Mosby Comprehensive Exam 3 Questions/Answers (2) (Latest Update)

Mosby Comprehensive Exam 3 Questions/Answers (2) (Latest Update) Mosby_Comprehensive_Exam_3_-_Answers (2) 1. Which finding is consistent with pathology suggestive of endometriosis? A. Nodules along the cul de sac B. Inguinal lymphadenopathy C. Positive Chandelier’s sign D. Multiple nabothian cysts The implants from endometriosis often contribute to nodules that are palpable along the cul de sac or within the uterosacral space (Schuiling Likis, 2005). *Assessment Category Points Earned: 1/1 Correct Answer: A Your Response: A 2. Which objective finding is consistent with a diagnosis of fibromyalgia? A. Visible swelling at all major joints bilaterally B. Demonstrable weakness of all 4 extremities C. Elicitation of pain in 11 of 18 tender points D. Decreased joint mobility and laxity in elbows and knees Elicitation of pain in 11 of 18 identifiable tender points helps in diagnosing fibromyalgia. The defined points are both above and below the waist and on both sides of the body (American College of Rheumatology, 1990). *Assessment Category Points Earned: 0/1 Correct Answer: C Your Response: A 3. Which finding in a patient fails to suggest cystitis? A. Urinary frequency in a college-age woman B. Hematuria in a middle-aged man C. Suprapubic tenderness in a teenage girl D. Dysuria in a 7-year-old All symptoms except hematuria in a middle-aged man. Hematuria is not a common finding in men; however, cystitis in women may present with hematuria (Fihn, 2003). *Assessment Category Points Earned: 0/1 Correct Answer: B Your Response: A 4. Which finding is not usually associated with breast cancer? A. Rubbery and well-circumscribed tender lump B. Peau d’orange dimpling of the skin over the breast C. Unilateral retracted and deviated nipple D. Eczema-like scaling over one areola and nipple The rubbery well-circumscribed lump is more likely a finding of fibrocystic breast changes than of malignancy. Other options are suggestive of cancer (Seidel, 2003). *Assessment Category Points Earned: 1/1 Correct Answer: A Your Response: A 5. Which factor in the history of a college male does not increase his risk of HPV? A. Use of perineal talcum powder B. Smoking C. Multiple sexual partners D. Bisexuality Increased chances of contracting HPV occur with individuals who are immunocompromised, smoke, are pregnant, have other STIs, use oral contraceptives, have multiple sex partners, are younger in age, or are of an ethnic minority (CDC, 2002). *Assessment Category Points Earned: 1/1 Correct Answer: A Your Response: A 6. Which of the following is the best example of case finding? A. Cervical cancer discovered on Pap smear in a middle-aged woman B. Hypertension in a man who presented with a rash on his hands C. Lung metastasis on chest x-ray of a patient with a known brain cancer D. Hyperlipidemia during a cholesterol screening at a local high school Case finding is a type of secondary prevention. Health problems found in asymptomatic individuals or in those who present for a totally different health concern such as in this scenario are good examples of case finding (Kutty et al, 2003). *Assessment Category Points Earned: 0/1 Correct Answer: B Your Response: A