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Health assessment exam 1 practice questions B Questions and Answers
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Health assessment exam 1 practice questions B
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Health assessment exam 1 practicequestions B
1. All of the following parameters are vital signs EXCEPT: A Pulse
B Respiratory rate
C Blood pressure
D Abdominal girth - answerD Abdominal girth
2. A 55-year-old woman with a known history of moderately severe congestive heart
failure presents to the emergency room for evaluation of progressive shortness of
breath. She ran out of her medications 1 week ago. Upon general survey of this patient,
who is in acute congestive heart failure, you would expect to see her:
(A) Sitting up
(B) Supine
(C) Laying on her left side
(D) Standing - answer(A) Sitting up
3. A 66-year-old man with a known history of chronic obstructive pulmonary disease
(COPD) presents to the clinic for evaluation of progressive shortness of breath. He had
an upper respiratory infection 2 weeks ago, and the symptoms have gotten worse. On
physical examination, you find that he is having an acute exacerbation of his COPD. On
general survey of this patient, you would expect to se
(A) Sitting up and leaning forward with arms braced
(B) Supine with arms comfortably at his side
(C) Laying on his left side
(D) Standing - answer(A) Sitting up and leaning forward with arms braced
4. A 35-year-old accountant presents to your clinic for a routine checkup. He has no
complaints. He has hypertension, but his blood pressure is normal with medication. He
has a normal physical examination. His temperature is 102 ° F. What is the most likely
explanation for his elevated temperature?
(A) He is septic.
(B) He drank a cup of hot coffee just before having his temperature taken.
(C) He has cancer.
(D) He has hypothyroidism. - answer(B) He drank a cup of hot coffee just before having
his temperature taken.
5. All of the following areas of the body are used to obtain a temperature reading
EXCEPT the:
(A) Mouth
,(B) Rectum
(C) Ear
(D) Umbilicus - answer(D) Umbilicus
Long limbs in proportion to the trunk - answerMarfan's syndrome
Bickley, Lynn S.; Prabhu, Fiona R. (2012-09-17). Case Studies to Accompany Bates'
Guide to Physical Examination and History Taking (Kindle Location 258). Lippincot
(Wolters Kluwer Health). Kindle Edition.
Generalized fat - answerObesity
Very short stature - answerTurner's Syndrome
Truncal fat - answerCushing Syndrome
Exaggerated Stare - answerHyperthyroidism
Masked Facies - answerParkinson's Disease
1. A 62-year-old school principal with a history of chronic obstructive pulmonary disease
(COPD) presents to the emergency room for evaluation of shortness of breath. You
note that his lips, oral mucosa, and tongue are blue. You diagnose a COPD
exacerbation. The discoloration of his lips, oral mucosa, and tongue is referred to as:
(A) Central cyanosis
(B) Peripheral cyanosis
(C) Jaundice
(D) Carotenemia - answer(A) Central cyanosis
2. A 30-year-old janitor presents to your clinic for evaluation of increasing weight. He
drinks a fifth of vodka daily. He has used intravenous drugs in the past but is now
"clean." His sclerae and skin have a yellowish tinge. He has a large abdominal girth.
You diagnose him with liver dysfunction. What is the discoloration of his skin called? (A)
Central cyanosis
(B) Peripheral cyanosis
(C) Jaundice
(D) Carotenemia - answer(C) Jaundice
3. A 72-year-old retired secretary is brought to the clinic by her daughter. The daughter
is concerned because her mother seems to be more confused; she has gained more
weight, but her appetite has decreased, and she seems to be more "swollen" in general.
You obtain blood tests and diagnose her with profound hypothyroidism. On examination
of the skin, you would expect it to feel:
(A) Cool
(B) Hot
(C) Warm
, (D) Dry - answerA. Cool
4. A 42-year-old receptionist presents to your office for evaluation of multiple moles
(nevi). She used to sunbathe a lot when she was younger and went to tanning salons
regularly until 2 years ago. You are educating her about melanoma. When evaluating a
mole, all of the following characteristics are important to note EXCEPT:
(A) Asymmetry
(B) Irregular borders
(C) Color variation
(D) Diameter smaller than 6 mm
(E) Elevation - answer(D) Diameter smaller than 6 mm
A 52-year-old office worker presents to your office for evaluation of a bump on his face.
It appeared 1 month ago and is growing. He denies fever, chills, or itching. Physical
examination reveals a 0.4-cm nodule with a depressed center and a firm, elevated
border that is flesh-colored. Based on this information, what is your most likely
diagnosis?
(A) Basal cell carcinoma
(B) Squamous cell carcinoma
(C) Melanoma
(D) Actinic keratosis - answer(A) Basal cell carcinoma
Circumscribed superficial elevation up to 0.5 cm in diameter; filled with serous fluid -
answerVesicle
Small spot - answermacule
Initially translucent nodule; spreads; leaves a depressed center with a firm elevated
border - answerBasal cell carcinoma
Palpable elevated mass up to 0.5 cm in diameter; solid - answerPapule
Fiery red; central body surrounded by erythema and radiating legs - answerSpider
Angioma
May develop in conjunction with an actinic keratosis; firm, red - answerSquamous cell
carcinoma
1. A 25-year-old pregnant woman (G1, P0) at 12 weeks' gestation presents to your
office for routine prenatal care. When you ask her about how she is feeling, she states
that she has been unable to keep down food and that food tastes "funny" to her. You
look at her vital signs; she has lost 5 pounds since her previous visit. The fetal heart
tones are normal, and the rest of her examination is unremarkable. What step should
you take next with this patient?
(A) You reassure her that pregnancy-related nausea usually lasts only for the first
trimester and that most likely her nausea and appetite will improve soon.
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