Nsg 3160 Exam 4 2025

NSG 3160 EXAM 4 2025/2026 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS|FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|NEWEST|BRAND NEW VERSION!!|GUARANTEED PASS Which finding in the prostate gland suggests prostate cancer? A. Symmetric smooth enlargement. B. Extreme tenderness to palpation. C. Boggy soft enlargement. D. Diffuse hardness. D. Diffuse hardness. Which is true regarding the bulbourethral gland? A. It can be palpated during an examination of a female patient. B. It can be palpated during an examination of both male and female patients. C. It can be palpated during an examination of a male patient. D. It cannot be assessed with a rectal examination. C. It can be palpated during an examination of a male patient. Normal stool is described as: A. Black in color and tarry in consistency. B. It can be palpated during an examination of both male and female patients. C. It can be palpated during an examination of a male patient. D. It cannot be assessed with a rectal examination. C. It can be palpated during an examination of a male patient. Which symptoms suggest benign prostatic hypertrophy? A. Weight loss and bone pain. B. Fever, chills, urinary frequency, and urgency. 1|Page C. Difficulty initiating urination and weak streams. D. Dark, tarry stools. C. Difficulty initiating urination and weak streams. A patient stats that he is frequently constipated, and when he has a bowel movement he has rectal bleeding and pain. He does not feel any mass at his anal opening. "Do I have hemorrhoids, or is there something else wrong with me?" The examiner completes a rectal examination and explains that: A. There is an indication of rectal prolapse. B. It appears to be a pilonidal cyst. C. The symptoms are consistent with internal hemorrhoids. D. The problem is probably encopresis C. The symptoms are consistent with internal hemorrhoids. A patient states that he has frothy foul-smelling stools that float on the surface of the water in the toilet bowl. What type of stool is the patient describing? A. Steatorrhea. B. Melena. C. Dyschezia. D. A parasitic infection. A. Steatorrhea. Which of these is the correct technique to assess patency of the anal sphincter. A. Inspect the anus and ask the patient to strain. B. Palpate the anus with a gloved finger to elicit sphincter control. C. Percuss above the anal canal for dull resonance. D. There are no sensory nerves in the anal canal or rectum. B. Palpate the anus with a gloved finger to elicit sphincter control. Which is a structure that secretes a thin, milky alkaline fluid to enhance the viability of the sperm? A. Cowper gland. B. Prostate gland. C. Median sulcus. D. Bulbourethral. B. Prostate gland. 2|Page A newborn infant has a dark green stool 2 days after birth. How should you interpret this? A. This type of stool would indicate anal patency. B. The dark green color could indicated occult blood in the stool. C. Meconium stool can be reflective of distress in the newborn. D. The newborn should have passed the first stool within 12 hours after birth. A. This type of stool would indicate anal patency. Vaginal lubrication is provided during intercourse by: A. Labia minora. B. Sebaceous follicles. C. Skene glands. D. Bartholin glands. D. Bartholin glands. A young woman has come for her first gynecologic examination. Because she has not had any children, the examiner expects the cervical os to appear: A. Smooth and circular. B. Irregular and slitlike. C. Irregular and circular. D. Smooth and enlarged. A. Smooth and circular. A woman has come for an examination because of a missed menstrual period and a positive at home pregnancy test. Examination reveals a cervix that appears cyanotic. This is referred to as the: A. Goodell sign. B. Hegar sign. C. Tanner sign. D. Chadwick sign. D. Chadwick sign. During the examination of the genitalia of a 70-year-old woman, a normal finding would be: A. Hypertrophy of the mons pubis. B. Increase in vaginal secretions. C. Thin and sparse pubic hair. D. Bladder prolapse. C. Thin and sparse pubic hair. 3|Page For a woman, history of her mother's health during pregnancy is important. A medication that requires frequent follow-up is: A. Corticosteroid. B. Theophylline. C. Diethylstilbestrol. D. Aminoglycoside. C. Diethylstilbestrol. A woman has come for health care reporting a thick white discharge with intense itching. These symptoms are suggestive of: A. Atrophic vaginitis. B. Trichomoniasis. C. Chlamydia. D. Candidiasis. D. Candidiasis. To insert the speculum as comfortably as possible, the examiner: A. Opens the speculum slightly and inserts it in an upward direction. B. Presses the introitus