Advanced Physical Assessment |\ |\ |\
FINAL exam with answers |\ |\ |\
For which one of the patients would a comprehensive
|\ |\ |\ |\ |\ |\ |\ |\ |\
health history be appropriate? - CORRECT ANSWERS ✔✔A
|\ |\ |\ |\ |\ |\ |\ |\
new patient with the CC of "Im here to establish care"
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The components of a health history include all of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following except which one? - CORRECT ANSWERS ✔✔A.
|\ |\ |\ |\ |\ |\ |\ |\
ROS
B. Thorax and lungs
|\ |\ |\
C. Present Illness
|\ |\
D. Personal and social items
|\ |\ |\ |\
Answer is B thorax and lungs |\ |\ |\ |\ |\
Is the following info subjective or objective? Mr. M has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
SOB that has persisted for the past 10 days; it is worse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with activity and relieved by rest - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Subjective
Is the following info subjective or objective? Mr. M has a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
RR of 32 and a pulse rate of 120 - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔objective
,Health history includes- "patient has had and pain for 1
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
week. Pain lasts for 30min at a time; it comes and goes.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Severity is 7-9, accompanied by N&V, located in mid-
|\ |\ |\ |\ |\ |\ |\ |\
epigastric area" which category does it belong to? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Present Illness |\ |\ |\
This info is in the health history: "patient completed 8th
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
grade. Currently lives with his wife and two children.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Works on cars on the weekend. Works in a glass factory
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during the week." Which category does it belong to? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Personal and social history
|\ |\ |\ |\ |\
The following info is recorded in the health history: "I feel
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
really tired." which category does it belong to? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Chief complaint
|\ |\ |\
Recorded in health history: "patient denies chest pain,
|\ |\ |\ |\ |\ |\ |\ |\
palpitation, orthopnea, and paroxysmal nocturnal |\ |\ |\ |\ |\
dyspnea." which category? - CORRECT ANSWERS ✔✔ROS
|\ |\ |\ |\ |\ |\
The following info is best placed in which category? "The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient had a stent placed in the LAD in 99." - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Adult illnesses |\ |\
,The following info is best placed in which category? "The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient was treated for an asthma exacerbation in the
|\ |\ |\ |\ |\ |\ |\ |\ |\
hospital last year; the patient has never been intubated."
|\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Adult illnesses
|\ |\ |\ |\ |\
19 yr old college student Todd...brought in by his mom for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
odd behavior....He tells you he has seen a black van and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
computer tech workers are stealing his work through |\ |\ |\ |\ |\ |\ |\ |\
special gamma waves. "See I told you...he's crazy. What
|\ |\ |\ |\ |\ |\ |\ |\ |\
do I do about it?" While arranging for a psychiatry consult,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
what psychotic disorder do you think Todd has? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Schizophrenia |\ |\
24 yr old secretary, complaining of difficulty sleeping,
|\ |\ |\ |\ |\ |\ |\ |\
severe nightmares, and irritability. 6 months ago she was
|\ |\ |\ |\ |\ |\ |\ |\ |\
held at gunpoint...On exam, you find a nervous woman
|\ |\ |\ |\ |\ |\ |\ |\ |\
appearing her stated age. Physical exam is unremarkable. |\ |\ |\ |\ |\ |\ |\
You recommend medication and counseling. What
|\ |\ |\ |\ |\ |\ |\
anxiety disorder do you think she has? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔PTSD |\
75-year old homemaker brings her 76 yr old husband to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the clinic. had a stroke 4 months ago..."I will change the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Kool-aid out of the sink myself with the ludrip." She says
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that these sayings are becoming frustrating. What type os
|\ |\ |\ |\ |\ |\ |\ |\
aphasia does he have? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Wernike's aphasia |\
, 32-yr old complaining of overwhelming sadness. Last 2
|\ |\ |\ |\ |\ |\ |\ |\
months she has had crying episodes, difficulty sleeping,
|\ |\ |\ |\ |\ |\ |\ |\
and problems with overeating. On examination you see a
|\ |\ |\ |\ |\ |\ |\ |\ |\
woman appearing her stated age who seems quite sad.|\ |\ |\ |\ |\ |\ |\ |\ |\
Her facial expression does not change while you talk to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
her and she makes little eye contact. She speaks so softly
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
you cannot always understand her. Her though processes
|\ |\ |\ |\ |\ |\ |\ |\
and content seem unremarkable. What type of disorder
|\ |\ |\ |\ |\ |\ |\ |\ |\
do you think she has? - CORRECT ANSWERS ✔✔Major
|\ |\ |\ |\ |\ |\ |\ |\ |\
depressive episode |\
27 yr-old woman brought to office by her mother. Mother
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
says daughter has schizophrenic for last 8 years...Patient
|\ |\ |\ |\ |\ |\ |\ |\
has been microwaving letters from mailman. Pt agrees
|\ |\ |\ |\ |\ |\ |\ |\
that she does this but only bc the mailman flipping
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
through the envelopes and she knows he's putting |\ |\ |\ |\ |\ |\ |\ |\
anthrax on the letters. Which bus describes the patient's
|\ |\ |\ |\ |\ |\ |\ |\ |\
abnormality of perception? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\
✔✔Illusion
22-yr old brought to office by his father to discuss mental
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
health disorder. schizophrenia was diagnosed 6 months
|\ |\ |\ |\ |\ |\ |\
ago...Son has been hearing things that don't exist. You |\ |\ |\ |\ |\ |\ |\ |\ |\
ask the young man what is going on and he tells you that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
his father is just jealous bc his sister talks only to him.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
"Son, your sister died 2 years ago." Son thinks she still
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
talks to him. Which best describes the patient's
|\ |\ |\ |\ |\ |\ |\ |\
FINAL exam with answers |\ |\ |\
For which one of the patients would a comprehensive
|\ |\ |\ |\ |\ |\ |\ |\ |\
health history be appropriate? - CORRECT ANSWERS ✔✔A
|\ |\ |\ |\ |\ |\ |\ |\
new patient with the CC of "Im here to establish care"
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The components of a health history include all of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following except which one? - CORRECT ANSWERS ✔✔A.
