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3Ps Exam - Qs And As - 100% Correct

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3Ps Exam - Qs And As - 100% Correct

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  • January 4, 2024
  • 132
  • 2023/2024
  • Exam (elaborations)
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3Ps Exam - Qs And As - 100% Correct

Recommend a method or test to help assess a patient's cerebellar function.
✔️Ans - Finger-nose-finger testing

Choose an accurate statement regarding deep tendon reflexes and their
location of assessment. ✔️Ans - Achilles reflex corresponds to L2-S2.

Brachioradialis reflex corresponds to C5-C6.

Determine a finding that would be abnormal in a motor assessment. ✔️Ans -
Presence of tremor

Muscle weakness

Propose an accurate statement regarding the sensory assessment. ✔️Ans -
Tactile discrimination of fine touch assesses the sensory cortex.

Decide what should be considered in assessing a patient's appearance and
behavior. ✔️Ans - Level of consciousness

Determine the accurate description regarding the strength of reflex. ✔️Ans -
Hypoactive or diminished response is classified as 1+.

Very brisk, hyperactive response is classified as 4+.

Determine a step or technique in the assessment of the trigeminal nerve.
✔️Ans - Assess muscles of mastication.

Ask the patient to identify the location of the light touch sensation on the
forehead while eyes are closed.

Recommend an appropriate examination method to assess spinal accessory
nerve function. ✔️Ans - Ask the patient to shrug shoulders against
resistance.

Ask the patient to rotate the head forcibly against resistance.

,Determine an important item to assess while testing a patient's language and
comprehension. ✔️Ans - Expressive or receptive aphasia

Language coherency

All of the following are components of the classic ophthalmological emergency
except __________. ✔️Ans - purulent eye discharge

Mrs. Murphy is a 58-year-old woman presenting with a sudden left-sided
headache that is most painful in her left eye. Her vision is blurred, and her left
pupil is slightly dilated and poorly reactive. The left conjunctiva is markedly
injected, and the eyeball is firm. Vision screen with the Snellen chart is 20/30
OD and 20/90 OS.
When caring for Mrs. Murphy, the most appropriate next action is __________.
✔️Ans - prompt referral to an ophthalmologist

Recommend an appropriate question to ask when assessing a patient's mood
and affect. ✔️Ans - How are you?

Propose an accurate statement regarding the mental status examination.
✔️Ans - A patient's overall appearance is part of the mental status
examination.

Determine an appropriate question to ask when assessing a patient's
perception. ✔️Ans - Do you feel as if you're being watched?

How do people treat you?

Choose an accurate description of expressive aphasia. ✔️Ans - Having
difficulty in expressing words

Describe the technique to assess facial nerve function. ✔️Ans - Ask the
patient to smile.

Instruct the patient to lift eyebrows.

Ask the patient to close eyelids tightly against your attempt to open them.

,What is a common vision problem in a person with untreated primary open-
angle glaucoma (POAG)? ✔️Ans - Peripheral vision loss

Propose a component of assessing the thought process of a patient. ✔️Ans -
Screening for suicidal thoughts

Which of the following is the most likely to be found on the funduscopic
examination of a patient with untreated POAG? ✔️Ans - Excessive cupping of
the optic disk

Propose an indicator that a headache can be the presenting symptom of a
serious illness and may require neuroimaging. ✔️Ans - Headache causing
confusion, dizziness, or lack of coordination

Headache causing awakening from sleep

Sudden or new-onset headache

A clinician is performing a middle ear assessment on a 15-year-old patient.
When examining the right tympanic membrane, the clinician sees the
presence of dense white patches. The tympanic membrane is otherwise
unremarkable. It is pearly, with the light reflex at 5 o'clock and landmarks
visible. Propose a statement that reflects this finding. ✔️Ans - This is known
as tympanosclerosis.

This is associated with calcification of the tympanic membrane.

There are scars caused from frequent ear infection.

This is associated with calcification of the tympanic membrane.

A clinician is testing the hearing of a 78-year-old man. Establish which of the
following is important to keep in mind in terms of changes in hearing that
occur with aging. ✔️Ans - The aging person may find it harder to hear
consonants than vowels.

Sounds may be garbled and difficult to localize.

The tympanic membrane thickens with age.

, The progression is slow.

Propose a way to examine a patient who presents to your office with vertigo.
✔️Ans - Ask the patient to close his or her eyes and march in place for 30
seconds.

Perform the Romberg test.

Check for nystagmus.

An 83-year-old male is in the clinic for a checkup. Determine a question that
should be considered before the clinician begins screening for a hearing
deficit. ✔️Ans - Is the evaluation for perceived hearing problems related to
the hearing loss?

Has there been exposure to ototoxic agents?

The clinician is assessing a patient who may have hearing loss. Determine the
statement concerning air conduction. ✔️Ans - It is the normal pathway for
hearing.

The Rinne test is used to determine normal conduction.

When hearing conduction is impaired, air conduction is less than bone
conduction on the affected side.

A clinician is performing an oral assessment. Determine which of the
following findings would cause the greatest concern. ✔️Ans - Ulceration on
the side of the tongue

Unexplained bleeding from the tongue

Rolled edges on the side of the tongue

When examining the ear with an otoscope, the clinician notes that the
tympanic membrane should appear __________. ✔️Ans - mobile with air
inflation

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