Advanced Health Assessment Midterm
Review of Quiz Questions
1. A 12-year-old affords to the health center with his father for assessment of a painful lump
within the left eye. It began this morning. He denies any trauma or injury. There is no
visible disturbance. Upon bodily exam, there may be a purple raised vicinity on the
margin of the eyelid that is soft to palpation; no tearing takes place with palpation of the
lesion. Based in this description, what's the most possibly diagnosis?
2.
3.
4. Dacryocystitis
5.
6.
7. Chalazion
8.
9. Hordeolum
10.
11.
12. Xanthelasma - ANS-Hordeolum
13. A 19-year-old university scholar, Todd, is delivered in your sanatorium by means of his
mother. She is involved that there's something severely wrong with him. She states for
the beyond 6 months his conduct has turn out to be ordinary and he has flunked out of
university. Todd denies any recent illness or accidents. His beyond clinical records is
remarkable simplest for a broken foot. His mother and father are each healthy. He has a
paternal uncle who had similar signs in university. The patient admits to smoking
cigarettes and consuming alcohol. He also admits to marijuana use but none in the final
week. He denies the usage of every other materials. He denies any emotions of
melancholy or anxiety. While speakme with Todd and his mom you do a complete
physical exam, which is basically regular. When you query him on how he is feeling, he
says that he could be very worried that Microsoft has stolen his software for developing a
higher browser. He tells you he has se - ANS-Schizophrenia
14. A 19-yr-vintage construction employee provides for evaluation of a rash. He notes that it
commenced on his again with a multitude of spots and is likewise on his fingers, chest,
and neck. It itches lots. He does sweat greater than before due to the fact being outside
is a part of his activity. On physical exam, you word dark tan patches with a reddish solid
that has sharp borders and best scales, scattered extra prominently around the top lower
back, chest, neck, and top arms in addition to under the hands. Based in this description,
what is your most probably analysis?
15.
,16.
17. Tinea versicolor
18.
19.
20. Pityriasis rosea
21.
22.
23. Psoriasis
24.
25.
26. Atopic eczema - ANS-Tinea versicolor
27. A 21-year-antique college senior offers on your health center, complaining of shortness
of breath and a nonproductive nocturnal cough. She states she used to sense this way
with excessive exercise some years ago and used to ought to use some kind of inhaler
20 minutes earlier than workout. She denies every other upper respiratory signs, chest
ache, gastrointestinal signs and symptoms, or urinary tract signs. Her past scientific
records is good sized simplest for seasonal allergic reactions, for which she takes a
nasal steroid spray however is otherwise on no other medications. She has had no
surgical procedures. Her mother has allergic reactions and eczema and her father has
high blood pressure. She is an best toddler. She denies smoking and illegal drug use but
liquids three to 4 alcoholic beverages consistent with weekend. She is a junior in finance
at a nearby university and he or she has currently started out a job as a bartender in
town. On exam she is in no acute distress and her tempera - ANS-Asthma
28. A 25-12 months-antique optical technician comes to your medical institution for
evaluation of fatigue. As a part of your bodily examination, you concentrate to her
coronary heart and listen a murmur most effective on the cardiac apex. Which valve is
most in all likelihood to be involved, based on the area of the murmur?
29.
30.
31. Mitral
32.
33.
34. Tricuspid
35.
36.
37. Aortic
38.
39.
40. Pulmonic - ANS-Mitral
41. A 27-year-old policewoman comes in your clinic, complaining of extreme left-sided
returned pain radiating down into her groin. It commenced in the middle of the night and
woke her up unexpectedly. It hurts in her bladder to urinate however she has no burning
on the outdoor. She has had no frequency or urgency with urination but she has visible
blood in her urine. She has had nausea with the ache however no vomiting or fever. She
, denies some other latest contamination or accidents. Her past medical records is
unremarkable. She denies tobacco or drug use and liquids alcohol rarely. Her mother
has high blood strain and her father is healthful. On examination she seems her stated
age and is in apparent ache. She is lying on her left aspect seeking to remain very still.
Her cardiac, pulmonary, and belly examinations are unremarkable. She has tenderness
just not so good as the left costovertebral angle. Her urine being pregnant take a look at
is bad and her urine anal - ANS-ureteral ache from a stone
42. A 28-year-old affected person involves the office for evaluation of a rash. At first there
has been only one large patch, but then more lesions erupted suddenly on the back and
torso; the lesions itch. On physical examination, you note that the pattern of eruption is
sort of a Christmas tree and that there are a ramification of erythematous papules and
macules at the cleavage lines of the again. Based in this description, what's the
maximum likely diagnosis?
43.
44.
45. Tinea versicolor
46.
47.
48. Pityriasis rosea
49.
50.
51. Psoriasis
52.
53.
54. Atopic eczema - ANS-Pityriasis rosea
55. A 29-year-old bodily therapist presents for evaluation of an eyelid trouble. On statement,
the proper eyeball appears to be protruding ahead. Based in this description, what's the
maximum in all likelihood diagnosis?
56.
57.
58. Ptosis
59.
60.
61. Ectropion
62.
63.
64. Epicanthus
65.
66.
67. Exophthalmos - ANS-Exophthalmos
68. A 32-12 months-antique white woman comes to your medical institution, complaining of
overwhelming unhappiness. She says for the beyond 2 months she has had crying
episodes, issue sound asleep, and problems with overeating. She says she used to go
out with her pals from work but now she just wants to cross home and be with the aid of
, herself. She additionally thinks that her paintings productiveness has been losing
because she just is too tired to care or concentrate. She denies any emotions of guilt or
any suicidal ideation. She states that she has by no means felt this way in the beyond.
She denies any current contamination or injuries. Her past medical records consists of
an appendectomy when she was a teen; otherwise, she has been healthful. She is
unmarried and works as a clerk in a clinical office. She denies tobacco, alcohol, or illegal
drug use. Her mom has excessive blood stress and her father has had a history of
mental contamination. On exam you notice a girl appearing her st - ANS-Major
depressive episode
69. A 38-yr-vintage accountant comes on your health center for assessment of a headache.
The throbbing sensation is located in the right temporal location and is an eight on a
scale of one to ten. It started out a few hours ago, and he or she has mentioned nausea
with sensitivity to light; she has had headaches like this inside the beyond, usually less
than one in keeping with week, however now not as extreme. She does no longer
recognise of any inciting elements. There has been no trade within the frequency of her
headaches. She generally takes an over the counter analgesic and this results in
resolution of the headache. Based on this description, what's the most in all likelihood
analysis of the kind of headache?
70.
71.
72. Tension
73.
74.
75. Cluster
76.
77.
78. Migraine
79.
80.
81. Analgesic rebound - ANS-Migraine
82. A 52-12 months-vintage secretary comes to your workplace, complaining approximately
accidentally leaking urine when she coughs or sneezes. She says this has been
occurring for about a yr now. She relates that she has no longer had a duration for 2
years. She denies any latest illness or accidents. Her beyond medical history is sizable
for four spontaneous vaginal deliveries. She is married and has 4 children. She denies
alcohol, tobacco, or drug use. During her pelvic exam you word some atrophic vaginal
tissue, however the remainder of her pelvic, belly, and rectal examinations are
unremarkable.
83.
84. Which type of urinary incontinence does she have?
85.
86.
87. Strain
88.
