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Advanced Health Assessment - Quiz 2 exam with complete solutions 2024_2025
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Advanced Health Assessment - Quiz 2 exam with complete solutions 2024_2025
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Advanced Health Assessment - Quiz 2exam with complete solutions 2024/2025
During a routine physical exam of a 44 yo woman you note she has an inverted
left nipple. You decide to investigate because: - ANSWER-The inversion may be a
recent change
A 30 yo F is in the office c/o palpitations and some lightheadedness for the
past ?, random episodes, no detectable pattern. NP notes a mid systolic click
with a late systolic murmur heard best in the apical area. You suspect - ANSWER-
Mitral valve prolapse (MVP)
All of the following tests require the patient's voice to perform correctly except: -
ANSWER--egophony
-tactile fremitus
-whispered pectoriloquy
auscultation
59 yo M with history of COPD presents with worsening dyspnea. Patient is
afebrile, breath sounds are decreased bilaterally, noted to have JVD and pitting
edema of lower extremities. What is the most likely cause of his dyspnea? -
ANSWER-CHF
James Jones 55 yo M smoker presents with thick sputum producing cough.
Exam: +tactile fremitus, resonant percussion, and normal voice transmission.
You suspect: - ANSWER-bronchitis
, During the breast exam of a 30 year old nulliparous female. The NP palpates
several rubbery areas of the breast tissue. They are slightly tender to palpation
and present in both breasts. Expecting menses in 5 days. Which intervention is
best? - ANSWER-Tell her to recheck 1 week after her menses
All of the following symptoms associated with chest pain are likely to represent
CAD except? - ANSWER-pain with inspiration
60 yo landscaper presents to your office to establish care, history of CHF
controlled with medications. Denies cp, edema. Early diastolic ? with opening
snap ___. You suspect? - ANSWER-Mitral stenosis
A patient states that she has had a rash on her breast for about 2 weeks. In order
to determine if it is paget's disease you would expect to have all of the following
on physical exam EXCEPT - ANSWER-inverted nipple
You notice a medium-pitched harsh systolic murmur during a routine exam or R
upper border of the sternum. Which of the following is most likely? - ANSWER-
Aortic stenosis
Which of the following statements in NOT typical of the murmur it is describing? -
ANSWER-Grade II/Grade VI murmur is associated with a thrill?
A 58 yo dentist presents for routine check up. He has been healthy. Non smoker,
does not drink alcohol. You hear a moderately loud murmur, no palpable thrill.
What is the appropriate grade for this murmur? - ANSWER-Grade 3
57 yo college professor is hospitalized for SOB. As you examine her in ER, JVP of
45 degrees 8 cm above the clavicle. finding is most consistent with which of the
following diagnoses? - ANSWER-Right sided heart failure
What technique should be used to best auscultate the 2nd heart sounds? -
ANSWER-Diaphragm of the stethoscope at 2nd intercostal space at the base of
the heart
You hear a split s2 on auscultation of a 25 yo client. What is your best action? -
ANSWER-Tell them to hold their breath and repeat
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