down with one hand and inserts the blades obliquely with the other. C. Spreads the labia with one hand and inserts the closed speculum horizontally with the other. D. Pushes down on the introitus and inserts the speculum in an upward direction. B. Presses the introitus down with one hand and inserts the blades obliquely with the other. Before withdrawing the speculum, the examiner may swab the cervix with a swab soaked in acetic acid. This examination is done to assess for: A. Herpes simplex virus. B. Contact dermatitis. C. Human papillomavirus. D. Carcinoma. C. Human papillomavirus. Select the best description of the uterus. A. Anteverted, round, asymmetric organ. B. Pear-shaped, thick-walled organ flattened anteroposteriorly. 4|Page C. Retroverted, almond-shaped, asymmetric organ. D. Mid-position, thick-walled, oval organ. B. Pear-shaped, thick-walled organ flattened anteroposteriorly. In placing a finger on either side of the cervix and moving it side to side, you are assessing: A. The diameter of the fallopian tube. B. Cervical motion tenderness. C. The ovaries. D. The uterus. B. Cervical motion tenderness. Which of the following is (are) normal, common finding(s) on inspection and palpation of the vulva and perineum? A. Labia majora that are wide apart and gaping. B. Palpable Bartholin glands. C. Clear, thin discharge from paraurethral glands. D. Bulging at introitus during Valsalva maneuver. A. Labia majora that are wide apart and gaping. Which is the most common bacterial sexually transmitted infection in the United States? A. Chlamydia. B. Gonorrhea. C. Trichomoniasis. D. Syphilis. E. Bacterial Vaginosis. A. Chlamydia. What does the notation in a health record indicating the patient is a "G2 P3 Ab0" mean? A. The woman has delivered 3 children, 2 of whom are living; her blood type is Ab0. B. The woman has been pregnant twice with 3 children (twins and another child), and all her children are living. C. The woman has been pregnant 3 times, has delivered 2 children, and has had no abortions. D. The woman has been pregnant 3 times, has 2 living children, and has had no spontaneous abortions. 5|Page B. The woman has been pregnant twice with 3 children (twins and another child), and all her children are living. What problems are associated with smoking and the use of oral contraceptives? A. Increased risk for alcoholism and cirrhosis of the liver. B. Thrombophlebitis and pulmonary emboli. C. Infertility and weight gain. D. Urinary tract infections and skin cancer. B. Thrombophlebitis and pulmonary emboli. During the assessment of the spine, the patient would be asked to: A. Adduct and external. B. Supinate, evert, and retract. C. Extend, adduct, invert, and rotate. D. Flex, extend, abduct, and rotate. D. Flex, extend, abduct, and rotate. Pronation and supination of the hand and forearm are the result of the articulation of the: A. Scapula and clavicle. B. Radius, and ulna. C. Patella and condyle of fibula. D. Femur and acetabulum. B. Radius, and ulna. Anterior and posterior stability are provided to the knee joint by the: A. Medial and lateral menisci. B. Patellar tendon and ligament. C. Medial collateral ligament and quadriceps muscle. D. Anterior and posterior cruciate ligaments. D. Anterior and posterior cruciate ligaments. A 70-year-old woman has come for a health examination. Which of the following is a common age-related change in the curvature of the spinal column? A. Lordosis. B. Scoliosis. C. Kyphosis. D. Lateral scoliosis. C. Kyphosis. 6|Page Examination of the shoulder includes 4 motions. These are: A. Forward flexion, internal rotation, abduction, and external rotation. B. Abduction, adduction, pronation, and supination. C. Circumduction, inversion, eversion, and rotation. D. Elevation, retraction, protraction, and circumduction. A. Forward flexion, internal rotation, abduction, and external rotation. The bulge sign is test for: A. Swelling in the suprapatellar pouch. B. Carpal tunnel syndrome. C. Heberden nodes. D. Olecranon bursa inflammation. A. Swelling in the suprapatellar pouch. The examiner measures a patient's legs for length discrepancy. Which is a normal finding? A. No difference in measurements. B. 0.5 cm difference. C. Within 1 cm of each other. D. 2 cm difference. C. Within 1 cm of each other. A 2-year-old child comes to the clinic for a health examination. A common finding for this age group is: A. Kyphosis. B. Lordosis. C. Scoliosis. D. No deviation is normal. B. Lordosis. A positive Phalen test and Tinel sign are found in a patient with: A. A torn meniscus. B. Hallux valgus. C. Carpal tunnel syndrome. D. Tennis elbow. C. Carpal tunnel syndrome. 