2024 NR509 FINAL EXAM
PRACTICE TEST WITH CORRECT
ANSWERS
Identify the anatomical structure in this image between both of the
examiner's hands and fingertips. - CORRECT-ANSWERSCricoid cartilage
A woman has a positive pregnancy test and comes to you with abdominal
pain. On physical examination, you palpate a large, fixed, and ill-defined
adnexal mass. Which of the following should you suspect? - CORRECT-
ANSWERSEctopic pregnancy
A 20-year-old part-time college student comes to your clinic, complaining of
growths on his penile shaft. They have been there for about 6 weeks and
haven't gone away. In fact, he thinks there may be more now. He denies any
pain with intercourse or urination. He has had three former partners and has
been with his current girlfriend for 6 months. He says that because she is on
the pill they don't use condoms. He denies any fever, weight loss, or night
sweats. His past medical history is unremarkable. In addition to college, he
works part-time for his father in construction. He is engaged to be married
and has no children. His father is healthy and his mother has
hypothyroidism. On examination the young man appears healthy. His vital
signs are unremarkable. On visualization of his penis you see several moist
papules along all sides of his penile shaft and even two on the corona. He
has been circumcised. On palpation of - CORRECT-ANSWERSCondylomata
acuminata
Which of the following positive physical examination finding supports
peritonitis? - CORRECT-ANSWERSPressing down onto the abdomen firmly and
slowly and withdrawing the hand quickly produces pain
You are assessing Tanner staging of the breast in a young woman. You
notice projection of the areola and nipple to form a secondary mound above
the level of the breast. Which Tanner stage would this be? - CORRECT-
ANSWERS2
Monique is a 33-year-old administrative assistant who has had intermittent
lower abdominal pain approximately one week a month for the past year. It
is not related to her menses. She notes relief with defecation, and a change
in form and frequency of her bowel movements with these episodes. Which
of the following is most likely? - CORRECT-ANSWERSIrritable bowel syndrome
, A mother brings her 15-month-old daughter to your office for evaluation of a
rash and fever. She says the rash started one day and the fever developed
the next day. Her daughter has had all of her vaccinations up to 10 months.
The mother sheepishly admits that she hasn't had time to bring her daughter
in since her 10-month check-up. On examination you see a mildly sick-
appearing toddler with a 102-degree temperature. Looking at her skin you
see at least 100 of a variety of papules, vesicles on an erythematous base,
and ulcers in different stages of development. What illness prevented by
proper vaccination does this toddler have? - CORRECT-ANSWERSVaricella
(chickenpox)
A 56-year-old man presents with itching, anorectal pain, and tenesmus of 1
week's duration. Rectal examination reveals generalized tenderness without
frank prostate abnormalities. Which of the following is most likely? -
CORRECT-ANSWERSProctitis
In a patient with chronic venous insufficiency, the findings of edema, swelling
, and ulceration: - CORRECT-ANSWERSarise from chronic obstruction and
incompetent valves in the deep venous system.
A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-
smelling vaginal discharge with some mild itching, present for about 3
weeks. She tried douching but it did not help. She has had no pain with
urination or with sexual intercourse. She has noticed the smell increased
after intercourse and during her period last week. She denies any upper
respiratory, gastrointestinal, cardiac, or pulmonary symptoms. Her past
medical history consists of one spontaneous vaginal delivery. She is married
and has one child. She denies tobacco, alcohol, or drug use. Her mother has
high blood pressure and her father died from heart disease. On examination,
she appears healthy and has unremarkable vital signs. On examination of
the perineum, there are no lesions noted. On palpation of the inguinal nodes,
there is no lymphadenopathy. On speculum examination, a thin gray-white
discharge is seen in the vault. The pH of t - CORRECT-ANSWERSBacterial
vaginosis
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic
lupus erythematosus). As you are conducting your physical examination, you
note a raised, dark erythematous rash on the mid cheeks of her face. When
you press on the rash, it doesn't blanch. What would you tell her regarding
her rash? - CORRECT-ANSWERSIt is likely related to her lupus.
You are conducting a workshop on the measurement of jugular venous
pulsation. As part of your instruction, you tell the students to make sure that
they can distinguish between the jugular venous pulsation and the carotid
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