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[Show more]A 15-year-old high school freshman is brought to the clinic by his mother because of chronic diarrhea. 
The mother states that for the past couple of years her son has had diarrhea after many meals. The 
patient states that the diarrhea seems the absolute worst after his school lunches. He describes...
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Add to cartA 15-year-old high school freshman is brought to the clinic by his mother because of chronic diarrhea. 
The mother states that for the past couple of years her son has had diarrhea after many meals. The 
patient states that the diarrhea seems the absolute worst after his school lunches. He describes...
A 19-year-old childcare worker comes to you for her first prenatal visit. She cannot remember when her 
last period was but thinks it was between 2 and 5 months ago. When she began gaining weight and 
feeling "something" moving down there, she did a home pregnancy test and it was 
positive. She st...
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Add to cartA 19-year-old childcare worker comes to you for her first prenatal visit. She cannot remember when her 
last period was but thinks it was between 2 and 5 months ago. When she began gaining weight and 
feeling "something" moving down there, she did a home pregnancy test and it was 
positive. She st...
A protuberant abdomen that is tympanic throughout suggests what? - intestinal obstruction 
After screening, what should be done in the follow up of possible abdominal arotic aneurism? - 
Palpation followed by ultrasound decreases mortality, especially in male smokers >65 years old. 
Ascites can o...
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Add to cartA protuberant abdomen that is tympanic throughout suggests what? - intestinal obstruction 
After screening, what should be done in the follow up of possible abdominal arotic aneurism? - 
Palpation followed by ultrasound decreases mortality, especially in male smokers >65 years old. 
Ascites can o...
A 23‐year‐old physician assistant (PA) student found that she felt nervous when called upon to examine 
men in her age group. On one occasion, she encountered a young male patient who appeared 
embarrassed to see her walk into the room. What should the PA do to minimize their mutual 
discomfort?...
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Add to cartA 23‐year‐old physician assistant (PA) student found that she felt nervous when called upon to examine 
men in her age group. On one occasion, she encountered a young male patient who appeared 
embarrassed to see her walk into the room. What should the PA do to minimize their mutual 
discomfort?...
A brief early to middiastolic impulse represents a palpable? - S3 
A difference between these levels constitutes a paradoxical pulse? - >= 10mm Hg to 12 mm Hg 
a large pericardial effusion may make the apical impulse? - Undetectable 
A medium pitched, grade 2/4, blowing decrescendo diastolic murm...
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Add to cartA brief early to middiastolic impulse represents a palpable? - S3 
A difference between these levels constitutes a paradoxical pulse? - >= 10mm Hg to 12 mm Hg 
a large pericardial effusion may make the apical impulse? - Undetectable 
A medium pitched, grade 2/4, blowing decrescendo diastolic murm...
"Match test"? - Not sure about the name of this test. Assesses the pulmonary system of the px. 
Ask px to hold a match at arms length and blow it out. 
slide 54 
"Walk test" - 1. assesses the pulmonary function 
2. ask the px to walk 8 feet at patients pace, repeat and note a faster time 
3. nor...
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Add to cart"Match test"? - Not sure about the name of this test. Assesses the pulmonary system of the px. 
Ask px to hold a match at arms length and blow it out. 
slide 54 
"Walk test" - 1. assesses the pulmonary function 
2. ask the px to walk 8 feet at patients pace, repeat and note a faster time 
3. nor...
American Cancer Society recomends testicular self-examinations for___________ - ages of 15 and 
34, monthly 
Disseminated gonorrhea may present as? - Rash, tenosynovitis, monoarticular arthritis, even 
meningitis 
Erection from venous engorgement of the corpora cavernosa 
results from two types of s...
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Add to cartAmerican Cancer Society recomends testicular self-examinations for___________ - ages of 15 and 
34, monthly 
Disseminated gonorrhea may present as? - Rash, tenosynovitis, monoarticular arthritis, even 
meningitis 
Erection from venous engorgement of the corpora cavernosa 
results from two types of s...
1. maximize patient comfort 
2. maintain patient safety 
3. avoid unnecessary changes in position 
4. enhance clinical accuracy and efficiency - 4 goals to organize and examination 
2x2 gauze pads - used during tongue examination 
auscultation - Use of the diaphragm and bell of the stethoscope to de...
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Add to cart1. maximize patient comfort 
2. maintain patient safety 
3. avoid unnecessary changes in position 
4. enhance clinical accuracy and efficiency - 4 goals to organize and examination 
2x2 gauze pads - used during tongue examination 
auscultation - Use of the diaphragm and bell of the stethoscope to de...
_________________ is often the first sensation to be lost in a peripheral neuropathy and increases the 
likelihood of peripheral neuropathy 16-fold - Vibration sense 
"Worst headache of my life" is a common presentation for - Subarachnoid Hemorrhage 
2 positions for biceps reflex, 2 positions for ...
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Add to cart_________________ is often the first sensation to be lost in a peripheral neuropathy and increases the 
likelihood of peripheral neuropathy 16-fold - Vibration sense 
"Worst headache of my life" is a common presentation for - Subarachnoid Hemorrhage 
2 positions for biceps reflex, 2 positions for ...
7 components of the adult health history? - 1) Identifying Data and Source of the History 
2) Chief Complaint 
3) Present Illness 
4) Past History 
5) Family History 
6) Personal and Social History 
7) Review of Systems 
Is it okay to ask about culture and family in the personal and social history? ...
