NWHSU PDX Midterm Exam with
complete solutions
The iiface iilooks iimask-like iiand iithe iimusculature iiappears iihypertonic. iiWhat iiare iiyou
iithinking? ii- iiAnswers ii-Parkinson's iiDisease
Describe iithe iithree iidifferent iibody iitypes? ii- iiAnswers ii-Endomorph ii- iiHeavy iiset
Mesomorph ii- iiMuscular
Ectomorph ii- iiSkinny
Define iiendogenous iiobesity iiand iiwhat iimay iicause iiit? ii- iiAnswers ii-- iiIt iiis iiobesity
iicaused iiby iimetabolic iior iiendocrine iifactors
- iiMay iibe iicaused iiby iiCushing's iiSyndrome
Severe iiweight iiloss iifrom iidebilitating iidisease iiis iicalled? ii- iiAnswers ii-Cachexia
Sunken iior iidrooping iieyelids, iia iiwasting iitemporalis iimuscle iiare iisymptoms iiof? ii-
iiAnswers ii-Cachexia
Constipation, iiamenorrhea iiand iia iipreoccupation iiwith iifood iiare iiall iisigns iiof iiwhat
iidisorder? ii- iiAnswers ii-Anorexia iiNervosa
Truncal iiobesity, iiBuffalo iihump iiand iia iimoon iiface iiare iiindications iiof? ii- iiAnswers ii-
Cushing's iiDisease
Name iia iidisease iicaused iiby iito iimuch iicortisol? ii- iiAnswers ii-Cushing's iiDisease
A iiperson iiexhibiting iilarge iihands, iia iibig iijaw, iiand iiface iimay iibe iiafflicted iiwith? ii-
iiAnswers ii-Acromegaly
The iiloss iiof iithe iilateral ii1/3 iiof iithe iieyebrows iimay iiindicate? ii- iiAnswers ii-Hypothyroid
Puffy iifacies, iinon-pitting iiedema, iicrusty iiskin, iiand iithinning iihair iiindicate? ii- iiAnswers
ii-Hypothyroid
Upon iioral iiexamination, iia iikid iipresents iiwith iibilaterally iiswollen iiparotid iiglands.
iiWhat's iithe iideal? ii- iiAnswers ii-The iilittle iirascal iihas iithe iiMumps
An iiadult iihas iia iipituitary iitumor iithat iiis iicreating iitoo iimuch iiGH, iiwhat iimay iithis
iiindicate? ii- iiAnswers ii-Acromegaly
,The iipatient iipresents iiwith iimarked iiswelling iiaround iithe iieyes iiand iithey iilook iilike iislits
iiand iiprotein iiis iifound iiin iithe iiurine. iiWhat iicould iibe iithe iiproblem? ii- iiAnswers ii-
Nephrotic iiSyndrome
Define iiHalitosis ii- iiAnswers ii-Really iiBad iiBreath iicaused iiby iipoor iihygiene, iiinfection
iior iiGERD
Define iiFetid iiBreath ii- iiAnswers ii-Rotten iiBreath iiassociated iiwith iinecrotic iilung iitissue
Define iiFetor iiHepaticus ii- iiAnswers ii-Sweet iimusty iiodor iiassociated iiwith iisevere iiliver
iidisease
Define iithe iiodor iifrom iiKetones ii- iiAnswers ii-- iiSweet iismelling iibreath, iiFruity iiodor
ii(rotten iiapples) iiassociated iiwith iiketosis
- iiIndicates iipossible iiacidosis iior iidiabetes
Define iiAmmoniacal iiUrine ii- iiAnswers ii-- iiUrine iismells iilike iiammonia
- iiAssociated iiwith iiUrinary iitract iiinfection
What iiare iisome iireasons ii(other iithen iiincompetence iior iilaziness) iithat iiyou iimay iinot
iibe iiable iito iiget iia iiradial iipulse? ii- iiAnswers ii-- iiThrombosis iiinvolving iithe iisubclavian,
iiaxillary, iior iibrachial iiarteries
- iiA iicervical iirib
- iiScalenus iiAnticus iiSyndrome
How iiwill iiTachypnea iiaffect iia iiperson's iitemperature iireading? ii- iiAnswers ii-Make iiit
iiread iilow
