Maryville University Advanced Health
Assessment Exam 3 Questions With Correct
Answers
Risk factors for suicidal ideations - CORRECT ANSWER✔✔--Social
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isolation (living alone, divorced, widowed)
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-Mental health disorder (depression)
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-Terminal health condition | |
-Family hx |
-Personal losses or challenges (unemployment, legal problems)
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-Plan for suicide or previous attempt
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-Alcohol or substance abuse
| | |
-Access to firearms or other self harm
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Depression - CORRECT ANSWER✔✔-Sudden or insidious, longer than 2
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weeks, no impaired consciousness, impaired
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concentration/memory/thought processes, insomnia or too much
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sleep, fatigue, anxiety, slowed speech, homeless, loss of interest of
| | | | | | | | | |
pleasure, associated with grief or stressful life event
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,Abdominal pain HPI questions - CORRECT ANSWER✔✔--Onset: when,
| | | | | | | |
sudden vs gradual
| |
-Location: of onset, change? radiates, superficial or deep
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-Duration: persistent, recurrent, intermittent
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-Character: dull, sharp, burning, gnawing, stabbing, cramping, aching,
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colicky, also stool/urine characteristics
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-Aggravating factors: medications? | |
-Relieving factors: medications, home remedies
| | | |
-Temporal factors: related to menses, intercourse, urination, defecation,
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inspiration, change in body position, food/alcohol, stress, time of day,
| | | | | | | | | | |
trauma?
-Associated symptoms: vomiting, diarrhea, constipation, flatus,
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belching, jaundice, abdominal girth, weight loss or gain
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Abdominal: inspection: Contour - CORRECT ANSWER✔✔--Normal: flat,
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rounded, or scaphoid, umbilicus centrally located, symmetric
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-Abnormal: distention, bulges, umbilicus inflammation/bulging, masses,
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hernias, diastasis recti
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Abdominal: Inspection: Movement - CORRECT ANSWER✔✔--Normal:
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Smooth, even movement with respiration
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-Abnormal: limited motion on respiration (peritonitis), peristalsis
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(obstruction), marked pulsations (aortic aneurysm)
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, Abdominal: Palpation - CORRECT ANSWER✔✔--Normal: smooth, soft,
| | | | | | |
without resistance or tenderness, spleen, kidneys, and healthy
| | | | | | | |
gallbladder are not palpable, liver palpable at costal margin (firm,
| | | | | | | | | |
smooth, even, nontender)
| |
-Abnormal: Palpable tender gallbladder = cholecystits, common bile
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duct obstruction = nontender enlarged gallbladder, any masses,
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guarding, pain, bulges, nodules, granulation
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Palpation of the kidney - CORRECT ANSWER✔✔-Right kidney is more
| | | | | | | | | |
often felt than the left. One hand on flank, one hand on costal margin.
| | | | | | | | | | | | | |
As patient inhales deeply, lift the flank and palpate deeply
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Conditions for chronic abdominal pain - CORRECT ANSWER✔✔-IBS,
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lactose intolerance, diverticular disease, constipation, uterine fibroids,
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hernia, GERD, peptic ulcer, gastritis
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Aarons sign - CORRECT ANSWER✔✔-palpation of McBurneys causes
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heart or stomach pain = appendicitis
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Ballance sign - CORRECT ANSWER✔✔-dullness to percussion of flank
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that disappears w/ change of position= peritoneal irritation
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Blumberg sign - CORRECT ANSWER✔✔-Rebound tenderness =
| | | | | | |
appendicitis, peritoneal irritation | |
Assessment Exam 3 Questions With Correct
Answers
Risk factors for suicidal ideations - CORRECT ANSWER✔✔--Social
| | | | | | | |
isolation (living alone, divorced, widowed)
| | | |
-Mental health disorder (depression)
| | |
-Terminal health condition | |
-Family hx |
-Personal losses or challenges (unemployment, legal problems)
| | | | | |
-Plan for suicide or previous attempt
| | | | |
-Alcohol or substance abuse
| | |
-Access to firearms or other self harm
| | | | | |
Depression - CORRECT ANSWER✔✔-Sudden or insidious, longer than 2
| | | | | | | | |
weeks, no impaired consciousness, impaired
| | | |
concentration/memory/thought processes, insomnia or too much
| | | | | | |
sleep, fatigue, anxiety, slowed speech, homeless, loss of interest of
| | | | | | | | | |
pleasure, associated with grief or stressful life event
| | | | | | |
,Abdominal pain HPI questions - CORRECT ANSWER✔✔--Onset: when,
| | | | | | | |
sudden vs gradual
| |
-Location: of onset, change? radiates, superficial or deep
| | | | | | |
-Duration: persistent, recurrent, intermittent
| | |
-Character: dull, sharp, burning, gnawing, stabbing, cramping, aching,
| | | | | | | |
colicky, also stool/urine characteristics
| | |
-Aggravating factors: medications? | |
-Relieving factors: medications, home remedies
| | | |
-Temporal factors: related to menses, intercourse, urination, defecation,
| | | | | | |
inspiration, change in body position, food/alcohol, stress, time of day,
| | | | | | | | | | |
trauma?
-Associated symptoms: vomiting, diarrhea, constipation, flatus,
| | | | | |
belching, jaundice, abdominal girth, weight loss or gain
| | | | | | |
Abdominal: inspection: Contour - CORRECT ANSWER✔✔--Normal: flat,
| | | | | | |
rounded, or scaphoid, umbilicus centrally located, symmetric
| | | | | |
-Abnormal: distention, bulges, umbilicus inflammation/bulging, masses,
| | | | | |
hernias, diastasis recti
| |
Abdominal: Inspection: Movement - CORRECT ANSWER✔✔--Normal:
| | | | | |
Smooth, even movement with respiration
| | | |
-Abnormal: limited motion on respiration (peritonitis), peristalsis
| | | | | | |
(obstruction), marked pulsations (aortic aneurysm)
| | | |
, Abdominal: Palpation - CORRECT ANSWER✔✔--Normal: smooth, soft,
| | | | | | |
without resistance or tenderness, spleen, kidneys, and healthy
| | | | | | | |
gallbladder are not palpable, liver palpable at costal margin (firm,
| | | | | | | | | |
smooth, even, nontender)
| |
-Abnormal: Palpable tender gallbladder = cholecystits, common bile
| | | | | | | |
duct obstruction = nontender enlarged gallbladder, any masses,
| | | | | | | |
guarding, pain, bulges, nodules, granulation
| | | |
Palpation of the kidney - CORRECT ANSWER✔✔-Right kidney is more
| | | | | | | | | |
often felt than the left. One hand on flank, one hand on costal margin.
| | | | | | | | | | | | | |
As patient inhales deeply, lift the flank and palpate deeply
| | | | | | | | |
Conditions for chronic abdominal pain - CORRECT ANSWER✔✔-IBS,
| | | | | | | |
lactose intolerance, diverticular disease, constipation, uterine fibroids,
| | | | | | |
hernia, GERD, peptic ulcer, gastritis
| | | |
Aarons sign - CORRECT ANSWER✔✔-palpation of McBurneys causes
| | | | | | | |
heart or stomach pain = appendicitis
| | | | |
Ballance sign - CORRECT ANSWER✔✔-dullness to percussion of flank
| | | | | | | | |
that disappears w/ change of position= peritoneal irritation
| | | | | | |
Blumberg sign - CORRECT ANSWER✔✔-Rebound tenderness =
| | | | | | |
appendicitis, peritoneal irritation | |