7|Page When assessing an infant, the examiner completes the Ortolani maneuver by: A. Lifting the newborn and noting a C-shaped curvature of the spine. B. Gently lifting and abducting the infant's flexed knees while palpating the greater trochanter with the fingers. C. Comparing the height of the tops of the knees when the knees are flexed up. D. Palpating the length of the clavicles. B. Gently lifting and abducting the infant's flexed knees while palpating the greater trochanter with the fingers. Hematopoiesis takes place in which of the following? A. Liver. B. Spleen. C. Kidneys. D. Bone marrow. D. Bone marrow. Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement in undesirable directions are known as: A. Bursa. B. Tendons. C. Cartilage. D. Ligaments. D. Ligaments. Select the sequence of techniques used during an examination of the abdomen. A. percussion, inspection, palpation, auscultation B. inspection, palpation, percussion, auscultation C. inspection, auscultation, percussion, palpation D. auscultation, inspection, palpation, percussion C. inspection, auscultation, percussion, palpation Which of the following can be noted through inspection of a patient's abdomen? A. Fluid waves and abdominal rigidity. B. Umbilical eversion and Murphy sign. 8|Page C. Venous pattern, peristaltic waves, and abdominal contour. D. Peritoneal irritation, general tympany, and peristaltic waves. C. Venous pattern, peristaltic waves, and abdominal contour. Right upper quadrant tenderness may indicate pathology in the: A. Liver, pancreas, or ascending colon. B. Liver and stomach. C. Sigmoid colon, spleen, or rectum. D. Appendix or ileocecal valves. A. Liver, pancreas, or ascending colon. Hyperactive bowel sounds are: A. High-pitched. B. Rushing. C. Tinkling. D. All of the above. D. All of the above. The absence of bowel sounds is established after listening for: A. 1 full minute. B. 3 full minutes. C. 5 full minutes. D. None of the above. C. 5 full minutes. Auscultation of the abdomen may reveal bruits of the ___________ arteries. A. Aortic, renal, iliac, and femoral. B. Jugular, aortic, carotid, and femoral. C. Pulmonic, aortic, and portal. D. Renal, iliac, internal jugular, and basilic. A. Aortic, renal, iliac, and femoral. 9|Page The left upper quadrant (LUQ) contains the: A. Liver. B. Appendix. C. Left ovary. D. Spleen. D. Spleen. Auscultating the abdomen is begun in the right lower quadrant (RLQ) because: A. Bowel sounds are always normally present here. B. Peristalsis through the descending colon is usually active. C. This is the location of the pyloric sphincter. D. Vascular sounds are best heard in this area. A. Bowel sounds are always normally present here. Shifting dullness is a test for: A. Ascites. B. Splenic enlargement. C. Inflammation of the kidney. D. Hepatomegaly. A. Ascites. Tenderness during abdominal palpation is expected when palpating the: A. Lived edge. B. Spleen. C. Sigmoid colon. D. Kidneys. C. Sigmoid colon. A woman has striae on the abdomen. Which color indicates long-standing striae? A. Pink. B. Blue. C. Purple-blue. D. Silvery white. D. Silvery white. A positive Murphy sign is best described as: A. The pain felt when the examiner's hand is rapidly removed from an inflamed appendix. B. Pain felt when taking a deep breath when the examiner's fingers are on the approximate 10 | P a g e location of the inflamed gallbladder. C. A sharp pain felt by the patient when one hand of the examiner is used to thump the other at the costovertebral angle. D. This is not a valid examination technique. B. Pain felt when taking a deep breath when the examiner's fingers are on the approximate location of the inflamed gallbladder. A positive Blumberg sign indicates: A. Possible aortic aneurysm. B. Presence of renal artery stenosis. C. Enlarged nodular liver. D. Peritoneal inflammation. D. Peritoneal inflammation. The examiner is going to inspect and palpate for a hernia. During this examination, the man is instructed to: A. Hold his breath during palpation. B. Cough after the examiner has gently inserted the examination finger into the rectum. C. Bear down when the examiner's finger is at the inguinal canal. D. Relax in a supine position while the examination finger is inserted into the canal. C. Bear down when the examiner's finger is at the inguinal canal. During examination of the scrotum, a normal finding would be that: A. The left testicle is firmer to palpation than the right. B. The left testicle is larger than the right. C. The left testicle hangs lower than the right. D. The left testicle is more tender to palpation than the right. C. The left testicle hangs lower than the right. H.T. has come to the clinic for a follow-up visit. Six months ago, he was started on a new medication that may cause erectile dysfunction as a side effect; therefore medication classes explored by the nurse are: A. Antipyretics. B. Bronchodilators. C. Corticosteroids. D. Antihypertensives. D. Antihypertensives. 