What iiis iithe iinormal iirectal iitemp iiand iihow iidoes iiit iicompare iito iithe iioral iitemp? ii-
iiAnswers ii-- iiNormal ii- ii99.1 ii- ii99.6
- iiThe iirectal iitemp iiis ii.5 ii- ii1 iidegree iihigher ii(and iimay iibe iiused iiby iistressology
iipractitioners. iiGotta iistimulate iithose iimeningese)
Name iiseven iiplaces iithat iiyou iican iitake iia iipulse? ii- iiAnswers ii-- iiRadial
- iiBrachial
- iiCarotid
- iiFemoral
- iiPoplittial ii
- iiDorsalis iipedis
- iiPosterior iitibial
What iiis iithe iinormal iipulse iirate iiin iikids? ii- iiAnswers ii-90 ii- ii120 iibeats iiper iiminute
Through iisecretion iiof ii_________ ii(hormone) iihyperthyroidism iican iicause iitachycardia
ii- iiAnswers ii-Thyroxin
,Normal iirespirations ii- iiAnswers ii-12 ii-18
Obstructive iijaundice iican iihave iiwhat iiaffect iion iiheart iirate? ii- iiAnswers ii-Bradycardia
ii(abnormally iislow iiheart iiaction)
What iieffect iido iibeta-blockers iihave iion iiheart iirate? ii- iiAnswers ii-Slow iiheart iirate iiby
iiblocking iithe iisympathetics iito iithe iiheart
How iidoes iifever iieffect iipulse iiand iirespiration? ii- iiAnswers ii-Increases iiboth
Give iifour iicontributing iifactors iito iithe iivariability iiof iiblood iipressure? ii- iiAnswers ii-1.
iiPhysical iiconditioning
2. iiPulse iirate
3. iiAge
4. iiCardiac iiOutput
What iishould iibe iithe iirelation iiof iithe iilower iimargin iiof iithe iiBP iicuff iito iithe iianticubital
iifossa? ii- iiAnswers ii-The iicuff iishould iibe ii2-3cm iiabove iithe iifossa
Patients iiBP iifalls ii10 ii-20mm iiwhen iithey iistand. iiWhat's iiup? ii- iiAnswers ii-- iimay iihave
iiorthostatic iihypotension
- iimay iihave iilow iiblood iipressure
What iiis iian iieasy iiway iito iirule iiout iicoarctation iiof iithe iiaorta? ii- iiAnswers ii-- iiTake iia
iifemoral iior iipoplittial iiblood iipressure
Let's iisay iiyou iithink iithe iipatient iidoes iihave iicoartation iiof iithe iiaorta. iiSo iiyou iitake iia
iifemoral iiBP iiand iifind iithat iiit iiis iihigher. iiDoes iithis iifinding iigive iiyou iiconfidence iithat
iiyou iiare iiright? ii- iiAnswers ii-NO, iiFemoral iiBP iiis iisupposed iito iibe iihigher, iiif iithere iiis
iicoartation iithen iiit iiwill iibe iilower.
What iiproblem iiwould iiyou iithink iiof iiif iiyou iihad iia iisystolic iipressure iiof ii120 iibut iiyou
iiheard iia iimuffled iisound iiall iithe iiway iito ii0? ii- iiAnswers ii-No iiproblem. iiMark iithe
iidiastolic iiwhere iiyou iistart iito iihear iithe iimuffle
What iiare iiKorticoff iisounds iiand iiare iithey iibad? ii- iiAnswers ii-They iiare iisounds iicaused
iiby iiturbulent iiblood iiflow iiand iithey iiare iinormal
What iiinteresting iiblood iipressure iifinding iiis iiassociated iiwith iifolks iiwho iiexhibit iivenous
iistasis iiwhile iiyou iiare iitaking iitheir iiBP? ii- iiAnswers ii-They iihave iian iiauscultatory iigap
In iiorder iito iiprevent iian iiAusculatory iigap, iiwhat iitwo iithings iican iithe iipatient iido? ii-
iiAnswers ii-- iiHold iitheir iiarms iiabove iitheir iihead ii
- iiOpen iiand iiclose iifist
How iidoes iione iidetermine iipulse iipressure? ii- iiAnswers ii-- iiSystolic iiminus iiDiastolic
