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health assessment exam 1 practice questions questions with completed & verified solutions 2024.
health assessment exam 1 practice questions questions with completed & verified solutions 2024.
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health assessment exam 1 practicequestions
1. All of the following parameters are vital signs EXCEPT: A Pulse
B Respiratory rate
C Blood pressure
D Abdominal girth - ANS D Abdominal girth
2. A 55-year-old woman with a known history of moderately severe congestive heart failure
presents to the emergency room for evaluation of progressive shortness of breath. She ran out
of her medications 1 week ago. Upon general survey of this patient, who is in acute congestive
heart failure, you would expect to see her:
(A) Sitting up
(B) Supine
(C) Laying on her left side
(D) Standing - ANS (A) Sitting up
3. A 66-year-old man with a known history of chronic obstructive pulmonary disease (COPD)
presents to the clinic for evaluation of progressive shortness of breath. He had an upper
respiratory infection 2 weeks ago, and the symptoms have gotten worse. On physical
examination, you find that he is having an acute exacerbation of his COPD. On general survey
of this patient, you would expect to se
(A) Sitting up and leaning forward with arms braced
(B) Supine with arms comfortably at his side
(C) Laying on his left side
(D) Standing - ANS (A) Sitting up and leaning forward with arms braced
4. A 35-year-old accountant presents to your clinic for a routine checkup. He has no complaints.
He has hypertension, but his blood pressure is normal with medication. He has a normal
physical examination. His temperature is 102 ° F. What is the most likely explanation for his
elevated temperature?
(A) He is septic.
(B) He drank a cup of hot coffee just before having his temperature taken.
(C) He has cancer.
(D) He has hypothyroidism. - ANS (B) He drank a cup of hot coffee just before having his
temperature taken.
5. All of the following areas of the body are used to obtain a temperature reading EXCEPT the:
(A) Mouth
(B) Rectum
(C) Ear
,(D) Umbilicus - ANS (D) Umbilicus
Long limbs in proportion to the trunk - ANS Marfan's syndrome
Bickley, Lynn S.; Prabhu, Fiona R. (2012-09-17). Case Studies to Accompany Bates' Guide to
Physical Examination and History Taking (Kindle Location 258). Lippincot (Wolters Kluwer
Health). Kindle Edition.
Generalized fat - ANS Obesity
Very short stature - ANS Turner's Syndrome
Truncal fat - ANS Cushing Syndrome
Exaggerated Stare - ANS Hyperthyroidism
Masked Facies - ANS Parkinson's Disease
1. A 62-year-old school principal with a history of chronic obstructive pulmonary disease
(COPD) presents to the emergency room for evaluation of shortness of breath. You note that his
lips, oral mucosa, and tongue are blue. You diagnose a COPD exacerbation. The discoloration
of his lips, oral mucosa, and tongue is referred to as:
(A) Central cyanosis
(B) Peripheral cyanosis
(C) Jaundice
(D) Carotenemia - ANS (A) Central cyanosis
2. A 30-year-old janitor presents to your clinic for evaluation of increasing weight. He drinks a
fifth of vodka daily. He has used intravenous drugs in the past but is now "clean." His sclerae
and skin have a yellowish tinge. He has a large abdominal girth. You diagnose him with liver
dysfunction. What is the discoloration of his skin called? (A) Central cyanosis
(B) Peripheral cyanosis
(C) Jaundice
(D) Carotenemia - ANS (C) Jaundice
3. A 72-year-old retired secretary is brought to the clinic by her daughter. The daughter is
concerned because her mother seems to be more confused; she has gained more weight, but
her appetite has decreased, and she seems to be more "swollen" in general. You obtain blood
tests and diagnose her with profound hypothyroidism. On examination of the skin, you would
expect it to feel:
(A) Cool
(B) Hot
(C) Warm
(D) Dry - ANS A. Cool
, 4. A 42-year-old receptionist presents to your office for evaluation of multiple moles (nevi). She
used to sunbathe a lot when she was younger and went to tanning salons regularly until 2 years
ago. You are educating her about melanoma. When evaluating a mole, all of the following
characteristics are important to note EXCEPT:
(A) Asymmetry
(B) Irregular borders
(C) Color variation
(D) Diameter smaller than 6 mm
(E) Elevation - ANS (D) Diameter smaller than 6 mm
A 52-year-old office worker presents to your office for evaluation of a bump on his face. It
appeared 1 month ago and is growing. He denies fever, chills, or itching. Physical examination
reveals a 0.4-cm nodule with a depressed center and a firm, elevated border that is
flesh-colored. Based on this information, what is your most likely diagnosis?
(A) Basal cell carcinoma
(B) Squamous cell carcinoma
(C) Melanoma
(D) Actinic keratosis - ANS (A) Basal cell carcinoma
Circumscribed superficial elevation up to 0.5 cm in diameter; filled with serous fluid - ANS
Vesicle
Small spot - ANS macule
Initially translucent nodule; spreads; leaves a depressed center with a firm elevated border -
ANS Basal cell carcinoma
Palpable elevated mass up to 0.5 cm in diameter; solid - ANS Papule
Fiery red; central body surrounded by erythema and radiating legs - ANS Spider Angioma
May develop in conjunction with an actinic keratosis; firm, red - ANS Squamous cell carcinoma
1. A 25-year-old pregnant woman (G1, P0) at 12 weeks' gestation presents to your office for
routine prenatal care. When you ask her about how she is feeling, she states that she has been
unable to keep down food and that food tastes "funny" to her. You look at her vital signs; she
has lost 5 pounds since her previous visit. The fetal heart tones are normal, and the rest of her
examination is unremarkable. What step should you take next with this patient?
(A) You reassure her that pregnancy-related nausea usually lasts only for the first trimester and
that most likely her nausea and appetite will improve soon.
(B) You are concerned about a peptic ulcer and want to start her on medication.
(C) You are concerned about hyperthyroidism and obtain a thyroid-stimulating hormone (TSH)
level.
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