11 | P a g e Prostatic hypertrophy occurs frequently in older men. The symptoms that may indicate this problem are: A. Polyuria and urgency. B. Dysuria and oliguria. C. Straining, loss of force, and sense of residual urine. D. Foul-smelling urine and dysuria. C. Straining, loss of force, and sense of residual urine. A 74-year-old man has come for health examination. A normal age-related change in the scrotum would be: A. Testicular atrophy. B. Testicular hypertrophy. C. Pendulous scrotum. D. Increase in scrotal rugae. D. Increase in scrotal rugae. During palpation of the testes, the normal finding would be: A. Firm to hard and rough. B. Nodular. C. 2 to 3 cm long X 2 cm wide and firm. D. Firm, rubbery, and smooth. D. Firm, rubbery, and smooth. A 20-year-old man has indicated that he does not perform testicular self-examination. One of the facts that should be shared with him is the testicular cancer, although rare, does occur in men: A. Younger than 15 years. B. 15-34 years of age. C. 35-55 years of age. D. 55 years and older. B. 15-34 years of age. During the examination of a full-term male newborn, a finding requiring investigation would be: A. An absent testes. B. A meatus centered at the tip of the penis. C. A wrinkled scrotum. D. A penis 2 to 3 cm in length. A. An absent testes. 12 | P a g e During transillumination of a scrotum, you note a nontender mass that transilluminates with a red glow. This finding is suggestive of: A. Scrotal hernia. B. Scrotal edema. C. Orchitis. D. Hydrocele. D. Hydrocele. Which of the following would be a normal sensitivity to pressure for the testes? A. Somewhat. B. Not at all. C. Left more sensitive than right. D. Only when inflammation is present. A. Somewhat. The congenital displacement of the urethral meatus to the inferior surface of the penis is: A. Hypospadias. B. Epispadias. C. Hypoesthesia. D. Hypophysis. A. Hypospadias. An adhesion of the prepuce to the head of the penis, making it impossible to retract, is: A. Paraphimosis. B. Phimosis. C. Smegma. D. Dyschezia. B. Phimosis. You are assessing an adolescent boy. The first physical sign of puberty is: A. Height spurt. B. Penis lengthening. C. Sperm production. D. Pubic har development. E. Testes enlargement. E. Testes enlargement. 13 | P a g e An older man asks if he is able to father children. In the aging male, when does infertility occur? A. At age 60, with the sudden decline in sperm production. B. At approximately age 55 to 60. when testosterone levels are lower. C. When the male is no longer able to achieve an erection. D. There is no specific age; men may be fertile into their 80s and 90s. D. There is no specific age; men may be fertile into their 80s and 90s. A patient has soft, moist, fleshly, painless papules around the anus. The examiner suspects this condition is: A. HSV-2. B. HPV. C. Gonorrhea. D. Peyronie disease. B. HPV. The gastrocolic reflex is: A. A peristaltic wave. B. The passage of meconium in the newborn. C. Another term for borborygmi. D. Reverse peristalsis. A. A peristaltic wave. Which population has the highest incidence of benign prostatic hypertrophy (BPH)? A. European Americans. B. African Americans. C. Hispanics. D. Asians. B. African Americans. Select the best description of the anal canal. A. 12-cm-long portion of the large intestine. B. Involuntary control of the parasympathetic nervous system. C. 3.8-cm-long outlet of the gastrointestinal tract. D. S-shaped portion of the colon. C. 3.8-cm-long outlet of the gastrointestinal tract. Foods that may be beneficial to reduce the risk for colon cancer include: A. Foods high in fiber. 14 | P a g e B. Foods low in fat. C. Foods high in protein. D. Foods high in carbohydrates. A. Foods high in fiber. Flexion: Bending a limb at a joint. Extention: Straightening a limb at a joint. Abduction: Moving a limb away from the midline of the body. Adduction: Moving a limb toward the midline of the body. Pronation: Turning the forearm so that the palm is down. Supination: Turning the forearm so that the palm is up. Circumduction: Moving the arm in a circle around the shoulder. Inversion: Moving the sole of the foot inward at the ankle. Eversion: Moving the sole of the foot outward at the ankle. Rotation: Moving the head around a central axis. Protraction: 15 | P a g e Moving the body part forward and parallel to the ground. Retraction: Moving a body part backward and parallel to the