, What iiare ii4 iicauses iiof iilow iiBP? ii- iiAnswers ii-1. iiHemorrhage
2. iiAcute iiMI
3. iiAdrenal iiInsufficiency ii
4. iiDehydration
Name ii5 iicauses iiof iihigh iiBP? ii- iiAnswers ii-1. iiChronic iiglomerulonephritis
2. iiCoarctation iiof iiaorta
3. iiPheochromocytoma
4. iiPrimary iialdosteronism
5. iiRenal iiartery iistenosis
What iithings iimay iicause iithe iisystolic iipressure iito iibe iihigh iiand iithe iidiastolic iito iibe
iinormal? ii- iiAnswers ii-- iiHyperthyroidism
- iiAnemia
- iiAortic iiregurgitation ii
- iiArteriovenous iifistula
- iiArteriosclerosis
Besides iiaterosclerosis iiof iithe iilarge iivessels, iiname iisix iicauses iiof iiincreased iiPulse
iiPressure? ii- iiAnswers ii-- iiHyperthyroidism
- iiAnemia
- iiAortic iiregurgitation ii
- iiArteriovenous iifistula
- iiPhysical iiexertion
- iiFever
Pericardial iitamponade, iiaortic iistenosis, iior iiheart iifailure iimay iihave iiwhat iiaffect iion
iipulse iipressure? ii- iiAnswers ii-Decrease iiit
Major iimuscles iiof iimastication ii- iiAnswers ii-- iiTemporalis
- iiMasseter
- iiPterygoid
Patient iipresents iiwith iistabbing iipains iiof iilightning iiin iithe iiface iiand iihead. iiWhat's iiup?
ii- iiAnswers ii-Trigeminal iineuralgia
The iipatient iisays iithey iihave iia iihat iiband iiheadache. iiAnd iithe iiproblem iiis? ii- iiAnswers
ii-Tension iiheadache
A iiperson iihas iia iiheadache iidue iito iivessel iidilation iiin iithe iihead. iiWhat iikind iiof
iiheadache iido iithey iihave? ii- iiAnswers ii-Migraine
Name ii3 iicauses iiof iiheadaches iiyou iiget iiin iithe iimorning? ii- iiAnswers ii-1. iiTumor ii
2. iiSinusitis
3. iiHypertension
complete solutions
The iiface iilooks iimask-like iiand iithe iimusculature iiappears iihypertonic. iiWhat iiare iiyou
iithinking? ii- iiAnswers ii-Parkinson's iiDisease
Describe iithe iithree iidifferent iibody iitypes? ii- iiAnswers ii-Endomorph ii- iiHeavy iiset
Mesomorph ii- iiMuscular
Ectomorph ii- iiSkinny
Define iiendogenous iiobesity iiand iiwhat iimay iicause iiit? ii- iiAnswers ii-- iiIt iiis iiobesity
iicaused iiby iimetabolic iior iiendocrine iifactors
- iiMay iibe iicaused iiby iiCushing's iiSyndrome
Severe iiweight iiloss iifrom iidebilitating iidisease iiis iicalled? ii- iiAnswers ii-Cachexia
Sunken iior iidrooping iieyelids, iia iiwasting iitemporalis iimuscle iiare iisymptoms iiof? ii-
iiAnswers ii-Cachexia
Constipation, iiamenorrhea iiand iia iipreoccupation iiwith iifood iiare iiall iisigns iiof iiwhat
iidisorder? ii- iiAnswers ii-Anorexia iiNervosa
Truncal iiobesity, iiBuffalo iihump iiand iia iimoon iiface iiare iiindications iiof? ii- iiAnswers ii-
Cushing's iiDisease
Name iia iidisease iicaused iiby iito iimuch iicortisol? ii- iiAnswers ii-Cushing's iiDisease
A iiperson iiexhibiting iilarge iihands, iia iibig iijaw, iiand iiface iimay iibe iiafflicted iiwith? ii-
iiAnswers ii-Acromegaly
The iiloss iiof iithe iilateral ii1/3 iiof iithe iieyebrows iimay iiindicate? ii- iiAnswers ii-Hypothyroid
Puffy iifacies, iinon-pitting iiedema, iicrusty iiskin, iiand iithinning iihair iiindicate? ii- iiAnswers
ii-Hypothyroid
Upon iioral iiexamination, iia iikid iipresents iiwith iibilaterally iiswollen iiparotid iiglands.
