,Quiz week 3
Mon, Jul 19, 2021 at 8:49 AM
An 18-year-old college student presents to your office for evaluation of
rectal bleeding. You obtain a more thorough history and find that the
blood was seen when she wiped after having a bowel movement; she
has been constipated and has needed to strain to move her bowels.
She denies a family history of colon cancer or inflammatory bowel
disease. On physical examination you note a 1-cm round mass at the 10
o'clock position at the rectum externally. What is your most likely
diagnosis?
Question 1 options:
External hemorrhoids
Rectal prolapse
Uterine prolapse
Crohn's disease
Question 2 (1 point)
Which developmental changes would the NP not be likely to observe in
a male adolescent during physical examination?
Question 2 options:
, Enlargement of the testis
Increase in the penis size
Appearance of pubic hair
Pendulous appearance of the scrotum
Non-descent of the testis along the inguinal canal
Question 3 (1 point)
A 32-year-old woman presents for evaluation of several new lesions on
her vagina. She denies any previous medical problems. She is sexually
active. She has had four pregnancies and has given birth to two
children. She has had more than ten sexual partners in her lifetime. She
is currently divorced but involved in a new relationship with a man
whose past sexual history is unknown. On physical examination of the
external vagina you see cauliflower-like lesions scattered on the labia.
These are nontender to palpation; the largest is 1 cm in diameter. She
denies pain. The remainder of the pelvic examination is unremarkable
and there is no vaginal discharge. Based on this information what is
your most likely diagnosis?
Question 3 options:
Epidermoid inclusion cysts
Venereal warts
Genital herpes
Syphilitic chancre
Question 4 (1 point)
, Which conditions are all examples of penile abnormalities?
Question 4 options:
Phimosis Hypospadias and Spermatocele
Epididymitis Spermatocele and Diffuse tumor
Hypospadias Phimosis and Peyronie Disease
Peyronie disease Hypospadias and Epididymitis
Spermatocele Phimosis and Diffuse tumor
Question 5 (1 point)
The NP is assessing a patient who complains of abdominal pain within
an hour of eating. Which further assessment findings would confirm
gastroesophageal reflux disease (GERD)?
Question 5 options:
Increased pain while standing up.
Aggravation of pain when lying down.
Presence of generalized pain with diarrhea
Sudden onset of pain in the lower abdomen
Sensation of pain in the lower back.
Question 6 (1 point)
Which condition presented here can be sexually transmitted?
Question 6 options:
Urethral caruncle