ground. Elevation: Raising a body part. Depression: Lowering a body part Which finding in the prostate gland suggests prostate cancer? A. Symmetric smooth enlargement. B. Extreme tenderness to palpation. C. Boggy soft enlargement. D. Diffuse hardness. D. Diffuse hardness. Which is true regarding the bulbourethral gland? A. It can be palpated during an examination of a female patient. B. It can be palpated during an examination of both male and female patients. C. It can be palpated during an examination of a male patient. D. It cannot be assessed with a rectal examination. C. It can be palpated during an examination of a male patient. Normal stool is described as: A. Black in color and tarry in consistency. B. It can be palpated during an examination of both male and female patients. C. It can be palpated during an examination of a male patient. D. It cannot be assessed with a rectal examination. C. It can be palpated during an examination of a male patient. Which symptoms suggest benign prostatic hypertrophy? A. Weight loss and bone pain. B. Fever, chills, urinary frequency, and urgency. C. Difficulty initiating urination and weak streams. D. Dark, tarry stools. C. Difficulty initiating urination and weak streams. 16 | P a g e A patient stats that he is frequently constipated, and when he has a bowel movement he has rectal bleeding and pain. He does not feel any mass at his anal opening. "Do I have hemorrhoids, or is there something else wrong with me?" The examiner completes a rectal examination and explains that: A. There is an indication of rectal prolapse. B. It appears to be a pilonidal cyst. C. The symptoms are consistent with internal hemorrhoids. D. The problem is probably encopresis C. The symptoms are consistent with internal hemorrhoids. A patient states that he has frothy foul-smelling stools that float on the surface of the water in the toilet bowl. What type of stool is the patient describing? A. Steatorrhea. B. Melena. C. Dyschezia. D. A parasitic infection. A. Steatorrhea. Which of these is the correct technique to assess patency of the anal sphincter. A. Inspect the anus and ask the patient to strain. B. Palpate the anus with a gloved finger to elicit sphincter control. C. Percuss above the anal canal for dull resonance. D. There are no sensory nerves in the anal canal or rectum. B. Palpate the anus with a gloved finger to elicit sphincter control. Which is a structure that secretes a thin, milky alkaline fluid to enhance the viability of the sperm? A. Cowper gland. B. Prostate gland. C. Median sulcus. D. Bulbourethral. B. Prostate gland. A newborn infant has a dark green stool 2 days after birth. How should you interpret this? A. This type of stool would indicate anal patency. B. The dark green color could indicated occult blood in the stool. C. Meconium stool can be reflective of distress in the newborn. D. The newborn should have passed the first stool within 12 hours after birth. 17 | P a g e A. This type of stool would indicate anal patency. Vaginal lubrication is provided during intercourse by: A. Labia minora. B. Sebaceous follicles. C. Skene glands. D. Bartholin glands. D. Bartholin glands. A young woman has come for her first gynecologic examination. Because she has not had any children, the examiner expects the cervical os to appear: A. Smooth and circular. B. Irregular and slitlike. C. Irregular and circular. D. Smooth and enlarged. A. Smooth and circular. A woman has come for an examination because of a missed menstrual period and a positive at home pregnancy test. Examination reveals a cervix that appears cyanotic. This is referred to as the: A. Goodell sign. B. Hegar sign. C. Tanner sign. D. Chadwick sign. D. Chadwick sign. During the examination of the genitalia of a 70-year-old woman, a normal finding would be: A. Hypertrophy of the mons pubis. B. Increase in vaginal secretions. C. Thin and sparse pubic hair. D. Bladder prolapse. C. Thin and sparse pubic hair. For a woman, history of her mother's health during pregnancy is important. A medication that requires frequent follow-up is: A. Corticosteroid. 