*NURSING > EXAM > Bates’ Guide to Physical Examination and History Taking, 12th Edition 2020/2021, Updated (All)

Bates’ Guide to Physical Examination and History Taking, 12th Edition 2020/2021, Updated

Document Content and Description Below

Bates’ Guide to Physical Examination and History Taking, 12th Edition 2020/2021, Updated Chapter 11: The Abdomen Multiple Choice 1. A 52-year-old secretary comes to your office, complaining abou ... t accidentally leaking urine when she coughs or sneezes. She says this has been going on for about a year now. She relates that she has not had a period for 2 years. She denies any recent illness or injuries. Her past medical history is significant for four spontaneous vaginal deliveries. She is married and has fourchildren. She denies alcohol, tobacco, or drug use. During her pelvic examination you note someatrophic vaginal tissue, but the remainder of her pelvic, abdominal, and rectal examinations are unremarkable. Which type of urinary incontinence does she have? A) Stress incontinence B) Urge incontinence C) Overflow incontinence Ans: A Chapter: 11 Feedback:Stress incontinence usually occurs when the intraabdominal pressure goes up during coughing, sneezing, or laughing. This is usually due to a weakness of the pelvic floor, with inadequate muscle support of the bladder. Vaginal deliveries and pelvic surgery are oftenassociated with these symptoms. Usually female patients are postmenopausal when stress incontinence begins. Kegel exercises are usually recommended to strengthen the pelvic floor muscles. 2. A 46-year-old former salesman presents to the ER, complaining of black stools for the past few weeks. His past medical history is significant for cirrhosis. He has gained weight recently, especially around his abdomen. He has smoked two packs of cigarettes a day for 30 years and has drunk approximately 10 alcoholic beverages a day for 25 years. He has used IV heroin and smoked crack in the past. He denies any recent use. He is currently unemployed and has never been married. On examination you find a man appearing older than his stated age. His skin has ayellowish tint and he is thin, with a prominent abdomen. You note multiple “spider angiomas” atthe base of his neck. Otherwise, his heart and lung examinations are n [Show More]

Last updated: 3 years ago

Preview 1 out of 29 pages

Buy Now

Instant download

We Accept: