Health Assessment Exam 3 Practice
Questions and Answers Rated A+
_____________ is acute inflammation of the testes.
A) Genital herpes
B) Priapism
C) Orchitis
D) Paraphimosis - ANS-C) Orchitis
Orchitis is an acute inflammation of the testes.
Genital herpes is a sexually transmitted infection caused by the herpes simplex virus;
the vesicles erupt on the glans or foreskin.
Priapism is a prolonged painful erection of the penis.
Paraphimosis occurs when the foreskin is retracted and fixed.
_____________ is an emergency requiring surgery.
A) A scrotal hernia
B) Epididymitis
C) Testicular torsion
D) Cryptorchidism - ANS-C) Testicular torsion
Testicular torsion is a sudden twisting of the spermatic cord; blood supply is cut off, and
the testis can become gangrenous in a few hours. Emergency surgery is required.
A scrotal hernia is usually due to indirect inguinal hernia; the scrotal sac herniates
through the internal inguinal ring and passes into the scrotum.
Epididymitis is an acute infection of the epididymis.
Cryptorchidism is a developmental defect in which the testes have not descended.
A 2-month-old male child comes into the Shadow General Hospital Emergency
Department with dehydration due to projectile vomiting since birth. On physical exam
you note marked peristalsis (waves visible on inspection of the abdomen). This is a sign
of what pathologic process?
A) Pyloric stenosis
B) Diastasis recti
C) Enlarged kidneys
D) Umbilical hernia - ANS-A) Pyloric Stenosis
Infants with pyloric stenosis present with projectile vomiting as a chief complaint with
marked peristalsis noted on physical exam.
,A 3-year-old child with Down's syndrome is in the cardiac ICU of Shadow General
Hospital following open heart surgery. Which of the following musculoskeletal physical
exam findings would you expect to find on this child?
A) Fixed joints
B) Lordosis
C) Hyperextensible joints
D) Scoliosis - ANS-C) Hyperextensible joints
Children with Down's syndrome often have palmar simian crease, hyperextensible
joints, and short, broad extremities.
A 76-year-old is admitted to the Shadow General Hospital ICU with severe abdominal
pain and nausea. On physical exam you find rebound tenderness, guarding on
palpation and abdominal wall rigidity. These are common findings with what problem?
A) Peritonitis
B) Constipation
C) Hiatal hernia
D) Peptic ulcer - ANS-A) Peritonitis
The physical exam findings above are indicators of peritonitis. This can be secondary to
tumor, ruptured diverticulum, or infections.
A bruit heard while auscultating the carotid artery of a 65-year-old patient is caused by:
A) decreased velocity of blood flow through the carotid artery.
B) turbulent blood flow through the carotid artery.
C) rapid blood flow through the carotid artery.
D) increased viscosity of blood. - ANS-B) turbulent blood flow through the carotid artery.
A carotid bruit is a blowing, swishing sound indicating blood flow turbulence. A bruit
indicates atherosclerotic narrowing of the vessel.
A caruncle is a(n):
A) vestibular gland located on either side of the vaginal orifice.
B) small, red mass protruding from the urethral meatus.
C) aberrant growth of endometrial tissue.
D) hard, painless nodule in the uterine wall. - ANS-B) small, red mass protruding from
the urethral meatus.
A deep recess formed by the peritoneum between the rectum and the cervix is called:
A) the Chadwick sign.
B) a cystocele.
C) a rectocele.
D) a rectouterine pouch. - ANS-D) a rectouterine pouch.
, The rectouterine pouch (or cul-de-sac of Douglas) is the deep recess between the
rectum and the cervix.
The cervical mucosa during the second month of pregnancy is blue, which is termed the
Chadwick sign. The cervix may also turn blue in any condition causing hypoxia or
venous congestion.
A cystocele is an abnormality of the pelvic musculature in which the bladder prolapses
into the vagina.
A rectocele is an abnormality of the pelvic musculature in which the rectum prolapses
into the vagina.
A patient has severe bilateral lower extremity edema. The most likely cause is:
A) an infection of the right great toe.
B) Raynaud phenomenon.
C) heart failure.
D) an aortic aneurysm. - ANS-C) heart failure.
Bilateral lower extremity edema is a result of a generalized disorder such as heart
failure.
An infection of only one extremity would lead to unilateral edema.
Raynaud phenomenon does not result in bilateral lower extremity edema.
Aneurysms do not cause bilateral lower extremity edema.
A retention cyst in the epididymis filled with milky fluid containing sperm is called:
A) a varicocele.
B) a spermatocele.
C) Peyronie disease.
D) a prepuce. - ANS-B) a spermatocele.
A spermatocele is a retention cyst in the epididymis filled with milky fluid containing
sperm.
A varicocele is a dilated, tortuous varicose vein in the spermatic cord.
Peyronie disease is a result of hard, nontender, subcutaneous plaques on the penis that
cause a painful bending of the penis during an erection.
Over the glans, the skin folds in and back on itself forming a hood or flap called the
foreskin or prepuce.
A water-hammer or Corrigan pulse is associated with:
A) hyperkinetic states.
B) decreased cardiac output.
C) aortic valve regurgitation.
D) conduction disturbance. - ANS-C) aortic valve regurgitation.
A water-hammer (Corrigan) pulse occurs in aortic valve regurgitation.
A full, bounding pulse is associated with hyperkinetic states (exercise, anxiety, fever).
A weak, thready pulse occurs with decreased cardiac output.
Pulsus bigeminus occurs with conduction disturbances.