iiWhat's iithe iideal? ii- iiAnswers ii-The iilittle iirascal iihas iithe iiMumps
An iiadult iihas iia iipituitary iitumor iithat iiis iicreating iitoo iimuch iiGH, iiwhat iimay iithis
iiindicate? ii- iiAnswers ii-Acromegaly
,The iipatient iipresents iiwith iimarked iiswelling iiaround iithe iieyes iiand iithey iilook iilike iislits
iiand iiprotein iiis iifound iiin iithe iiurine. iiWhat iicould iibe iithe iiproblem? ii- iiAnswers ii-
Nephrotic iiSyndrome
Define iiHalitosis ii- iiAnswers ii-Really iiBad iiBreath iicaused iiby iipoor iihygiene, iiinfection
iior iiGERD
Define iiFetid iiBreath ii- iiAnswers ii-Rotten iiBreath iiassociated iiwith iinecrotic iilung iitissue
Define iiFetor iiHepaticus ii- iiAnswers ii-Sweet iimusty iiodor iiassociated iiwith iisevere iiliver
iidisease
Define iithe iiodor iifrom iiKetones ii- iiAnswers ii-- iiSweet iismelling iibreath, iiFruity iiodor
ii(rotten iiapples) iiassociated iiwith iiketosis
- iiIndicates iipossible iiacidosis iior iidiabetes
Define iiAmmoniacal iiUrine ii- iiAnswers ii-- iiUrine iismells iilike iiammonia
- iiAssociated iiwith iiUrinary iitract iiinfection
What iiare iisome iireasons ii(other iithen iiincompetence iior iilaziness) iithat iiyou iimay iinot
iibe iiable iito iiget iia iiradial iipulse? ii- iiAnswers ii-- iiThrombosis iiinvolving iithe iisubclavian,
iiaxillary, iior iibrachial iiarteries
- iiA iicervical iirib
- iiScalenus iiAnticus iiSyndrome
How iiwill iiTachypnea iiaffect iia iiperson's iitemperature iireading? ii- iiAnswers ii-Make iiit
iiread iilow
What iiis iithe iinormal iirectal iitemp iiand iihow iidoes iiit iicompare iito iithe iioral iitemp? ii-
iiAnswers ii-- iiNormal ii- ii99.1 ii- ii99.6
- iiThe iirectal iitemp iiis ii.5 ii- ii1 iidegree iihigher ii(and iimay iibe iiused iiby iistressology
iipractitioners. iiGotta iistimulate iithose iimeningese)
Name iiseven iiplaces iithat iiyou iican iitake iia iipulse? ii- iiAnswers ii-- iiRadial
- iiBrachial
- iiCarotid
- iiFemoral
- iiPoplittial ii
- iiDorsalis iipedis
- iiPosterior iitibial
What iiis iithe iinormal iipulse iirate iiin iikids? ii- iiAnswers ii-90 ii- ii120 iibeats iiper iiminute
Through iisecretion iiof ii_________ ii(hormone) iihyperthyroidism iican iicause iitachycardia
ii- iiAnswers ii-Thyroxin
,Normal iirespirations ii- iiAnswers ii-12 ii-18
Obstructive iijaundice iican iihave iiwhat iiaffect iion iiheart iirate? ii- iiAnswers ii-Bradycardia
ii(abnormally iislow iiheart iiaction)
What iieffect iido iibeta-blockers iihave iion iiheart iirate? ii- iiAnswers ii-Slow iiheart iirate iiby
iiblocking iithe iisympathetics iito iithe iiheart
How iidoes iifever iieffect iipulse iiand iirespiration? ii- iiAnswers ii-Increases iiboth
Give iifour iicontributing iifactors iito iithe iivariability iiof iiblood iipressure? ii- iiAnswers ii-1.
