Disorders in the kidneys and the ureters may cause pain in all of the following areas except the:- Skildor

Question 1 of 5

Disorders in the kidneys and the ureters may cause pain in all of the following areas except the:

A. Flank B. Abdomen C. Back D. Suprapubic

Correct Answer: D

Rationale: The correct answer is D: Suprapubic. Disorders in the kidneys and ureters typically cause pain in the flank, abdomen, and back due to the location of these organs. The kidneys are located in the flank region, so kidney issues may cause flank pain. Ureters run down towards the bladder, so issues in this area can cause pain in the abdomen and back. Suprapubic pain usually indicates issues with the bladder or lower urinary tract, not the kidneys or ureters. Therefore, suprapubic pain is not typically associated with disorders in the kidneys and ureters.

Question 2 of 5

What was the primary significance of the Crookes tube in the development of modern imaging technologies?

A. It demonstrated the principles of electromagnetic radiation B. It was the first device to produce X-rays C. It paved the way for the invention of the electron microscope D. It led to advancements in nuclear medicine

Correct Answer: B

Rationale: The correct answer is B: It was the first device to produce X-rays. The Crookes tube, invented by William Crookes, was crucial in the development of modern imaging technologies because it was the first device to produce X-rays. X-rays revolutionized medical diagnostics and imaging, leading to significant advancements in healthcare. Choices A, C, and D are incorrect because the primary significance of the Crookes tube was its role in producing X-rays, not demonstrating electromagnetic radiation principles, paving the way for the electron microscope, or advancements in nuclear medicine.

Question 3 of 5

Which of the following is true of the HPV vaccine?

A. Ideally it should be administered within 3 years of first intercourse. B. It covers against almost every HPV type. C. It can be used as adjuvant therapy in cervical cancer. D. It can protect against anogenital lesions.

Correct Answer: D

Rationale: The correct answer is D: It can protect against anogenital lesions. The HPV vaccine can protect against several types of HPV that are known to cause anogenital warts and lesions. This is based on scientific evidence from clinical trials. A: Ideally it should be administered within 3 years of first intercourse - This statement is not accurate. The HPV vaccine is recommended for both males and females between the ages of 9 and 26, regardless of sexual activity. B: It covers against almost every HPV type - This statement is incorrect. While the HPV vaccine covers the most common high-risk HPV types that cause cervical cancer, it does not cover against every HPV type. C: It can be used as adjuvant therapy in cervical cancer - This statement is incorrect. The HPV vaccine is primarily used as a preventive measure to reduce the risk of HPV infection and related health issues, not as a treatment for existing cervical cancer.

Question 4 of 5

You are interviewing an elderly woman in the ambulatory setting and trying to get more information about her urinary symptoms. Which of the following techniques is not a component of adaptive questioning?

A. Directed questioning: starting with the general and proceeding to the specific in a manner that does not make the patient give a yes/no answer B. Reassuring the patient that the urinary symptoms are benign and that she doesn't need to worry about it being a sign of cancer C. Offering the patient multiple choices in order to clarify the character of the urinary symptoms that she is experiencing D. Asking her to tell you exactly what she means when she states that she has a urinary tract infection

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Adaptive questioning involves tailoring the questioning style to the patient's responses and needs to gather more detailed information. 2. Reassuring the patient that the symptoms are benign and not related to cancer is not a component of adaptive questioning as it can lead to bias and may hinder the patient from providing accurate information. 3. Directed questioning (A) helps to gather specific information systematically, offering choices (C) helps clarify symptoms, and asking for specific details (D) aids in understanding the patient's experiences. 4. By reassuring the patient prematurely, you may miss important details or dismiss potential concerns that could be relevant to the patient's condition.

Question 5 of 5

A 22-year-old architecture major comes to your office, complaining of severe burning with urination, a fever of 101 degrees, and aching all over. She denies any upper respiratory, gastrointestinal, cardiac, or pulmonary symptoms. Her past medical history consists of severe acne. She is currently on an oral contraceptive. She has had no pregnancies or surgeries. She reports one new partner within the last month. She does not smoke but does drink occasionally. Her parents are both in good health. On examination you see a young woman appearing slightly ill. Her temperature is 3 and her pulse and blood pressure are unremarkable. Her head, ears, eyes, nose, throat, cardiac, pulmonary, and abdominal examinations are unremarkable. Palpation of the inguinal nodes shows lymphadenopathy bilaterally. On visualization of the perineum there are more than 10 shallow ulcers along each side of the vulva. Speculum and bimanual examination are unremarkable for findings, although she is very tender at the introitus. Urine analysis has some white blood cells but no red blood cells or bacteria. Her urine pregnancy test is negative. Which disorder of the vulva is most likely in this case?

A. Genital herpes B. Condylomata acuminata C. Syphilitic chancre D. Epidermoid cyst

Correct Answer: A

Rationale: The correct answer is A: Genital herpes. The patient's symptoms of severe burning with urination, fever, lymphadenopathy, and multiple shallow ulcers along the vulva are classic for genital herpes. The new sexual partner and absence of red blood cells or bacteria in the urine support a sexually transmitted infection. The presence of white blood cells in urine and absence of other systemic symptoms help differentiate it from other choices. Condylomata acuminata (choice B) present as warty lesions and do not cause the systemic symptoms described. Syphilitic chancre (choice C) would typically present as a single painless ulcer and is unlikely given the multiple shallow ulcers described. Epidermoid cyst (choice D) does not match the clinical presentation of fever, burning with urination, and lymphadenopathy.

Similar Questions

A 22-year-old architecture major comes to your office, complaining of severe burning with urination, a fever of 101 degrees, and aching all over. She denies any upper respiratory, gastrointestinal, cardiac, or pulmonary symptoms. Her past medical history consists of severe acne. She is currently on an oral contraceptive. She has had no pregnancies or surgeries. She reports one new partner within the last month. She does not smoke but does drink occasionally. Her parents are both in good health. On examination you see a young woman appearing slightly ill. Her temperature is 3 and her pulse and blood pressure are unremarkable. Her head, ears, eyes, nose, throat, cardiac, pulmonary, and abdominal examinations are unremarkable. Palpation of the inguinal nodes shows lymphadenopathy bilaterally. On visualization of the perineum there are more than 10 shallow ulcers along each side of the vulva. Speculum and bimanual examination are unremarkable for findings, although she is very tender at the introitus. Urine analysis has some white blood cells but no red blood cells or bacteria. Her urine pregnancy test is negative. Which disorder of the vulva is most likely in this case?

A grandmother brings her 13-year-old grandson to you for evaluation. She noticed last week when he took off his shirt that his breastbone seemed collapsed. He seems embarrassed and tells you that it has been that way for quite a while. He states he has no symptoms from it and he just tries not to take off his shirt in front of anyone. He denies any shortness of breath, chest pain, or lightheadedness on exertion. His past medical history is unremarkable. He is in sixth grade and just moved in with his grandmother after his father was deployed to the Middle East. His mother died several years ago in a car accident. He states that he does not smoke and has never touched alcohol. On examination you see a teenage boy appearing his stated age. On visual examination of his chest, you see that the lower portion of the sternum is depressed. Auscultation of the lungs and heart are unremarkable. What disorder of the thorax best describes your findings?

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jarvis physical examination and health assessment test bank

Skildor

ATI RN