MOSBY COMPREHENSIVE EXAM 4 QUESTIONS/ANSWERS

MOSBY COMPREHENSIVE EXAM 4 QUESTIONS/ANSWERS MOSBY COMPREHENSIVE EXAM 4 QUESTIONS/ANSWERS Comprehensive Exam Your response has been submitted successfully. Points Awarded 44 Points Missed 106 Percentage 29% 1. In a patient with COPD, the ratio of anteroposterior diameter to lateral diameter is: A. 0.7:0.75 B. 1.20:1.25 C. 1.6:2.0 D. 1.0 In a barrel chest, an increase in the chest anteroposterior diameter leads to an increase in thoracic ratio (anteroposterior to transverse diameters) of 1.0, so that the chest is equally as wide as it is thick (Seidel, 2006). *Assessment Category Points Earned: 0/1 Correct Answer: D Your Response: A 2. Which comorbidity is often seen with epididymitis? A. Hydrocele B. Varicocele C. Prostatitis D. Testicular cancer When epididymitis is associated with gram-negative rods as a cause, prostatitis is often a comorbidity. Other conditions are not (Tierney, 2006). *Assessment Category Points Earned: 0/1 Correct Answer: C Your Response: A 3. A 13-year-old athlete is suspected of having bulimia nervosa. Which physical finding is highly associated with that suspicion? A. Enlarged tonsilar nodes B. Dental caries C. Scarred knuckles on one hand D. Cellulite on thighs and hips The girl with bulimia will often have scars on the dorsum of the hand she uses to purge. This is known as Russell’s sign (Lowther, 2005). *Assessment Category Points Earned: 0/1 Correct Answer: C Your Response: A 4. Deep palpation is used to determine: A. Superficial tenderness B. Bowel motility C. Overall impression of skin surface and superficial musculature D. Organomegaly With deep palpation, note the location, size, consistency, and mobility of any palpable organs and the presence of any abnormal enlargement, tenderness, or masses (Richardson, 2006). *Assessment Category Points Earned: 0/1 Correct Answer: D Your Response: A 5. The NP volunteers 1 day per week in an adolescent-only clinic. What screening in that setting is most likely to yield a positive finding of cancer? A. Palpation of the kidney B. Palpation of the thyroid gland C. Palpation of the testicles D. Palpation of the female breast A common cancer presenting in adolescents is testicular cancer. Consequently, this screening is likely to yield positive findings of a malignancy (Kutty et al, 2003). *Assessment Category Points Earned: 0/1 Correct Answer: C Your Response: A 6. What characteristics are more descriptive of a malignant skin lesion than a benign skin lesion? A. Lesion on thigh that began as dark brown but became lighter with age B. Lesion that is 1 cm and tender anywhere on body C. Lesion of varied color, itchy, 1 cm on back D. Lesion that appears “stuck on” chest and is slightly irregular The lesion most descriptive of cancer of the skin is the lesion that is varied in color, itchy, and 1 cm on back; recall the ABCDE mnemonic (Seidel, 2003). *Assessment Category Points Earned: 0/1 Correct Answer: C Your Response: A