MN 552 Advanced Health Assessment Midterm Exam Latest Update 2023 -2024 190+ Questions and Verified Correct Answers Guaranteed A+ ^ increased tactile fremitis - Correct Answer: excess fluid or air can collect in pleural space. ^ JVP indicates - Correct Answer: right sided heart failure A grey ring around a 80 y. o pt's iris is most likely - Correct Answer: arcus senilus -
common with old age A NEW patient is defined as - Correct Answer: has not received any professional service from provider or another provider (same specialty) in same practice w/in last 3 years A pediatric pt with croup will most likely have this finding on lung auscultation - Correct Answer: stridor A routine health care examination should be performed every 1 -__ years before age 50 and every year thereafter. - Correct Answer: 1-3 yrs a tumor is what kind of lesion - Correct Answer: nodule of > 2cm • eg: lipoma, hemangioma - benign or malignant a wart is a - Correct Answer: papule ABCDE approach - Correct Answer: Assess risk, anti -platelet, anticoagulants Blood Pressure Cholesterol and cigarette smoking cessation Diet and weight management, DM prevention and treatment Exercise ABCDE of malignant melanoma (clinical warning signs) - Correct Answer: Asymmetry in shape - 1/2 unlike other • Border irregular - scalloped • Color is mottled - many shades • Diameter is large > 6 mm (size of pencil eraser) • Elevation is usual - tangential lighting • Enlargement, Evolving - h/o increased size, most important • Feeling - presence of sensation itching, tenderness, or pain ABI test - Correct Answer: compares BP in upper and lower limbs. Calculated by dividing BP in artery of ankle by BP in artery of arm. abnormal symmetrical expansion is most likely caused by - Correct Answer: pneumonia because of uneven consolidation of infiltrates, ex. LLL pneumonia air isn't effectively moving into sick lobe on one side. Actinic Keratosis - Correct Answer: -precursor for Squamous Cell Carcinoma -common pre -cancer; it affects more than 58 million Americans. -Flat to slightly raised, scaly, crusty, rough, sometimes with a raised horn shape or bump 2. Red, tan, pink, skin -colored, brown or silvery. 3. Dimensions vary from a tiny spot to as much as an inch in diameter 4. UV exposed areas including the face, lips , ears, scalp, shoulders, neck, back of the hands and forearms. Actinic cheilitis is a variant of AK that arises on the lower lip. An established patient is defined as - Correct Answer: has received services from provider or another in group w/in last 3 years Annular dermatophyte - Correct Answer: ring shaped Tinea corporis is a superficial dermatophyte infection annular rash - Correct Answer: ring shaped appocrine glands - Correct Answer: a sweat gland that secretes a viscous, milky fluid into a hair follicle (as in the armpit or groin), is lined with a single layer of usually columnar cells with eosinophilic cytoplasm, and typically does not become active until puberty when bacteria interacts with=body odor auspitz sign, psoriasis - Correct Answer: Removal of scale =dot of blood - basal cell carcinoma - Correct Answer: Most common type of skin cancer, malignant, slow growing but can be invasive & destructive Open sore that oozes & crusts, goes away & returns, area of irritation, shiny bump or nodule, pink growth, scar like area Beau's lines - Correct Answer: indentations that run across the nails. ... Conditions associated with Beau's lines include uncontrolled diabetes and peripheral vascular disease, as well as illnesses associated with a high fever, such as scarlet fever, measles, mumps and pneumonia. Beau' s lines can also be a sign of zinc deficiency. breast cancer signs - Correct Answer: single, firm, non -tender lump=suspicious asymmetric breasts are NOT a risk factor Bruising Stages - Correct Answer: • 0-5 days red, blue, purple, tender • 5-10 days greenish yellow • > 10 days brown • 2-4 weeks healed BSG guidelines for colonoscopies - Correct Answer: lower risk -5 yrs intermediate risk -3 yrs high risk -every yr bulla vs pustulles - Correct Answer: bulla -no pus pustulles -pus causes of jaundice - Correct Answer: yellow - r/t rising bilirubin as in hepatitis, cirrhosis, sickle cell CHADS score helps predict what - Correct Answer: high how the risk is for the patient is anticoagulation is NOT used. Treatment with Coumadin reduces the risk of stroke in atrial fibrillation by about 2/3 (66%), and treatment CHADS2 score - Correct Answer: risk of stroke in patients with non -rheumatic atrial fibrillation (AF), since AF can cause stasis of blood in the upper heart chambers, leading to the formation of a mural thrombus that can dislodge into the blood flow, reach the brain, cut off supply to t he brain, and cause a stroke. CHF=1 HTN >140/90=1 Age >75=1 Diabetes=1 Stroke (2 pts)=2 0 = aspirin/or nothing 1 = aspirin or warfarin >2 = warfarin cherry angioma - Correct Answer: a small, round, bright red blood vessel tumor on the skin, often on the trunk of the elderly/adults -non signifigant chlondyloma - Correct Answer: anal warts classes of angina - Correct Answer: class 1 -CP with strenuous activity class 2 -mild limitation -walking up hills, rapidly walking up stairs class 3 -CP with low levels of activity like one flight of stairs class 4 -angina at rest or with any level of exercise closed and open commedomes - Correct Answer: acne
