Columbia University

A 9 month old who has been a healthy, thriving infant presents with a poor appetite, two episodes of vomiting, three bloody stools with mucus and knees drawn to the abdomen with screaming. These are clinical manifestations of: Intussusception Abdominal percussion is performed to assess: Density of tissues and organs When performing a digital rectal exam, a soft, pedunculate lesion is palpated. This finding is most likely: A rectal polyp Which type of hepatitis is most com...

Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It has been there for about a year and is getting larger. He says his wife has been able to squeeze out a cheesy-textured substance on occasion. He worries this may be cancer. When gently pinched from the side, a prominent dimple forms in the middle of the mass. What is most likely? sebaceous cyst A new patient is complaining of severe pruritus that is worse at night. Several family members al...

A twenty-year-old female complains of a milky discharge bilaterally from her breasts. This suggests: Pregnancy or elevated prolactin level The vaginal mucosa lies in transverse folds called the: rugae In which of the following situations would it be difficult for the examiner to palpate an ovary during the bimanual vaginal exam? A woman who is anxious When performing a rectal exam on a female, a hard nodular rectal "shelf" is palpable at the tip of the examiner's finge...

which of the following is the most important question to ask during cardiovascular health history sudden death of a family member a key symptom of ischemic heart disease is chest pain. However, angina equivalents may include exertional dyspnea. Angina equivalenstare important because A and B (Women with ischemic heart disease/some patients may have no symptoms) A 55 year old post menopausal woman with a history of hypertension complains of jaw pain on heavy exertion. There were n...

Objective data related to the male GU system would include which of the following? Firm enlarged prostate Bulging noted in the inguinal area in a male patient is most likely to be which of the following? Hernia Self-testicular exams should be performed how frequently in males less than age 40? Once a month Objective findings in the older male patient may include which of the following? Prostatic Hypertrophy Which of the following is a symptom of benign prostatic h...

A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new, located in the wrists and fingers bilaterally, with some subjective fever. The patient denies a rash; she also denies recent travel or camping activities. She has a family history significant for rheumatoid arthritis. Based on this information, which of the following pathologic processes would be the most correct/ Inflammatory A 35-year-old archaeologist comes to your office (located in Phoenix, ...

HPI seizures did you fall, shrill cry, motor activity, loss of consciousness, chewing or lip smacking, post-ictal HPI pain sudden or progressive, deep aching, throb or stabbing, where is pain, radiate HPI gait coordination lose balance, fall forwardbackward, feel stiff, legs give way HPI weakness parathesia sudden onset, with activity, tingling, numbness or confusion, chronic illness, medications like zidovudien or chemotherapy CNI test the patient's ability t...

A patient tells the nurse that she has had abdominal pain for the past week. What would be the best response by the nurse? "Can you point to where it hurts?" A patient's laboratory data reveal an elevated thyroxine level. The nurse would proceed with an examination of the: Thyroid A 6-month-old infant has been brought to the well-child clinic for a check-up. She is currently sleeping. What should the examiner do first? Auscultate the lungs and heart while the infant is still ...

A 65-year-old patient remarks that she just can't believe that her breasts sag so much. She states it must be from lack of exercise. What explanation should the nurse offer her? After menopause, the glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breast that sag The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse should reply by saying? the first sign of puberty is enlargement of the testes ...

For which of the following patients would a comprehensive health history be appropriate? A new patient with chief complaint of "I am here to establish care" The following information is recorded in the health history: "The patient has had abdominal pain for 1 week> The pain last for 30 minutes at a time: it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-epigastric area: which category does it belong ...