NSG 500-QUIZ 3 || WITH COMPLETE SOLUTION.
1. Rectal/Prostate Exam
1. Positioning for the exam
o For man = ------lateral position.
o Other positions: knee-----; l-----hotomy; ------ lateral with hips and knees flexed; or standing
with the hips ------- and the upper body supported by the examining table; latter two positions are
satisfactory for most purposes correct answers left
-knee-chest
-lithotomy
-left
-stand with hips flexed
1. Normal prostate exam findings
o Have patient tighten external sphincter around finger - noting its tone; it should tighten --------
with no discomfort to the patient.
o The initial digital approach to rectal examination = -------- angle to the anus.
o Is the posterior surface of the prostate gland close to the anterior wall of the rectum and is
palpable through digital rectal examination?
o Prostate examination findings of a (hard or soft?--------), (irregular or regular?-----------),
(painful or painless? -----------) nodule with obliteration of the median s------- are signs of cancer
of the prostate. correct answers evenly
right angle initially
yes
,hard, irregular, painless
obliteration of the median sulcus
1. Exam findings for rectal prolapse, hemorrhoids (internal v external)
o Internal hemorrhoids result from dilation of --------; not ordinarily felt unless they are
--------------
o Lower segment of anal canal contains a venous ------ that drains into inferior rectal veins -
dilation results in external hemorrhoids.
o--------- maneuver = makes fistulas/f---------/p---------/hemorrhoids visible. correct answers
internal=dilation of VEINS, not felt unless they are THROMBOSED
Lower=venous PLEXUS that drains into inferior rectal veins, dilation results in EXTERNAL
hemmorhoids
Valsalva
fissures/polyps
1. Causes of rectal bleeding
o ---------- stool = upper intestinal bleeding.
o---------- blood = hemorrhoid correct answers Tarry black=upper
bright red= hemorrhoid
1. General sequence of the exam
,Begins when the patient enters the examination room. Assess --------, balance, etc
1. Changes associated with aging
o Ligaments = stronger than bone until ----------. After that, bones become stronger.
o Older adults have --------- bone resorption; due to demand for ------
1. How to assess joint symmetry
o ROM—flexing, extending, rotating. Joints should be ----- but ------- signal joint problems.
correct answers gait
ligaments stronger than bone until PUBERTY
increased/calcium
should be PASSIVE but RESTRICTIONS signal joint problems
1. How to assess for joint effusions
o Ballottement = the presence of an ------ in the knee from excess ---------
o An effusion of the knee fills the supra----- pouch and the concavity below the -------- medially.
When this occurs, the usual indentation --------- and on the -------- side of the patella is filled out
to be concave or convex? ------------. The patella will float out as if a fluid wave were pushing it.
correct answers Ballottement = the presence of an EFFUSION from excess FLUID
suprapatellar
patella medially
above and on the medial
, convex rather than concave
Risk factors for and/or PE findings of common disorders;
osteoarthritis
rheumatoid arthritis
carpal tunnel
torn meniscus
anterior cruciate ligament injury
plantar fasciitis
gout
meningitis
spinal stenosis
hip dislocation in infants (tests associated with these)
which one will you see Heberden nodes. correct answers OA
Risk factors for and/or PE findings of common disorders;
osteoarthritis
rheumatoid arthritis
carpal tunnel
torn meniscus
anterior cruciate ligament injury
plantar fasciitis
gout
meningitis
spinal stenosis
hip dislocation in infants (tests associated with these)
1. Rectal/Prostate Exam
1. Positioning for the exam
o For man = ------lateral position.
o Other positions: knee-----; l-----hotomy; ------ lateral with hips and knees flexed; or standing
with the hips ------- and the upper body supported by the examining table; latter two positions are
satisfactory for most purposes correct answers left
-knee-chest
-lithotomy
-left
-stand with hips flexed
1. Normal prostate exam findings
o Have patient tighten external sphincter around finger - noting its tone; it should tighten --------
with no discomfort to the patient.
o The initial digital approach to rectal examination = -------- angle to the anus.
o Is the posterior surface of the prostate gland close to the anterior wall of the rectum and is
palpable through digital rectal examination?
o Prostate examination findings of a (hard or soft?--------), (irregular or regular?-----------),
(painful or painless? -----------) nodule with obliteration of the median s------- are signs of cancer
of the prostate. correct answers evenly
right angle initially
yes
,hard, irregular, painless
obliteration of the median sulcus
1. Exam findings for rectal prolapse, hemorrhoids (internal v external)
o Internal hemorrhoids result from dilation of --------; not ordinarily felt unless they are
--------------
o Lower segment of anal canal contains a venous ------ that drains into inferior rectal veins -
dilation results in external hemorrhoids.
o--------- maneuver = makes fistulas/f---------/p---------/hemorrhoids visible. correct answers
internal=dilation of VEINS, not felt unless they are THROMBOSED
Lower=venous PLEXUS that drains into inferior rectal veins, dilation results in EXTERNAL
hemmorhoids
Valsalva
fissures/polyps
1. Causes of rectal bleeding
o ---------- stool = upper intestinal bleeding.
o---------- blood = hemorrhoid correct answers Tarry black=upper
bright red= hemorrhoid
1. General sequence of the exam
,Begins when the patient enters the examination room. Assess --------, balance, etc
1. Changes associated with aging
o Ligaments = stronger than bone until ----------. After that, bones become stronger.
o Older adults have --------- bone resorption; due to demand for ------
1. How to assess joint symmetry
o ROM—flexing, extending, rotating. Joints should be ----- but ------- signal joint problems.
correct answers gait
ligaments stronger than bone until PUBERTY
increased/calcium
should be PASSIVE but RESTRICTIONS signal joint problems
1. How to assess for joint effusions
o Ballottement = the presence of an ------ in the knee from excess ---------
o An effusion of the knee fills the supra----- pouch and the concavity below the -------- medially.
When this occurs, the usual indentation --------- and on the -------- side of the patella is filled out
to be concave or convex? ------------. The patella will float out as if a fluid wave were pushing it.
correct answers Ballottement = the presence of an EFFUSION from excess FLUID
suprapatellar
patella medially
above and on the medial
, convex rather than concave
Risk factors for and/or PE findings of common disorders;
osteoarthritis
rheumatoid arthritis
carpal tunnel
torn meniscus
anterior cruciate ligament injury
plantar fasciitis
gout
meningitis
spinal stenosis
hip dislocation in infants (tests associated with these)
which one will you see Heberden nodes. correct answers OA
Risk factors for and/or PE findings of common disorders;
osteoarthritis
rheumatoid arthritis
carpal tunnel
torn meniscus
anterior cruciate ligament injury
plantar fasciitis
gout
meningitis
spinal stenosis
hip dislocation in infants (tests associated with these)