18 | P a g e B. Theophylline. C. Diethylstilbestrol. D. Aminoglycoside. C. Diethylstilbestrol. A woman has come for health care reporting a thick white discharge with intense itching. These symptoms are suggestive of: A. Atrophic vaginitis. B. Trichomoniasis. C. Chlamydia. D. Candidiasis. D. Candidiasis. To insert the speculum as comfortably as possible, the examiner: A. Opens the speculum slightly and inserts it in an upward direction. B. Presses the introitus down with one hand and inserts the blades obliquely with the other. C. Spreads the labia with one hand and inserts the closed speculum horizontally with the other. D. Pushes down on the introitus and inserts the speculum in an upward direction. B. Presses the introitus down with one hand and inserts the blades obliquely with the other. Before withdrawing the speculum, the examiner may swab the cervix with a swab soaked in acetic acid. This examination is done to assess for: A. Herpes simplex virus. B. Contact dermatitis. C. Human papillomavirus. D. Carcinoma. C. Human papillomavirus. Select the best description of the uterus. A. Anteverted, round, asymmetric organ. B. Pear-shaped, thick-walled organ flattened anteroposteriorly. C. Retroverted, almond-shaped, asymmetric organ. D. Mid-position, thick-walled, oval organ. B. Pear-shaped, thick-walled organ flattened anteroposteriorly. In placing a finger on either side of the cervix and moving it side to side, you are assessing: A. The diameter of the fallopian tube. B. Cervical motion tenderness. 19 | P a g e C. The ovaries. D. The uterus. B. Cervical motion tenderness. Which of the following is (are) normal, common finding(s) on inspection and palpation of the vulva and perineum? A. Labia majora that are wide apart and gaping. B. Palpable Bartholin glands. C. Clear, thin discharge from paraurethral glands. D. Bulging at introitus during Valsalva maneuver. A. Labia majora that are wide apart and gaping. Which is the most common bacterial sexually transmitted infection in the United States? A. Chlamydia. B. Gonorrhea. C. Trichomoniasis. D. Syphilis. E. Bacterial Vaginosis. A. Chlamydia. What does the notation in a health record indicating the patient is a "G2 P3 Ab0" mean? A. The woman has delivered 3 children, 2 of whom are living; her blood type is Ab0. B. The woman has been pregnant twice with 3 children (twins and another child), and all her children are living. C. The woman has been pregnant 3 times, has delivered 2 children, and has had no abortions. D. The woman has been pregnant 3 times, has 2 living children, and has had no spontaneous abortions. B. The woman has been pregnant twice with 3 children (twins and another child), and all her children are living. What problems are associated with smoking and the use of oral contraceptives? A. Increased risk for alcoholism and cirrhosis of the liver. B. Thrombophlebitis and pulmonary emboli. C. Infertility and weight gain. D. Urinary tract infections and skin cancer. 20 | P a g e B. Thrombophlebitis and pulmonary emboli. During the assessment of the spine, the patient would be asked to: A. Adduct and external. B. Supinate, evert, and retract. C. Extend, adduct, invert, and rotate. D. Flex, extend, abduct, and rotate. D. Flex, extend, abduct, and rotate. Pronation and supination of the hand and forearm are the result of the articulation of the: A. Scapula and clavicle. B. Radius, and ulna. C. Patella and condyle of fibula. D. Femur and acetabulum. B. Radius, and ulna. Anterior and posterior stability are provided to the knee joint by the: A. Medial and lateral menisci. B. Patellar tendon and ligament. C. Medial collateral ligament and quadriceps muscle. D. Anterior and posterior cruciate ligaments. D. Anterior and posterior cruciate ligaments. A 70-year-old woman has come for a health examination. Which of the following is a common age-related change in the curvature of the spinal column? A. Lordosis. B. Scoliosis. C. Kyphosis. D. Lateral scoliosis. C. Kyphosis. Examination of the shoulder includes 4 motions. These are: A. Forward flexion, internal rotation, abduction, and external rotation. B. Abduction, adduction, pronation, and supination. C. Circumduction, inversion, eversion, and rotation. D. Elevation, retraction, protraction, and circumduction. 21 | P a g e A. Forward flexion, internal rotation, abduction, and external rotation. The bulge sign is test for: A. Swelling in the suprapatellar pouch. B. Carpal tunnel syndrome. C. Heberden nodes. D. Olecranon bursa inflammation. A. Swelling in the suprapatellar pouch. The examiner measures a patient's legs for length discrepancy. Which is a normal finding? A. No difference in measurements. B. 0.5 cm difference. C. Within 1 cm of each other. D. 2 cm difference. C. Within 1 cm of each other. A 2-year-old child comes to the clinic for a health examination. A common finding for this age group is: A. Kyphosis. B. Lordosis. C. Scoliosis. D. No deviation is normal. B. Lordosis. A positive Phalen test and Tinel sign are found in a patient with: A. A torn meniscus. B. Hallux valgus. C. Carpal tunnel syndrome. D. Tennis elbow. C. Carpal tunnel syndrome. When assessing an infant, the examiner completes the Ortolani maneuver by: A. Lifting the newborn and noting a C-shaped curvature of the spine. B. Gently lifting and abducting the infant's flexed knees while palpating the greater trochanter with the fingers. C. Comparing the height of the tops of the knees when the knees are flexed up. D. Palpating the length of the clavicles. 