-7 months. Eruption of permanent central incisors is 6-7 years.

Question 2

Describe inspection of the throat with regards to the tonsil scale

Answer 2

1. Tonsils hidden behind pillars
2. Tonsils midway between pillars and side of uvula
3. Tonsils reach side of uvula
4. Tonsils touch each other (kissing)

Question 3

Shows the uvula split either completely or partially

Answer 3

Bifid uvula

Question 4

A benign bony ridge running in the middle of the hard palate.

Answer 4

Torua palantinus

Question 5

A benign, milky, bluish-white opaque appearance of the buccal mucosa

Answer 5

Leukoedema

Question 6

What is the order of assessment for the abdomen?

Answer 6

Inspection
Auscultation
Palpation
Percussion

Question 7

Liver, kidney, ascending and transverse colon

Answer 7

Right upper quadrant

Question 8

Stomach, descending and transverse colon, liver, kidney

Answer 8

Left upper quadrant

Question 9

Cecum, ileo-cecal valve, appendix, ovary

Answer 9

Right lower quadrant

Question 10

Descending colon, sigmoid colon, ovary

Answer 10

Left lower quadrant

Question 11

What are the names of the abdominal sections when it’s divided into three?

Answer 11

Epigastric
Umbilical
Hypogastric/suprapubic

Question 12

What is subjective data about the GI system?

Answer 12

Appetite, dysphagia, food intolerance, abdominal pain, nausea and vomiting, bowel habits, past history, medications, nutritional assessment

Question 13

What are the four types of abdominal shape when viewing from the side?

Answer 13

Scaphoid, flat, rounded, protuberant

Question 14

Where do you auscultate for abdominal vascular sounds?

Answer 14

Abdominal aorta, iliac artery, femoral artery, renal artery

Question 15

What test is used for kidney inflammation?

Answer 15

Costovertebral angle tenderness (CVAT), where you hit them with your fist

Question 16

Light palpation of the abdomen?

Answer 16

Skin surface characteristics, overall musculature (guarding vs rigidity), large masses.
1-2 cm depth

Question 17

Deep palpation of the abdomen?

Answer 17

Masses, organ size, further assessing abdominal tenderness

5-8 cm depth

Question 18

How does one palpate for the liver?

Answer 18

Left hand underneath and lift up. Right hand RUQ parallel and press down and under. Instruct the patient to inhale.

Question 19

How does one palpate for the spleen?

Answer 19

Left hand under 11-12 ribs. Right hand 45 degree angle to the costal margin. Press in and under left costal margin, inhale.
Do not to continue to palpate if the spleen is felt. It should not be palpable.

Question 20

Point of maximum sensitivity in acute appendicitis. Midway between the umbilicus and the iliac crest.

Answer 20

McBurney’s Point

Question 21

What are the risk factors for testicular cancer?

Answer 21

Undescended testicles 10% (cryptorchidism). White, ages 15-40. Body build (equivocal). HIV infection, family history, personal history of cancer of one testicle.

Question 22

What’s used to screen for prostate cancer?

Answer 22

Prostate Specific Antigen (PSA) blood test

Digital Rectal Exam (DRE) palpation

Question 23

Narrowed opening of the prepuce so cannot retract the foreskin.

Answer 23

Phimosis

Question 24

Painful construction of glans by retracted foreskin?

Answer 24

Paraphimosis

Question 25

Ventral location of meatus

Dorsal location of meatus

Answer 25

Hypospadias

Epispadias