Questions and Answers Rated A+
_____________ is acute inflammation of the testes.
A) Genital herpes
B) Priapism
C) Orchitis
D) Paraphimosis - ANS-C) Orchitis
Orchitis is an acute inflammation of the testes.
Genital herpes is a sexually transmitted infection caused by the herpes simplex virus;
the vesicles erupt on the glans or foreskin.
Priapism is a prolonged painful erection of the penis.
Paraphimosis occurs when the foreskin is retracted and fixed.
_____________ is an emergency requiring surgery.
A) A scrotal hernia
B) Epididymitis
C) Testicular torsion
D) Cryptorchidism - ANS-C) Testicular torsion
Testicular torsion is a sudden twisting of the spermatic cord; blood supply is cut off, and
the testis can become gangrenous in a few hours. Emergency surgery is required.
A scrotal hernia is usually due to indirect inguinal hernia; the scrotal sac herniates
through the internal inguinal ring and passes into the scrotum.
Epididymitis is an acute infection of the epididymis.
Cryptorchidism is a developmental defect in which the testes have not descended.
A 2-month-old male child comes into the Shadow General Hospital Emergency
Department with dehydration due to projectile vomiting since birth. On physical exam
you note marked peristalsis (waves visible on inspection of the abdomen). This is a sign
of what pathologic process?
A) Pyloric stenosis
B) Diastasis recti
C) Enlarged kidneys
D) Umbilical hernia - ANS-A) Pyloric Stenosis
Infants with pyloric stenosis present with projectile vomiting as a chief complaint with
marked peristalsis noted on physical exam.
,A 3-year-old child with Down's syndrome is in the cardiac ICU of Shadow General
Hospital following open heart surgery. Which of the following musculoskeletal physical
exam findings would you expect to find on this child?
A) Fixed joints
B) Lordosis
C) Hyperextensible joints
D) Scoliosis - ANS-C) Hyperextensible joints
Children with Down's syndrome often have palmar simian crease, hyperextensible
joints, and short, broad extremities.
A 76-year-old is admitted to the Shadow General Hospital ICU with severe abdominal
pain and nausea. On physical exam you find rebound tenderness, guarding on
palpation and abdominal wall rigidity. These are common findings with what problem?
A) Peritonitis
B) Constipation
C) Hiatal hernia
D) Peptic ulcer - ANS-A) Peritonitis
The physical exam findings above are indicators of peritonitis. This can be secondary to
tumor, ruptured diverticulum, or infections.
A bruit heard while auscultating the carotid artery of a 65-year-old patient is caused by:
A) decreased velocity of blood flow through the carotid artery.
B) turbulent blood flow through the carotid artery.
C) rapid blood flow through the carotid artery.
D) increased viscosity of blood. - ANS-B) turbulent blood flow through the carotid artery.
A carotid bruit is a blowing, swishing sound indicating blood flow turbulence. A bruit
indicates atherosclerotic narrowing of the vessel.
A caruncle is a(n):
A) vestibular gland located on either side of the vaginal orifice.
B) small, red mass protruding from the urethral meatus.
C) aberrant growth of endometrial tissue.
D) hard, painless nodule in the uterine wall. - ANS-B) small, red mass protruding from
the urethral meatus.
A deep recess formed by the peritoneum between the rectum and the cervix is called:
A) the Chadwick sign.
B) a cystocele.
C) a rectocele.
D) a rectouterine pouch. - ANS-D) a rectouterine pouch.
, The rectouterine pouch (or cul-de-sac of Douglas) is the deep recess between the
rectum and the cervix.
The cervical mucosa during the second month of pregnancy is blue, which is termed the
Chadwick sign. The cervix may also turn blue in any condition causing hypoxia or
venous congestion.
A cystocele is an abnormality of the pelvic musculature in which the bladder prolapses
into the vagina.
A rectocele is an abnormality of the pelvic musculature in which the rectum prolapses
into the vagina.
A patient has severe bilateral lower extremity edema. The most likely cause is:
A) an infection of the right great toe.
B) Raynaud phenomenon.
C) heart failure.
D) an aortic aneurysm. - ANS-C) heart failure.
Bilateral lower extremity edema is a result of a generalized disorder such as heart
failure.
An infection of only one extremity would lead to unilateral edema.
Raynaud phenomenon does not result in bilateral lower extremity edema.
Aneurysms do not cause bilateral lower extremity edema.
A retention cyst in the epididymis filled with milky fluid containing sperm is called:
A) a varicocele.
B) a spermatocele.
C) Peyronie disease.
D) a prepuce. - ANS-B) a spermatocele.
A spermatocele is a retention cyst in the epididymis filled with milky fluid containing
sperm.
A varicocele is a dilated, tortuous varicose vein in the spermatic cord.
Peyronie disease is a result of hard, nontender, subcutaneous plaques on the penis that
cause a painful bending of the penis during an erection.
Over the glans, the skin folds in and back on itself forming a hood or flap called the
foreskin or prepuce.
A water-hammer or Corrigan pulse is associated with:
A) hyperkinetic states.
B) decreased cardiac output.
C) aortic valve regurgitation.
D) conduction disturbance. - ANS-C) aortic valve regurgitation.
A water-hammer (Corrigan) pulse occurs in aortic valve regurgitation.
A full, bounding pulse is associated with hyperkinetic states (exercise, anxiety, fever).
A weak, thready pulse occurs with decreased cardiac output.
Pulsus bigeminus occurs with conduction disturbances.