22 | P a g e B. Gently lifting and abducting the infant's flexed knees while palpating the greater trochanter with the fingers. Hematopoiesis takes place in which of the following? A. Liver. B. Spleen. C. Kidneys. D. Bone marrow. D. Bone marrow. Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement in undesirable directions are known as: A. Bursa. B. Tendons. C. Cartilage. D. Ligaments. D. Ligaments. Select the sequence of techniques used during an examination of the abdomen. A. percussion, inspection, palpation, auscultation B. inspection, palpation, percussion, auscultation C. inspection, auscultation, percussion, palpation D. auscultation, inspection, palpation, percussion C. inspection, auscultation, percussion, palpation Which of the following can be noted through inspection of a patient's abdomen? A. Fluid waves and abdominal rigidity. B. Umbilical eversion and Murphy sign. C. Venous pattern, peristaltic waves, and abdominal contour. D. Peritoneal irritation, general tympany, and peristaltic waves. C. Venous pattern, peristaltic waves, and abdominal contour. 23 | P a g e Right upper quadrant tenderness may indicate pathology in the: A. Liver, pancreas, or ascending colon. B. Liver and stomach. C. Sigmoid colon, spleen, or rectum. D. Appendix or ileocecal valves. A. Liver, pancreas, or ascending colon. Hyperactive bowel sounds are: A. High-pitched. B. Rushing. C. Tinkling. D. All of the above. D. All of the above. The absence of bowel sounds is established after listening for: A. 1 full minute. B. 3 full minutes. C. 5 full minutes. D. None of the above. C. 5 full minutes. Auscultation of the abdomen may reveal bruits of the ___________ arteries. A. Aortic, renal, iliac, and femoral. B. Jugular, aortic, carotid, and femoral. C. Pulmonic, aortic, and portal. D. Renal, iliac, internal jugular, and basilic. A. Aortic, renal, iliac, and femoral. The left upper quadrant (LUQ) contains the: A. Liver. B. Appendix. C. Left ovary. D. Spleen. D. Spleen. 24 | P a g e Auscultating the abdomen is begun in the right lower quadrant (RLQ) because: A. Bowel sounds are always normally present here. B. Peristalsis through the descending colon is usually active. C. This is the location of the pyloric sphincter. D. Vascular sounds are best heard in this area. A. Bowel sounds are always normally present here. Shifting dullness is a test for: A. Ascites. B. Splenic enlargement. C. Inflammation of the kidney. D. Hepatomegaly. A. Ascites. Tenderness during abdominal palpation is expected when palpating the: A. Lived edge. B. Spleen. C. Sigmoid colon. D. Kidneys. C. Sigmoid colon. A woman has striae on the abdomen. Which color indicates long-standing striae? A. Pink. B. Blue. C. Purple-blue. D. Silvery white. D. Silvery white. A positive Murphy sign is best described as: A. The pain felt when the examiner's hand is rapidly removed from an inflamed appendix. B. Pain felt when taking a deep breath when the examiner's fingers are on the approximate location of the inflamed gallbladder. C. A sharp pain felt by the patient when one hand of the examiner is used to thump the other at the costovertebral angle. D. This is not a valid examination technique. B. Pain felt when taking a deep breath when the examiner's fingers are on the approximate location of the inflamed gallbladder. 25 | P a g e A positive Blumberg sign indicates: A. Possible aortic aneurysm. B. Presence of renal artery stenosis. C. Enlarged nodular liver. D. Peritoneal inflammation. D. Peritoneal inflammation. The examiner is going to inspect and palpate for a hernia. During this examination, the man is instructed to: A. Hold his breath during palpation. B. Cough after the examiner has gently inserted the examination finger into the rectum. C. Bear down when the examiner's finger is at the inguinal canal. D. Relax in a supine position while the examination finger is inserted into the canal. C. Bear down when the examiner's finger is at the inguinal canal. During examination of the scrotum, a normal finding would be that: A. The left testicle is firmer to palpation than the right. B. The left testicle is larger than the right. C. The left testicle hangs lower than the right. D. The left testicle is more tender to palpation than the right. C. The left testicle hangs lower than the right. H.T. has come to the clinic for a follow-up visit. Six months ago, he was started on a new medication that may cause erectile dysfunction as a side effect; therefore medication classes explored by the nurse are: A. Antipyretics. B. Bronchodilators. C. Corticosteroids. D. Antihypertensives. D. Antihypertensives. Prostatic hypertrophy occurs frequently in older men. The symptoms that may indicate this problem are: A. Polyuria and urgency. B. Dysuria and oliguria. 