NSG 6020 study guide general – Ace on you study.
10. Which of the following are examples of secondary prevention? (Choose all that apply)
A. Hard hats, needle-free devices, sharps containers.
B. Blood pressure screening at health fair.
C. Control of the spread of tuberculosis.
D. Dental seal...
NSG 6020 study guide general – Ace on you study.
10. Which of the following are examples of secondary prevention? (Choose all that apply)
A. Hard hats, needle-free devices, sharps containers.
B. Blood pressure screening at health fair.
C. Control of the spread of tuberculosis.
D. Dental sealants on children's teeth.
1. Mrs. Brody has brought his 16-year-old daughter, Mandy, for a school sports physical exam.
Mandy's height is 65 inches, and she weighs 126 lbs. Mrs. Brody is concerned that her daughter
is overweight. According to Mandy's BMI, what is your response?
A. Mandy is overweight and needs to take diet pills.
B. Reassure the mother that this is a normal body weight.
C. Refer the patient to a nutritionist and psychologist because the patient is anorexic.
D. Give the patient information about exercise and reduction of fat cholesterol in her diet
because she is overweight.
B - (126 X 700) / (65^2) = 20.9
Body Mass Index (BMI) = (Weight (lbs) x 700)/(height (inches)^2)
1. A sudden painless unilateral vision loss may be caused by which of the following
- Retinal detachment
2. A 73 year old nurse comes to your office for evaluation of new onset of tremors. She is not on
any medications and does not take herbs or supplements. She has no chronic medical
conditions. She does not smoke or drink alcohol. She walks into the examination room with slow
movements and shuffling steps. She has decreased facial mobility and a blunt expression
without any changes in hair distribution on her face. Based on this what is the most likely
diagnosis.
- Parkinsons
3. You are interviewing an elderly woman in the ambulatory setting and trying to get more
information about her urinary symptoms. Which of the following techniques is not a
component of adaptive questioning
- Reassuring the patient that the urinary symptoms are benign and that she doesn’t need to
worry about it being a sign of cancer.
4. A fifteen year old high school sophomore comes to the clinical for evaluation of a three week
history of sneezing itchy watery eyes clear nasal discharge ear pain and non productive cough.
Which is the most likely pathologic process?
,5. a light is pointed at a patients pupli, which contracts it is also noted that the other pupil
contracts as well, though it is not exposed to bright light. Which of the following terms describes
this latter phenomenon
- Consensual reaction.
6. Which of the following is used to screen for color blindness in a seven year old boy
- Ishihara test
7. You feel a small mass that you think is a lymph node. It is mobile in both up and down and
side by side direction. Which of the following is most likely
8. Lymph node
9. What is the best procedure for evaluating a corneal abrasion
10. Which of the following is a symptom involving the eye
- Scotomas
11. Most sensitive test to detect hearing loss ? is it whisper or tuning forks
12. HA that has lasted 5 days and he does work at a computer is it a cluster, migraine, tension
headache
13. A 55 year old bank teller comes to your office for persistent episodes of dizziness. The first
episode started suddenly and lasted 3-4 hours. He experienced a lot of nausea with vomiting.
The episode resolved spontaneously. He has had five episodes in the past 1 ½ weeks. He does
note some tinnitus that comes and goes. upon physical exam you note that he has a normal gait.
The weber localized to the right side and the air conduction is equal to the bone conduction in
the right ear. Nystagmus is present. Based on this description what is the most likely diagnosis
- Meniere’s disease
-
- A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular
skin check-up. She has just returned from her annual dig site in Greece. She has fair skin and
reddish-blonde hair. She has a family history of melanoma. She has many freckles scattered
across her skin. From this description, which of the following is not a risk factor for
melanoma in this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
- answer- A
- A 15-year-old high school sophomore and her mother come to your clinic because the
mother is concerned about her daughter's weight. You measure her daughter's height and
weight and obtain a BMI of 19.5 kg/m2. Based on this information, which of the following is
appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
, D) Give the patient information concerning reduction of fat and cholesterol in her diet
because she is obese.
- answer- B
- A 32-year-old attorney comes to your office for her second prenatal visit. She has had two
previous pregnancies with uneventful prenatal care and vaginal deliveries. Her only problem
was that with each pregnancy she gained 50 lbs (23 kg) and had difficulty losing the weight
afterward. She has no complaints today. Looking at her chart, you see she is currently 10
weeks pregnant and that her prenatal weight was 130 lbs (59 kg). Her weight today is 134
lbs (60.9 kg). Her height is 5'4", giving her a BMI of 22. Her blood pressure, pulse, and urine
tests are unremarkable. The fetal heart tone is difficult to find but is located and is 150.
While you give her first trimester education, you tell her how much weight you expect her
to gain.
How much weight should this patient gain during pregnancy?
A) Less than 15 pounds (less than 7 kg)
B) 15 to 25 pounds (7 to 11.5 kg)
C) 25 to 35 pounds (11.5 to 16 kg)
D) 30 to 40 pounds (12.5 to 18 kg)
- answer- C
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- A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new,
located in the wrists and fingers bilaterally, with some subjective fever. The patient denies a
rash; she also denies recent travel or camping activities. She has a family history significant
for rheumatoid arthritis. Based on this information, which of the following pathologic
processes would be the most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
- answer- B
- A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular
skin check-up. She has just returned from her annual dig site in Greece. She has fair skin and
reddish-blonde hair. She has a family history of melanoma. She has many freckles scattered
across her skin. From this description, which of the following is not a risk factor for
, melanoma in this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
- answer- A
- A 15-year-old high school sophomore and her mother come to your clinic because the
mother is concerned about her daughter's weight. You measure her daughter's height and
weight and obtain a BMI of 19.5 kg/m2. Based on this information, which of the following is
appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in her diet
because she is obese.
- answer- B
- A 32-year-old attorney comes to your office for her second prenatal visit. She has had two
previous pregnancies with uneventful prenatal care and vaginal deliveries. Her only problem
was that with each pregnancy she gained 50 lbs (23 kg) and had difficulty losing the weight
afterward. She has no complaints today. Looking at her chart, you see she is currently 10
weeks pregnant and that her prenatal weight was 130 lbs (59 kg). Her weight today is 134
lbs (60.9 kg). Her height is 5'4", giving her a BMI of 22. Her blood pressure, pulse, and urine
tests are unremarkable. The fetal heart tone is difficult to find but is located and is 150.
While you give her first trimester education, you tell her how much weight you expect her
to gain.
How much weight should this patient gain during pregnancy?
A) Less than 15 pounds (less than 7 kg)
B) 15 to 25 pounds (7 to 11.5 kg)
C) 25 to 35 pounds (11.5 to 16 kg)
D) 30 to 40 pounds (12.5 to 18 kg)
- answer- C
- You are beginning the examination of the skin on a 25-year-old teacher. You have previously
elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You
strongly suspect that she has hypothyroidism. What is the expected moisture and texture of
the skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
- answer- D
- A middle-aged man comes in because he has noticed multiple small, blood-red, raised
lesions over his anterior chest and abdomen for the past several months. They are not
painful and he has not noted any bleeding or bruising. He is concerned this may be
consistent with a dangerous condition. What should you do?
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