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Add to cart7 components of the adult health history? - 1) Identifying Data and Source of the History 
2) Chief Complaint 
3) Present Illness 
4) Past History 
5) Family History 
6) Personal and Social History 
7) Review of Systems 
Is it okay to ask about culture and family in the personal and social history? ...
(General Survey) General appearance elements - 1. Apparent state of health 
2. Level of consciousness 
3. Signs of distress 
4. Skin color and obvious lesions 
5. Dress, grooming, personal hygiene 
6. Facial expression 
7. Odors 
8. Posture, gait, motor activity 
9. Height and weight 
Aspects of Hea...
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Add to cart(General Survey) General appearance elements - 1. Apparent state of health 
2. Level of consciousness 
3. Signs of distress 
4. Skin color and obvious lesions 
5. Dress, grooming, personal hygiene 
6. Facial expression 
7. Odors 
8. Posture, gait, motor activity 
9. Height and weight 
Aspects of Hea...
2 components of conjuctiva - Bulbar conjuctiva (covers the anterior eyeball) Palpebral conjuctiva 
(lines the eyelids) 
20/30, what does this mean? - First number indicates the distance of the patient from the chart. 
The second indicates the distance at which a normal eye can read the line of lette...
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Add to cart2 components of conjuctiva - Bulbar conjuctiva (covers the anterior eyeball) Palpebral conjuctiva 
(lines the eyelids) 
20/30, what does this mean? - First number indicates the distance of the patient from the chart. 
The second indicates the distance at which a normal eye can read the line of lette...
32. Which of the following is true of a grade 4-intensity murmur? 
A) It is moderately loud. 
B) It can be heard with the stethoscope off the chest. 
C) It can be heard with the stethoscope partially off the chest. 
D) It is associated with a "thrill." - D) It is associated with a "thrill." 
The...
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Add to cart32. Which of the following is true of a grade 4-intensity murmur? 
A) It is moderately loud. 
B) It can be heard with the stethoscope off the chest. 
C) It can be heard with the stethoscope partially off the chest. 
D) It is associated with a "thrill." - D) It is associated with a "thrill." 
The...
4 cardinal features of inflammation - swelling, warmth, redness, pain 
Anterior and posterior drawer test - Anterior drawer = + ACL (less sensitive/specific compared 
with Lachmans) 
+ posterior drawer test = 
Posterior cruciate ligament, 
Medial collateral ligament, or 
Posterior oblique ligament d...
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Add to cart4 cardinal features of inflammation - swelling, warmth, redness, pain 
Anterior and posterior drawer test - Anterior drawer = + ACL (less sensitive/specific compared 
with Lachmans) 
+ posterior drawer test = 
Posterior cruciate ligament, 
Medial collateral ligament, or 
Posterior oblique ligament d...
1. You are performing a thorough cardiac examination. Which of the following chambers of the heart can 
you assess by palpation? 
A) Left atrium 
B) Right atrium 
C) Right ventricle 
D) Sinus node - C) Right ventricle 
10. You are palpating the apical impulse in a patient with heart disease and find...
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Add to cart1. You are performing a thorough cardiac examination. Which of the following chambers of the heart can 
you assess by palpation? 
A) Left atrium 
B) Right atrium 
C) Right ventricle 
D) Sinus node - C) Right ventricle 
10. You are palpating the apical impulse in a patient with heart disease and find...
1. When performing a genitourinary assessment, you note that the urethral meatus is positioned 
ventrally. This is most likely to be: 
(A) A stricture 
(B) Hypospadius 
(C) The result of a circumcision 
(D) Related to the aging process - (B) Hypospadius 
Hypospadius is a congenital displacement of t...
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Add to cart1. When performing a genitourinary assessment, you note that the urethral meatus is positioned 
ventrally. This is most likely to be: 
(A) A stricture 
(B) Hypospadius 
(C) The result of a circumcision 
(D) Related to the aging process - (B) Hypospadius 
Hypospadius is a congenital displacement of t...
1. A 15-year-old high school sophomore and her mother come to your clinic because the mother is 
concerned about her daughter's weight. You measure her daughter's height and weight and obtain a BMI 
of 19.5 kg/m2 
. Based on this information, which of the following is appropriate? 
A) Refer the pa...
Preview 4 out of 45 pages
Add to cart1. A 15-year-old high school sophomore and her mother come to your clinic because the mother is 
concerned about her daughter's weight. You measure her daughter's height and weight and obtain a BMI 
of 19.5 kg/m2 
. Based on this information, which of the following is appropriate? 
A) Refer the pa...
"Worst headache of my life"? - Subarachnoid hemorhage or meningitis 
A 13 year old patient comes to the clinic with complaints of a fever, and sore throat. Upon examination 
the NP notes exudate, lymph swelling, and fever, without cough. According to CENTORs criteria, what 
score would be given to...
Preview 3 out of 26 pages
Add to cart"Worst headache of my life"? - Subarachnoid hemorhage or meningitis 
A 13 year old patient comes to the clinic with complaints of a fever, and sore throat. Upon examination 
the NP notes exudate, lymph swelling, and fever, without cough. According to CENTORs criteria, what 
score would be given to...
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