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DOCC A Exam | Questions and 100% Correct Verified Answers
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DOCC A Exam | Questions and 100%Correct Verified Answers
A 5-year-old boy presents to your clinic for a well-child visit. He is healthy and his height and
weight are appropriate for his age. Which of the following cardiac findings would be
concerning?
a diastolic murmur
You evaluate a patient with a known heart murmur. When you palpate the left fifth
intercostal space, you feel a thrill under your fingertips. When you auscultate the same area,
a holosystolic murmur with radiation to the axilla is readily appreciated. You cannot hear
the murmur when you partially auscultate, or when you listen without your stethoscope.
The grading of this murmur would best be described as:
grade 4
What is the best way to evaluate a patient with diagnosed mitral stenosis?
With the patient lying down, have the patient roll onto his left side (L lateral decubitus) and
listen with your bell at the left 5th intercostal space at the mid-clavicular line.
Which term for abnormal uterine bleeding means "excessive flow"?
menorrhagia
When should cervical cancer screenings occur?
,annually between ages 21-29 years and every 3 years (Pap) or 5 years (Pap/HPV) between ages
30-65
You are a family practitioner, and the following patients visit your office concerned that
they are in menopause. What are the criteria for menopause?
>12 consecutive months without menses with possible hot flashes, vaginal dryness which are
also found in perimenopause
A 28-year-old female presents to your office with a positive urine pregnancy test. She has 2
living children who were both born at full term and has had one prior miscarriage at 10 weeks
gestation. What is the correct notation for her using gravida para notation?
G4P2012
A 32-year-old female presents to your office She is 30 weeks pregnant and has 2-year-old
twins who were born at 36 weeks. She has had a previous elective abortion at 7 weeks
gestation. What is the correct notation using the gravida para notation?
G3P0112
For women in the United States of reproductive age (15-44) who are sexually active,
on average, what is the chance of experiencing a pregnancy over the course of a year if
no method of contraception is used?
85%
What does the USPSTF and ACS recommend regarding breast self-exams?
Both ACS and USPSTF is against breast-self exams, but ACS encourages women to be aware of
how their breasts typically look.
Ms. Jones, an obese 35-year-old female, presents to your practice for an annual physical. She
does not manage any medical problems, but recent labs have shown that her blood sugar is in
the pre-diabetic range. You worry that she will become diabetic in the next few years if she
, does not begin making lifestyle modifications. What is the best way to bring up
your concerns?
"What are your thoughts about your health?", a neutral, open-ended question to gauge
her perspective on weight loss to start
According to MyPlate, what portion of the plate should fruits and vegetables covers?
half of the plate, 50%
In Tina Dugdale's talk about nutrition, she mentions the recommended minimum number of
servings of fruits and vegetables daily for an adult, which are:
2 cups of fruit, 2.5 cups of vegetables ~ 4.5-5 cups
A patient comes to your office interested in eating healthier. He is particularly concerned
about cardiovascular disease, which runs in his family. He knows that salmon is good for the
heart and is high in omega-3 but cannot afford it. From what other alternative source might
the patient obtain omega-3?
tuna
What is the general definition of empathy?
Empathizing with another individual involves losing awareness of the self and feeling what the
other person is feeling. It can be learned and is not innate.
A patient of yours was recently seen in the ED for severe lower back pain. He was discharged
with a prescription for ibuprofen and rest, but he says that the medication has been
ineffective, and he has been unable to sleep at night because of the back pain. He begins to
rant about how physicians never believe what their patients tell them. What response
would be consistent with reflection?
"You seem very angry right now," name the patient's emotion and reflect it back to them
to demonstrate understanding and direct addressing of the patient's behavior
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