ADVANCED HEALTH ASSESSMENT
EXAM 2 QUESTIONS WITH COMPLETE
SOLUTIONS
Whendexaminingdthedabdomen,dwhatdisdthedfirstdexaminationdtechniquedused?d-dInspection
Heeldjardcausesdabdominaldpaindwhichdindicateddperitonealdirritationd-dMarkle'sdSign
Palpationdneardgallbladderdhaltsdinspirationdanddindicatesdpossibledcholecystitisd-
dMurphey'sdSign
PalpationdindLLQdcausesdRLQdpaindwhichdcoulddindicatedappendicitisd-dRoving'sdSign
Ecchymosisdindflankdwhichdcoulddindicatedhemoperitoneumd-dGreydTurnerdSign
Abdominaldpaindradiatingdtodleftdshoulderdwhichdcoulddindicatedrenaldcalculi,dsplenicdruptur
e,dordectopicdpregnancyd-dKehr'sdSign
PalpationdofdMcBurney'sdpointdcausesdpaindindthedchest/
heartdordstomachdanddcoulddindicatedappendicitisd-dAaron'sdSign
Thedmostdpronounceddfunctionaldchangedofdthedgastrointestinaldtractdindolderdadultsdis:d-
dDecreaseddmotility
Percussiondofdthedabdomendbeginsdwithdestablishingd-
dOverallddullnessdanddtympanydindalldquadrants
YoudaredcompletingdadgeneraldphysicaldexaminationdondMr.dRock,dad39-year-
olddmandwithdcomplaintsdofdconstipation.dWhendexaminingdadpatientdwithdtensedabdominald
musculature,dadhelpfuldtechniquedisdtodhavedthedpatient:d-dFlexdhisdordherdknees
Whichdofdthedfollowingdisdthedmostdusefuldadjunctdtodthedhistorydofdpresentdillnessdwhendass
essingdthedquantitydandddegreedofdadpatient'sdabdominaldpain?d-
dAppetitedanddrecalldofdlastdmeal
Mrs.dJamesdisd7dmonthsdpregnantdanddstatesdthatdshedhasddevelopeddadproblemdwithdcons
tipation.dShedeatsdadwell-
, balancedddietdanddisdusuallydregular.dYoudshoulddexplaindthatdconstipationdisdcommondduri
ngdpregnancydbecausedofdchangesdindthedcolorectaldareas,dsuchdas:d-
dDecreaseddmovementdthroughdthedcolondanddincreaseddwaterdabsorptiondfromdthedstool
Whendassessingdabdominaldpaindindadcollege-agedwoman,donedmustdincluded-
dThedfirstddaydofdthedlastdmenstrualdperiod
Percussingdatdthedrightdmidclaviculardline,dbelowdthedumbilicus,danddcontinuingdupwarddisdt
hedcorrectdtechniquedfordlocatingdthed-dLowerdliverdborder
Thedfamilydhistorydofdadpatientdwithddiarrheadanddabdominaldpaindshoulddincludedinquirydab
outdcysticdfibrosisdbecauseditd-dIsdonedcausedofdmalabsorptiondsyndrome
Youdaredconductingdadpreparticipationdphysicaldexaminationdfordad10-year-
olddgirldwithdDowndsyndromedwhodwilldbedplayingdsoccer.d****deepdtendondreflexes,dankledc
lonus,danddadpositivedBabinskidsign.dWhatdwoulddbedyourdnextdcoursedofdaction?d-
dImmediatedreferraldtodadneurosurgeon
TodassessdspinaldlevelsdL2,dL3,danddL4,dwhichddeepdtendondreflexdshoulddbedtested?d-
dPatellar
Thedparasympatheticdnervousdsystemdmaintainsdthedday-to-daydfunctiondofd-dDigestion
AsdMr.dBdentersdthedroom,dyoudobservedthatdhisdgaitdisdwidedbaseddanddhedstaggersdfromdsi
dedtodsidedwhiledswayingdhisdtrunk.dYoudwouldddocumentdMr.dB'sdpatterndasd-
dCerebellardataxia
Thedfinger-to-nosedtestdallowsdassessmentdofd-dCoordinationdanddfinedmotordfunction
Thedpatientdwhodisddeliriousdusuallydmaintainsdorientationdtod-dPerson
Thedawarenessdofdbodydpositiondisd-dProprioception
Whendisdthedmentaldstatusdportiondofdthedneurologicdsystemdexaminationdperformed?d-
dContinually,dthroughoutdthedentiredinteractiondwithdthedpatient
CranialdnervedXIIdmaydbedassesseddindandinfantdbyd-
dObservingdthedinfantdsuckdanddswallow
Whichdofdthedfollowingdisdadconcern,dratherdthandandexpecteddfinding,dindolderdadultsd-
dBilateraldpilldrollingdofdthedfingers
Thedareadofdbodydsurfacedinnervateddbydadparticulardspinaldnervedisdcalleddad-dDermatome
Thedgoalsdofdpreparticipationdsportsdevaluationd(PPE)dincluded-
dIdentifydhealthdproblemsdthatdincreasedriskdofdinjurydorddeathdduringdparticipation
