NR 509 MIDTERM EXAM /NR509
ADVANCED PHYSICAL ASSESSMENT
MIDTERM EXAM NEWEST ACTUAL
EXAM COMPLETE ALL 100 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
1. A 65-year-old overweight male presents at the clinic
with hoarseness which has lasted for around 2 months. He
thinks it began along with a cold. He is not feeling badly
other than frequent heartburn, and he has continued to
work as a bartender (for the past 30 years), but he is
having difficulty being heard and understood because of
his hoarse voice. A diagnosis that is on the differential list
includes which of the following?
a. Voice strain from bartending and talking amidst loud
ambient noise
b. Viral infection
c. Acid reflux
d. Inhalation of fumes
e. Environmental allergies Correct Answer c. Acid reflux
A 39-year-old architect comes to the clinic for a 2-day
history of fever, chills, cough productive of green sputum,
and dyspnea. He has no history of serious illness. His
temperature is 101.2oF. His other vital signs are within
,normal limits. Late inspiratory crackles are heard on
auscultation over the left lower lung posteriorly. When the
clinician listens over that area and instructs the patient to
say "ee," it sounds like "A." Which of the following would
most likely be found on percussion of his lungs?
a. Flatness
b. Hyperresonance
c. Stridor
d. Tympany
e. Dullness Correct Answer e. Dullness
A 17-year-old woman presents with her parents to her
primary care provider. She desires to utilize a tanning
facility ahead of an upcoming event. Her parents have
heard that this is a dangerous practice, although the
tanning facility insists it is safe without risk of skin cancer
in the future after tanning. Which of the following is true
regarding ultraviolet (UV) light exposure and subsequent
risk of skin cancer?
a. Chronic sun exposure confers greater risk for skin
cancer than intermittent intensive exposure.
b. Tanning beds and sunlamps do not increase risks of
skin cancer as they utilize UV wavelengths that are not
carcinogenic.
c. Water-resistant sunscreens confer no advantage over
water-soluble products.
d. Targeted messaging and practitioner reinforcement in
primary care amplify sun-protective behaviors.
,e. Sunscreen with a sun protective factor (SPF) of 15
blocks ~50% of UV-B light. Correct Answer d. Targeted
messaging and practitioner reinforcement in primary care
amplify sun-protective behaviors.
A 52-year-old male presents for an annual examination.
He discloses on review of family history that his father has
died of skin cancer since his last visit. He personally has
had two actinic keratoses frozen and has further lesions
that require evaluation today. He is very concerned about
his personal and family history and would like to know
more about the potential for skin cancer to spread and
become a dangerous condition. Which of the following
skin lesions is the least likely to metastasize?
a. Squamous cell carcinoma (SCC)
b. Actinic keratosis
c. Melanoma
d. Seborrheic keratosis
e. Basal cell carcinoma (BCC) Correct Answer d.
Seborrheic keratosis
A 62-year-old manual laborer presents to an annual
physical examination with concerns about skin cancer
screening. He does not have any lesions of concern but
was recently told by a friend that he should have his skin
checked by a doctor yearly. What is the best advice for
this patient according to the U.S. Preventive Services
Task Force (USPSTF) recommendations on skin cancer
screening from 2015?
, a. The USPSTF recommends that all individual age >50
years be screened yearly for skin cancer regardless of risk
factors.
b. The USPSTF recommendations mirror those of the
American Cancer Society (ACS) and American Academy
of Dermatologists (AAD) in recommending and annual
skin cancer screening for patients age >50 years.
c. The USPSTF recommends skin cancer screening only
in sun-exposed areas of fair-skinned individuals every 6
months.
d. The USPSTF recommends focused screening of
individuals with a history of dysplasti
e. The USPSTF recommends against routine screening
for skin cancer due to lack of evidence for this intervention
across the general population.
Correct Answer e. The USPSTF recommends against
routine screening for skin cancer due to lack of evidence
for this intervention across
the general population.
A 72-year-old retired woman presents to a primary care
provider for evaluation of a suspicious mole. She noticed
this lesion 3 weeks ago on her right flank in an area where
she had previously seen no abnormality. She is very
concerned about melanoma and asks if this could be a
possible diagnosis and also wonders if this should have
been noticed at her annual examination 7 months ago.
Concerning the initial recognition of melanoma, which of
the following is true?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TUTORWAC. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.99. You're not tied to anything after your purchase.
