Montgomery tubercles are most prominent in the breasts of
B.
Most women with breast cancer
B.
A 50-year-old woman presents as a new patient. Which finding in her personal and social history would increase her risk profile for developing breast cancer?
C.
If your patient has nipple discharge, you will most likely need a
D.
In patients with breast cancer, peau d’orange skin is often first evident
B.
A firm, transverse ridge of compressed tissue is felt bilaterally along the lower edge of a 40-year-old patient’s breast. You should
C.
When examining axillary lymph nodes, the patient’s arm is
C.
A nursing mother complains that her breasts are tender. You assess hard, shiny, and erythemic breasts bilaterally. You should advise the patient to
C.
You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetric, with bilateral, multiple tender masses that are freely movable and with well-defined borders. You recognize that these symptoms and assessment findings are consistent with
D.
Your patient is a nursing mother who asks you to look at a mole she has under her left breast at the inframammary fold. The mole is nontender and soft and has grown in size since she started nursing. There are no other changes to the mole. This mole probably represents an
undiagnosed
B.
Posteriorly, the labia minora meet as two ridges that fuse to form the
B.
A cervical polyp usually appears as a
B.
Which structure is located posteriorly on each side of the vaginal orifice?
C.
During sexual excitement, how is the vaginal introitus lubricated?
D.
The vaginal mucosa of a woman of childbearing years should appear
D.
The adnexa of the uterus are composed of the
A.
A bluish color to the cervix during pregnancy is called (the)
D.
Pregnancy-related cervical changes include
C.
Mrs. Robinson, a 49-year-old patient, presents to the office complaining of missing her menstrual period. She asks about menopause. You explain to her that the conventional
definition of menopause is
D.
Which systemic feature is related to the effects of menopause?
D.
Ms. A, age 32, states that she has a recent history of itchy vaginal discharge. Ms. A has never been pregnant. Her partner uses condoms and she uses spermicide for birth control. Which of the following data are most relevant to Ms. A’s problem?
D.
Which risk factor is associated with cervical cancer?
C.
The risk of ovarian cancer is increased by
D.
The form of gynecologic cancer that is increased in obese women is
C.
The mother of an 8-year-old child reports that she has recently noticed a discharge stain on her daughter’s underwear. Both the mother and daughter appear nervous and concerned. You would need to ask questions to assess the child’s
B.
The female patient should ideally be in which position for the pelvic examination?
D.
When you plan to obtain cytologic studies, speculum introduction may be facilitated by
B.
Which one of the following is a proper technique for the use of a speculum during a vaginal examination?
B.
When collecting specimens, which sample should be obtained first?
B.
The presence of a fishy odor after adding potassium hydroxide to a wet mount slide containing vaginal mucus suggests
C.
The assessment of which structure is not part of the bimanual examination?
D.
Mrs. Reilly brings her 6-year-old daughter in with complaints of a foul vaginal discharge noted in her underpants. The most common cause of a foul vaginal discharge in children is a(n)
D.
A 3-year-old girl is being seen because of a foul vaginal odor. To inspect the vaginal vault, you should first
D.
A mother brings her 8-year-old daughter to the clinic because the child says it hurts to urinate after she fell while riding her bicycle. On inspection, you find posterior vulvar and gross perineum bruising. These findings are consistent with
C.
What accommodations should be used for the position of a hearing-impaired woman for a pelvic examination?
B.
Itchy, painful, small red vesicles are typical of
C.
A young, sexually active woman comes to the urgent care clinic complaining of suprapubic abdominal pain. She is afebrile with rebound tenderness to the right side. There is no dysuria and no vaginal discharge or odor. A pelvic examination is done. She has pain with cervical motion, and you palpate a painful mass over the left adnexal area. Your prioritized action is to
C.
Inspection of the scrotum should reveal
D.
Expected genitalia changes that occur as men age include that
A.
Inspection of the male urethral orifice requires the examiner to
A.
You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should
C.
Which type of hernia lies within the inguinal canal?
