Pages: 20-21 (Abdomen & GI = Adrenals, Kidney, Ureter, Bladder, Hernias)

Question 1

Which of the following is the most common type of hernia?

a. ) Hiatal
b. ) Femoral
c. ) Indirect inguinal
d. ) Direct inguinal

Answer 1

c.) Indirect inguinal

Question 2

Which of the hernias appears as a bulge lateral and inferior to the external inguinal ring?

a. ) Hiatal
b. ) Femoral
c. ) Epigastric
d. ) Umbilical

Answer 2

b.) Femoral

Question 3

Which of the hernias appears as protrusion of the stomach above the diaphragm?

a. ) Hiatal
b. ) Femoral
c. ) Epigastric
d. ) Umbilical

Answer 3

a.) Hiatal

Question 4

Which of the hernias passes down the inguinal canal and exits at the external inguinal ring and into the scrotum?

a. ) Umbilical
b. ) Incisional
c. ) Indirect inguinal
d. ) Direct inguinal

Answer 4

c.) Indirect inguinal

Question 5

Which of the hernias does not pass down through the inguinal canal, but exits through the external inguinal ring instead?

a. ) Indirect inguinal
b. ) Incisional
c. ) Direct inguinal
d. ) Umbilical

Answer 5

c. ) Direct inguinal

- This hernia is felt when the patient coughs or bears down.

Question 6

This type of hernia is most common in adults over the age of 40 y/o?

a. ) Hiatal
b. ) Epigastric
c. ) Indirect inguinal
d. ) Direct inguinal

Answer 6

d. ) Direct inguinal

- Usually acquired from obesity or heavy lifting.

Question 7

This type of hernia is most common in children and young adults?

a. ) Indirect inguinal
b. ) Direct inguinal
c. ) Scrotal
d. ) Incisional

Answer 7

a.) Indirect inguinal

Question 8

Which of the following is associated with Nephrolithiasis?

a. ) McBurney’s sign
b. ) Rovsing’s sign
c. ) Murphy’s punch sign
d. ) Patafio’s sign

Answer 8

c.) Murphy’s punch sign

Question 9

Which of the following is the most common chemical compound found in Nephrolithiasis?

a. ) Calcium urates
b. ) Calcium oxalates
c. ) Calcium phosphates
d. ) Calcium hydroxylase

Answer 9

b.) Calcium oxalates

Question 10

_____: refers to the swelling of a kidney due to a build-up of urine, which can cause a Staghorn calculi appearance of the renal pelvis?

a. ) Pyelonephritis
b. ) Glomerulonephritis
c. ) Nephritic syndrome
d. ) Hydronephrosis

Answer 10

d.) Hydronephrosis

Question 11

Which of the following locations would a patient with Nephrolithiasis will have referred pain at?

a. ) Inferior border of right scapula
b. ) Suprapubic
c. ) Mid back
d. ) Flank

Answer 11

d.) Flank

Question 12

Which of the following conditions is characteristic of RBC casts?

a. ) Pyelonephritis
b. ) Nephrolithiasis
c. ) Nephrotic syndrome
d. ) Nephritic syndrome

Answer 12

d.) Nephritic syndrome (aka: “Glomerulonephritis”)

Question 13

Which of the following conditions is characteristic of WBC casts?

a. ) Pyelonephritis
b. ) Glomerulonephritis
c. ) Nephrolithiasis
d. ) Nephrotic syndrome

Answer 13

a.) Pyelonephritis

Question 14

Which of the following conditions is characteristic of waxy or fatty casts?

a. ) Pyelonephritis
b. ) Nephrolithiasis
c. ) Nephrotic syndrome
d. ) Nephritic syndrome

Answer 14

c.) Nephrotic syndrome

• HEP: Hypertension, Edema, Massive proteinuria
• **In Pregnant females it’s called = “Pre-Ecclampsia”

Question 15

_____: refers to a noninfectious inflammation of the bladder that causes a burning/painful sensation frequent urination with incontinence.