iiPhysical iiconditioning
2. iiPulse iirate
3. iiAge
4. iiCardiac iiOutput
What iishould iibe iithe iirelation iiof iithe iilower iimargin iiof iithe iiBP iicuff iito iithe iianticubital
iifossa? ii- iiAnswers ii-The iicuff iishould iibe ii2-3cm iiabove iithe iifossa
Patients iiBP iifalls ii10 ii-20mm iiwhen iithey iistand. iiWhat's iiup? ii- iiAnswers ii-- iimay iihave
iiorthostatic iihypotension
- iimay iihave iilow iiblood iipressure
What iiis iian iieasy iiway iito iirule iiout iicoarctation iiof iithe iiaorta? ii- iiAnswers ii-- iiTake iia
iifemoral iior iipoplittial iiblood iipressure
Let's iisay iiyou iithink iithe iipatient iidoes iihave iicoartation iiof iithe iiaorta. iiSo iiyou iitake iia
iifemoral iiBP iiand iifind iithat iiit iiis iihigher. iiDoes iithis iifinding iigive iiyou iiconfidence iithat
iiyou iiare iiright? ii- iiAnswers ii-NO, iiFemoral iiBP iiis iisupposed iito iibe iihigher, iiif iithere iiis
iicoartation iithen iiit iiwill iibe iilower.
What iiproblem iiwould iiyou iithink iiof iiif iiyou iihad iia iisystolic iipressure iiof ii120 iibut iiyou
iiheard iia iimuffled iisound iiall iithe iiway iito ii0? ii- iiAnswers ii-No iiproblem. iiMark iithe
iidiastolic iiwhere iiyou iistart iito iihear iithe iimuffle
What iiare iiKorticoff iisounds iiand iiare iithey iibad? ii- iiAnswers ii-They iiare iisounds iicaused
iiby iiturbulent iiblood iiflow iiand iithey iiare iinormal
What iiinteresting iiblood iipressure iifinding iiis iiassociated iiwith iifolks iiwho iiexhibit iivenous
iistasis iiwhile iiyou iiare iitaking iitheir iiBP? ii- iiAnswers ii-They iihave iian iiauscultatory iigap
In iiorder iito iiprevent iian iiAusculatory iigap, iiwhat iitwo iithings iican iithe iipatient iido? ii-
iiAnswers ii-- iiHold iitheir iiarms iiabove iitheir iihead ii
- iiOpen iiand iiclose iifist
How iidoes iione iidetermine iipulse iipressure? ii- iiAnswers ii-- iiSystolic iiminus iiDiastolic
, What iiare ii4 iicauses iiof iilow iiBP? ii- iiAnswers ii-1. iiHemorrhage
2. iiAcute iiMI
3. iiAdrenal iiInsufficiency ii
4. iiDehydration
Name ii5 iicauses iiof iihigh iiBP? ii- iiAnswers ii-1. iiChronic iiglomerulonephritis
2. iiCoarctation iiof iiaorta
3. iiPheochromocytoma
4. iiPrimary iialdosteronism
5. iiRenal iiartery iistenosis
What iithings iimay iicause iithe iisystolic iipressure iito iibe iihigh iiand iithe iidiastolic iito iibe
iinormal? ii- iiAnswers ii-- iiHyperthyroidism
- iiAnemia
- iiAortic iiregurgitation ii
- iiArteriovenous iifistula
- iiArteriosclerosis
Besides iiaterosclerosis iiof iithe iilarge iivessels, iiname iisix iicauses iiof iiincreased iiPulse
iiPressure? ii- iiAnswers ii-- iiHyperthyroidism
- iiAnemia
- iiAortic iiregurgitation ii
- iiArteriovenous iifistula
- iiPhysical iiexertion
- iiFever
Pericardial iitamponade, iiaortic iistenosis, iior iiheart iifailure iimay iihave iiwhat iiaffect iion
iipulse iipressure? ii- iiAnswers ii-Decrease iiit
Major iimuscles iiof iimastication ii- iiAnswers ii-- iiTemporalis
- iiMasseter
- iiPterygoid
Patient iipresents iiwith iistabbing iipains iiof iilightning iiin iithe iiface iiand iihead. iiWhat's iiup?
ii- iiAnswers ii-Trigeminal iineuralgia
The iipatient iisays iithey iihave iia iihat iiband iiheadache. iiAnd iithe iiproblem iiis? ii- iiAnswers
ii-Tension iiheadache
A iiperson iihas iia iiheadache iidue iito iivessel iidilation iiin iithe iihead. iiWhat iikind iiof
iiheadache iido iithey iihave? ii- iiAnswers ii-Migraine
Name ii3 iicauses iiof iiheadaches iiyou iiget iiin iithe iimorning? ii- iiAnswers ii-1. iiTumor ii
2. iiSinusitis
3. iiHypertension