A.
Which condition is of minor consequence in an adult male?
C.
Mr. L has an unusually thick scrotum, with edema and pitting. He has a history of cardiac problems. The appearance of his scrotum is most likely a(n)
D.
A characteristic related to syphilis or diabetic neuropathy is testicular
D.
On palpation, a normal vas deferens should feel
B.
A premature infant’s scrotum will appear
D.
An enlarged painless testicle in an adolescent or adult male may indicate
C.
You palpate a soft, slightly tender mass in the right scrotum of an adult male. You attempt to reduce the size of the mass, and there is no change in the mass size. Your next assessment maneuver is to
C.
The most emergent cause of testicular pain in a young male is
B.
An adolescent male is being seen for acute onset of left testicular pain. The pain started 3 hours ago. He complains of nausea and denies dysuria or fever. Your priority action should be to
B.
The patient is displaying symptoms of testicular torsion. An absent cremasteric reflex is a
supporting finding to differentiate torsion from epididymitis.
The most common type of hernia occurring in young males is
C.
Difficulty replacing the retracted foreskin of the penis to its normal position is called
C.
Which genital virus infection is known to have a latent phase followed by the production of viral DNA capsids and particles?
D.
Condyloma acuminatum (genital warts)
Pearly gray, smooth, dome-shaped, often umbilicated lesions of the glans penis are probably
B.
A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful on palpation. The left inguinal canal is without masses. The mass transilluminates with a penlight. This collection of symptoms is consistent with
C.
Which condition is a complication of mumps in the adolescent or adult?
C.
Parents of a 6-year-old boy should be asked if he has
D.
The male with Peyronie disease will usually complain of
C.
A cremasteric reflex should result in
C.
On stroking the inner thigh with a blunt instrument or finger, the testicle and scrotum should rise on the stroked side.
Baby Sue is born with an imperforate anus. However, her outward anal appearance is normal. Which sign would indicate to the healthcare provider that she has a closed anal passageway?
D.
In males, which surface of the prostate gland is accessible by digital examination?
A.
The prostatic sulcus
B.
The rectal past medical history of all patients should include inquiry about
C.
The effects of aging on the gastrointestinal system leads to more frequent experiences of
A.
Factors associated with increased risk of prostate cancer include
D.
The caliber of the urinary stream is routine information in the history of
C.
Equipment for examination of the anus, rectum, and prostate routinely includes gloves and
B.
Which is a risk factor for colorectal cancer?
D.
Nodules found in the peritoneum through the anterior rectal wall
C.
Perianal abscesses, fissures, or pilonidal cysts will cause the patient to experience
A.
Palpation of the anal ring is done by
C.
The posterior surface of the prostate can be located by palpation of the
A.
The cervix may be palpated through the
B.
Your patient’s chief complaint is repeated, pencil-like stools. Further examination should include
A.
Persistent pencil-shaped stools are indicative of stenosis from scarring or pressure from a mass.
Very light tan or gray stools may indicate
D.
Prostate-specific antigen (PSA) screening is controversial because
A.
Which finding in an infant may indicate lower spinal deformities?
D.
A lower spinal cord lesion may be indicated by which finding?
C.
Pinworms and Candida may both cause
A.
Thrombosed hemorrhoids are
A.
Palpation of a normal prostate in an older adult is likely to feel
B.
Mr. Dunn is a 62-year-old man who has presented for a routine annual examination. On examination of the prostate you note a hard, irregular, painless nodule and obliteration of the median sulcus. These are signs of
D.
The mother brings her 4-year-old to the clinic because the child complains of perianal itching.
As part of your examination you complete a cellulose tape test. The cellulose tape test is used for the detection of
C.
Enterobiasis (pinworm infestation)
Author
BodeS
ID
364876
Card Set
week 10
Description
CH 17 Breasts and Axillae
CH 19 Female Genitalia
CH 20 Male Genitalia
CH 21 Anus, Rectum, and Prostate