a. ) Urethritis
b. ) Salpingitis
c. ) Endometritis
d. ) Cystitis

Answer 15

d.) Cystitis

Question 16

_____: refers to a inherited disorder characterized by many bilateral renal cysts that increased renal size but reduce functioning renal tissue.

a. ) Pelvic inflammatory disease
b. ) Polycystic kidney disease
c. ) Endometritis
d. ) Endometriosis

Answer 16

b.) Polycystic kidney disease

Question 17

Which of the following conditions in Pregnant women is called Pre-Ecclampsia?

a. ) Placenta abruptio
b. ) Placenta previa
c. ) Nephrotic syndrome
d. ) Nephritic syndrome

Answer 17

c. ) Nephrotic syndrome

- HEP: Hypertension, Edema, Massive proteinuria

Question 18

Which of the following is not a sign or symptoms associated with Nephrotic Syndrome/Pre-Ecclampsia?

a. ) Hypertension
b. ) Hydronephrosis
c. ) Proteinuria
d. ) Swelling

Answer 18

b.) Hydronephrosis

Question 19

Pyelonephritis from a UTI is caused by this?

a. ) E. Coli
b. ) Gonorrhea
c. ) Group A hemolytic strep
d. ) Group B hemolytic strep

Answer 19

a.) E. Coli

Question 20

Acute glomerulonephritis is caused by this?

a. ) E. Coli
b. ) Gonorrhea
c. ) Group A hemolytic strep
d. ) Group B hemolytic strep

Answer 20

c.) Group A hemolytic strep

Question 21

Urethritis in females is most common caused by this?

a. ) Chlamydia
b. ) Gonorrhea
c. ) Syphilis
d. ) E. Coli

Answer 21

d.) E. Coli

Question 22

Which of the following locations would a patient with Cystitis will have referred pain at?

a. ) Inferior border of right scapula
b. ) Suprapubic
c. ) Mid back
d. ) Flank

Answer 22

b.) Suprapubic

Question 23

If Urethritis is diagnoses as Gonococcal it was caused by?

a. ) Chlamydia
b. ) Gonorrhea
c. ) Syphilis
d. ) E. Coli

Answer 23

b.) Gonorrhea

Question 24

If Urethritis is diagnoses as Non-Gonococcal it was caused by?

a. ) Chlamydia
b. ) Gonorrhea
c. ) Syphilis
d. ) E. Coli

Answer 24

a.) Chlamydia

Question 25

Which of the following is also known as Wilm’s Tumor?

a. ) Osteochondroma
b. ) Choriocarcinoma
c. ) Leiomyoma
d. ) Nephroblastoma

Answer 25

d.) Nephroblastoma

Question 26

Which of the following is a malignant tumor of the kidney seen in children less than 5 y/o, causing hematuria and a abdominal mass?

a. ) Renal cell carcinoma
b. ) Squamous cell carcinoma
c. ) Nephroblastoma
d. ) Hepatocellular carcinoma

Answer 26

c.) Nephroblastoma (aka: “Wilm’s Tumor)

Question 27

_____: refers to a tumor of the Adrenal Medulla?

a. ) Choriocarcinoma
b. ) Schwannoma
c. ) Nephroblastoma
d. ) Pheochromocytoma

Answer 27

d.) Pheochromocytoma

Question 28

Which of the following is characteristic of Moon face “pie face”, Buffalo hump, pendulous abdomen with Purple Striae, and Hypertension?

a. ) Addison’s disease
b. ) Cushing’s disease
c. ) Gigantism
d. ) Acromegaly

Answer 28

b. ) Cushing’s disease

- Increased production of ADRENAL CORTEX HORMONE; hyperadrenalism; hypercortisolism.

Question 29

Which of the following is characteristic of a Thin person, Hyperpigmented mouth, Bronze colored face, Hair loss fatigue, and Hypotension?

a. ) Addison’s disease
b. ) Cushing’s disease
c. ) Gigantism
d. ) Acromegaly

Answer 29

a. ) Addison’s disease

- Decreased ALDOSTERONE; hypoadrenalism; hypocortisolism.