Nurs 5220 Advanced Health Assessment Exam 2
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What test is used to evaluate for a tear in the meniscus? -
ANSWER-McMurray Test (Circumduction Test)
How is the Lachman Test performed? - ANSWER-Place
knee in 20-30 degree flexion. Grasp the femur with one
hand with anterior force to proximal tibia. Opposite hand
stabilizes the thigh.
What is the Lachman test used to assess for? - ANSWER-
Anterior Cruciate Liagment (ACL) injuries or tears
What sign is performed by flexing the infants knees while
they are supine with their feet flat and the ankles touching
the buttocks? - ANSWER-Allis Sign
What is Allis Sign used test for? - ANSWER-Congenital
Dysplasia of the Hips
What is Genu Varum? - ANSWER-Bow legged
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What is Genu Valgum? - ANSWER-knock knees
This is the name of the traditional pelvic exam position
where the patient lies in their back with feet placed in
stirrups. The buttock should be near the edge of the exam
table. This position ensures easy access for the provider
and maintains comfort for the patient. - ANSWER-
Lithotomy
How should the speculum be inserted? - ANSWER-Insert
the speculum he rely at an angle to minimize discomfort.
Once inserted, open the speculum and lock it into place
ensuring good visualization with an appropriate light
source
What is the name of the Speculum Insertion technique? -
ANSWER-Button hole
A pale cervix can indicate low levels of which hormone? -
ANSWER-Estrogen
Nabothian cysts should be documented and may indicate
malignancy, True or False? - ANSWER-False: Nabothian
cysts are benign and non-tender
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Ovulation may be indicated by what type of discharge?
A. Clear and stretchy
B. Thick and white
C. Purulent
D. Yellow and frothy - ANSWER-A. Clear and stretchy
Premenstrual discharge may be indicated by what
characteristics?
A. Clear and stretchy
B. Thick and white
C. Purulent
D. Yellow and frothy - ANSWER-B. Thick and white
Strawberry-like punctate lesions are commonly associated
with which STI? - ANSWER-Trichomoniasis
What does a nulliparous os look like? - ANSWER-Small
and round
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What does a multiparous os look like? - ANSWER-Slit-like
or stretched
A patent presents with yellow vaginal discharge. They are
suspected of having trichomoniasis infection. What type of
specimen collection should they perform? - ANSWER-Wet
Prep or Wet Slide
When assessing vaginal tone, if the bottom of the vagina
bulges upward, showing that the rectum is pushing against
the vaginal wall, what is this tone called? - ANSWER-
Rectocele
If the top of the vagina bulges downward indicating that
the bladder is exerting pressure, what is this vaginal tone
called? - ANSWER-Cystocele
During the pelvic exam it's time to palpate the uterus. You
find that the patient has tenderness in the uterus, what
could this indicate? - ANSWER-Endometriosis
Pelvic inflammatory disease (PID)
What is the hand placement for the Rectovaginal
Examination? - ANSWER-Insert your index finger into the
vagina and your middle finger into the anus