|\ |\ |\ |\ |\ |\ |\ |\
ROS
B. Thorax and lungs
|\ |\ |\
C. Present Illness
|\ |\
D. Personal and social items
|\ |\ |\ |\
Answer is B thorax and lungs |\ |\ |\ |\ |\
Is the following info subjective or objective? Mr. M has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
SOB that has persisted for the past 10 days; it is worse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with activity and relieved by rest - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Subjective
Is the following info subjective or objective? Mr. M has a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
RR of 32 and a pulse rate of 120 - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔objective
,Health history includes- "patient has had and pain for 1
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
week. Pain lasts for 30min at a time; it comes and goes.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Severity is 7-9, accompanied by N&V, located in mid-
|\ |\ |\ |\ |\ |\ |\ |\
epigastric area" which category does it belong to? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Present Illness |\ |\ |\
This info is in the health history: "patient completed 8th
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
grade. Currently lives with his wife and two children.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Works on cars on the weekend. Works in a glass factory
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during the week." Which category does it belong to? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Personal and social history
|\ |\ |\ |\ |\
The following info is recorded in the health history: "I feel
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
really tired." which category does it belong to? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Chief complaint
|\ |\ |\
Recorded in health history: "patient denies chest pain,
|\ |\ |\ |\ |\ |\ |\ |\
palpitation, orthopnea, and paroxysmal nocturnal |\ |\ |\ |\ |\
dyspnea." which category? - CORRECT ANSWERS ✔✔ROS
|\ |\ |\ |\ |\ |\
The following info is best placed in which category? "The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient had a stent placed in the LAD in 99." - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Adult illnesses |\ |\
,The following info is best placed in which category? "The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient was treated for an asthma exacerbation in the
|\ |\ |\ |\ |\ |\ |\ |\ |\
hospital last year; the patient has never been intubated."
|\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Adult illnesses
|\ |\ |\ |\ |\
19 yr old college student Todd...brought in by his mom for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
odd behavior....He tells you he has seen a black van and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
computer tech workers are stealing his work through |\ |\ |\ |\ |\ |\ |\ |\
special gamma waves. "See I told you...he's crazy. What
|\ |\ |\ |\ |\ |\ |\ |\ |\
do I do about it?" While arranging for a psychiatry consult,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
what psychotic disorder do you think Todd has? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Schizophrenia |\ |\
24 yr old secretary, complaining of difficulty sleeping,
|\ |\ |\ |\ |\ |\ |\ |\
severe nightmares, and irritability. 6 months ago she was
|\ |\ |\ |\ |\ |\ |\ |\ |\
held at gunpoint...On exam, you find a nervous woman
|\ |\ |\ |\ |\ |\ |\ |\ |\
appearing her stated age. Physical exam is unremarkable. |\ |\ |\ |\ |\ |\ |\
You recommend medication and counseling. What
|\ |\ |\ |\ |\ |\ |\
anxiety disorder do you think she has? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔PTSD |\
75-year old homemaker brings her 76 yr old husband to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the clinic. had a stroke 4 months ago..."I will change the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Kool-aid out of the sink myself with the ludrip." She says
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that these sayings are becoming frustrating. What type os
|\ |\ |\ |\ |\ |\ |\ |\
aphasia does he have? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Wernike's aphasia |\
, 32-yr old complaining of overwhelming sadness. Last 2
|\ |\ |\ |\ |\ |\ |\ |\
months she has had crying episodes, difficulty sleeping,
|\ |\ |\ |\ |\ |\ |\ |\
and problems with overeating. On examination you see a
|\ |\ |\ |\ |\ |\ |\ |\ |\
woman appearing her stated age who seems quite sad.|\ |\ |\ |\ |\ |\ |\ |\ |\
Her facial expression does not change while you talk to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
her and she makes little eye contact. She speaks so softly
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
you cannot always understand her. Her though processes
|\ |\ |\ |\ |\ |\ |\ |\
and content seem unremarkable. What type of disorder
|\ |\ |\ |\ |\ |\ |\ |\ |\
do you think she has? - CORRECT ANSWERS ✔✔Major
|\ |\ |\ |\ |\ |\ |\ |\ |\
depressive episode |\
27 yr-old woman brought to office by her mother. Mother
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
says daughter has schizophrenic for last 8 years...Patient
|\ |\ |\ |\ |\ |\ |\ |\
has been microwaving letters from mailman. Pt agrees
|\ |\ |\ |\ |\ |\ |\ |\
that she does this but only bc the mailman flipping
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
through the envelopes and she knows he's putting |\ |\ |\ |\ |\ |\ |\ |\
anthrax on the letters. Which bus describes the patient's
|\ |\ |\ |\ |\ |\ |\ |\ |\
abnormality of perception? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\
✔✔Illusion
22-yr old brought to office by his father to discuss mental
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
health disorder. schizophrenia was diagnosed 6 months
|\ |\ |\ |\ |\ |\ |\
ago...Son has been hearing things that don't exist. You |\ |\ |\ |\ |\ |\ |\ |\ |\
ask the young man what is going on and he tells you that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
his father is just jealous bc his sister talks only to him.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
"Son, your sister died 2 years ago." Son thinks she still
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
talks to him. Which best describes the patient's
|\ |\ |\ |\ |\ |\ |\ |\