EXAM 2 QUESTIONS WITH COMPLETE
SOLUTIONS
Whendexaminingdthedabdomen,dwhatdisdthedfirstdexaminationdtechniquedused?d-dInspection
Heeldjardcausesdabdominaldpaindwhichdindicateddperitonealdirritationd-dMarkle'sdSign
Palpationdneardgallbladderdhaltsdinspirationdanddindicatesdpossibledcholecystitisd-
dMurphey'sdSign
PalpationdindLLQdcausesdRLQdpaindwhichdcoulddindicatedappendicitisd-dRoving'sdSign
Ecchymosisdindflankdwhichdcoulddindicatedhemoperitoneumd-dGreydTurnerdSign
Abdominaldpaindradiatingdtodleftdshoulderdwhichdcoulddindicatedrenaldcalculi,dsplenicdruptur
e,dordectopicdpregnancyd-dKehr'sdSign
PalpationdofdMcBurney'sdpointdcausesdpaindindthedchest/
heartdordstomachdanddcoulddindicatedappendicitisd-dAaron'sdSign
Thedmostdpronounceddfunctionaldchangedofdthedgastrointestinaldtractdindolderdadultsdis:d-
dDecreaseddmotility
Percussiondofdthedabdomendbeginsdwithdestablishingd-
dOverallddullnessdanddtympanydindalldquadrants
YoudaredcompletingdadgeneraldphysicaldexaminationdondMr.dRock,dad39-year-
olddmandwithdcomplaintsdofdconstipation.dWhendexaminingdadpatientdwithdtensedabdominald
musculature,dadhelpfuldtechniquedisdtodhavedthedpatient:d-dFlexdhisdordherdknees
Whichdofdthedfollowingdisdthedmostdusefuldadjunctdtodthedhistorydofdpresentdillnessdwhendass
essingdthedquantitydandddegreedofdadpatient'sdabdominaldpain?d-
dAppetitedanddrecalldofdlastdmeal
Mrs.dJamesdisd7dmonthsdpregnantdanddstatesdthatdshedhasddevelopeddadproblemdwithdcons
tipation.dShedeatsdadwell-
, balancedddietdanddisdusuallydregular.dYoudshoulddexplaindthatdconstipationdisdcommondduri
ngdpregnancydbecausedofdchangesdindthedcolorectaldareas,dsuchdas:d-
dDecreaseddmovementdthroughdthedcolondanddincreaseddwaterdabsorptiondfromdthedstool
Whendassessingdabdominaldpaindindadcollege-agedwoman,donedmustdincluded-
dThedfirstddaydofdthedlastdmenstrualdperiod
Percussingdatdthedrightdmidclaviculardline,dbelowdthedumbilicus,danddcontinuingdupwarddisdt
hedcorrectdtechniquedfordlocatingdthed-dLowerdliverdborder
Thedfamilydhistorydofdadpatientdwithddiarrheadanddabdominaldpaindshoulddincludedinquirydab
outdcysticdfibrosisdbecauseditd-dIsdonedcausedofdmalabsorptiondsyndrome
Youdaredconductingdadpreparticipationdphysicaldexaminationdfordad10-year-
olddgirldwithdDowndsyndromedwhodwilldbedplayingdsoccer.d****deepdtendondreflexes,dankledc
lonus,danddadpositivedBabinskidsign.dWhatdwoulddbedyourdnextdcoursedofdaction?d-
dImmediatedreferraldtodadneurosurgeon
TodassessdspinaldlevelsdL2,dL3,danddL4,dwhichddeepdtendondreflexdshoulddbedtested?d-
dPatellar
Thedparasympatheticdnervousdsystemdmaintainsdthedday-to-daydfunctiondofd-dDigestion
AsdMr.dBdentersdthedroom,dyoudobservedthatdhisdgaitdisdwidedbaseddanddhedstaggersdfromdsi
dedtodsidedwhiledswayingdhisdtrunk.dYoudwouldddocumentdMr.dB'sdpatterndasd-
dCerebellardataxia
Thedfinger-to-nosedtestdallowsdassessmentdofd-dCoordinationdanddfinedmotordfunction
Thedpatientdwhodisddeliriousdusuallydmaintainsdorientationdtod-dPerson
Thedawarenessdofdbodydpositiondisd-dProprioception
Whendisdthedmentaldstatusdportiondofdthedneurologicdsystemdexaminationdperformed?d-
dContinually,dthroughoutdthedentiredinteractiondwithdthedpatient
CranialdnervedXIIdmaydbedassesseddindandinfantdbyd-
dObservingdthedinfantdsuckdanddswallow
Whichdofdthedfollowingdisdadconcern,dratherdthandandexpecteddfinding,dindolderdadultsd-
dBilateraldpilldrollingdofdthedfingers
Thedareadofdbodydsurfacedinnervateddbydadparticulardspinaldnervedisdcalleddad-dDermatome
Thedgoalsdofdpreparticipationdsportsdevaluationd(PPE)dincluded-
dIdentifydhealthdproblemsdthatdincreasedriskdofdinjurydorddeathdduringdparticipation