26 | P a g e C. Straining, loss of force, and sense of residual urine. D. Foul-smelling urine and dysuria. C. Straining, loss of force, and sense of residual urine. A 74-year-old man has come for health examination. A normal age-related change in the scrotum would be: A. Testicular atrophy. B. Testicular hypertrophy. C. Pendulous scrotum. D. Increase in scrotal rugae. D. Increase in scrotal rugae. During palpation of the testes, the normal finding would be: A. Firm to hard and rough. B. Nodular. C. 2 to 3 cm long X 2 cm wide and firm. D. Firm, rubbery, and smooth. D. Firm, rubbery, and smooth. A 20-year-old man has indicated that he does not perform testicular self-examination. One of the facts that should be shared with him is the testicular cancer, although rare, does occur in men: A. Younger than 15 years. B. 15-34 years of age. C. 35-55 years of age. D. 55 years and older. B. 15-34 years of age. During the examination of a full-term male newborn, a finding requiring investigation would be: A. An absent testes. B. A meatus centered at the tip of the penis. C. A wrinkled scrotum. D. A penis 2 to 3 cm in length. A. An absent testes. During transillumination of a scrotum, you note a nontender mass that transilluminates with a red glow. This finding is suggestive of: A. Scrotal hernia. 27 | P a g e B. Scrotal edema. C. Orchitis. D. Hydrocele. D. Hydrocele. Which of the following would be a normal sensitivity to pressure for the testes? A. Somewhat. B. Not at all. C. Left more sensitive than right. D. Only when inflammation is present. A. Somewhat. The congenital displacement of the urethral meatus to the inferior surface of the penis is: A. Hypospadias. B. Epispadias. C. Hypoesthesia. D. Hypophysis. A. Hypospadias. An adhesion of the prepuce to the head of the penis, making it impossible to retract, is: A. Paraphimosis. B. Phimosis. C. Smegma. D. Dyschezia. B. Phimosis. You are assessing an adolescent boy. The first physical sign of puberty is: A. Height spurt. B. Penis lengthening. C. Sperm production. D. Pubic har development. E. Testes enlargement. E. Testes enlargement. An older man asks if he is able to father children. In the aging male, when does infertility occur? A. At age 60, with the sudden decline in sperm production. B. At approximately age 55 to 60. when testosterone levels are lower. 28 | P a g e C. When the male is no longer able to achieve an erection. D. There is no specific age; men may be fertile into their 80s and 90s. D. There is no specific age; men may be fertile into their 80s and 90s. A patient has soft, moist, fleshly, painless papules around the anus. The examiner suspects this condition is: A. HSV-2. B. HPV. C. Gonorrhea. D. Peyronie disease. B. HPV. The gastrocolic reflex is: A. A peristaltic wave. B. The passage of meconium in the newborn. C. Another term for borborygmi. D. Reverse peristalsis. A. A peristaltic wave. Which population has the highest incidence of benign prostatic hypertrophy (BPH)? A. European Americans. B. African Americans. C. Hispanics. D. Asians. B. African Americans. Select the best description of the anal canal. A. 12-cm-long portion of the large intestine. B. Involuntary control of the parasympathetic nervous system. C. 3.8-cm-long outlet of the gastrointestinal tract. D. S-shaped portion of the colon. C. 3.8-cm-long outlet of the gastrointestinal tract. Foods that may be beneficial to reduce the risk for colon cancer include: A. Foods high in fiber. B. Foods low in fat. C. Foods high in protein. D. Foods high in carbohydrates. 29 | P a g e A. Foods high in fiber. Flexion: Bending a limb at a joint. Extention: Straightening a limb at a joint. Abduction: Moving a limb away from the midline of the body. Adduction: Moving a limb toward the midline of the body. Pronation: Turning the forearm so that the palm is down. Supination: Turning the forearm so that the palm is up. Circumduction: Moving the arm in a circle around the shoulder. Inversion: Moving the sole of the foot inward at the ankle. Eversion: Moving the sole of the foot outward at the ankle. Rotation: Moving the head around a central axis. Protraction: Moving the body part forward and parallel to the ground. Retraction: 30 | P a g e Moving a body part backward and parallel to the ground. Elevation: Raising a body part. Depression: Lowering a body part 31 | P a g e