Author Question: During an assessment of a 20-year-old man, the nurse finds a small palpable lesion with a tuft of ... (Read 20 times)

jhjkgdfhk · **on:** Jun 25, 2018

During an assessment of a 20-year-old man, the nurse finds a small palpable lesion with a tuft of hair located directly over the coccyx. The nurse knows that this lesion would most likely be a:

a. Rectal polyp.
b. Pruritus ani.
c. Carcinoma. d.
Pilonidal cyst.

Question 2

A 13-year-old girl is visiting the clinic for a sports physical examination. The nurse should remember to include which of these tests in the examination?

a. Testing for occult blood
b. Valsalva maneuver
c. Internal palpation of the anus
d. Inspection of the perianal area

yifu223 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
A pilonidal cyst or sinus is a hair-containing cyst or sinus located in the midline over the coccyx or lower sacrum. It often opens as a dimple with a visible tuft of hair and, possibly, an erythematous halo.

Answer to Question 2

ANS: D
The perianal region of the school-aged child and adolescent should be inspected during the examination of the genitalia. Internal palpation is not routinely performed at this age. Testing for occult blood and performing the Valsalva maneuver are also not necessary.