Maryville Advanced Health Assessment Key Points Exam #4
Test Exam With 334Questions and Answers All Answers
100% Verified (Latest Update 2024/2025 RATED A+
HPI questions for a patient with a chief complaint of an abdominal pain -
CORRECT ANSWERS -onset and duration: sudden or gradual, persistent
-character: dull, sharp, stab, cramp
-location: at time of onset, change over time, radiates to another area, superficial
or deep
-associated symptoms: n/v, diarrhea, constipation, flatus, belching, jaundice,
change in girth, weight changes.
-relationship to: menstrual cycle, change in menses, intercourse, urination,
defecation, inspiration, change in body position, change in food or alcohol intake,
stress, time of day, trauma.
-recent stool characteristics: color, consistency, odor, and frequency.
-urinary characteristics: frequency, color, volume consistent with intake, force of
stream, ease of starting stream, ability to empty bladder.
-Medications: high doses of aspirin, steroids, NSAIDS
HPI questions for a patient with a chief complaint of indigestion - CORRECT
ANSWERS -character: feeling of fullness, heartburn, discomfort, excessive
belching, flatulence, loss of appetite, severe pain.
-location: localized or general, radiating to the arms or shoulders.
-relationship to: amount, timing of food intake, menses
-onset of symptoms: time of day or night, sudden or gradual.
-symptoms relieved by: antacids, change in diet, rest, or activity.
-medications: antacids (calcium carbonate, H2 blockers, PPIs)
HPI questions for patient with a chief complaint of nausea - CORRECT ANSWERS
-associated with: vomiting, particular stimuli such as time of day, activities, odors,
food intake, menses.
-medications: antiemetics
Maryville Advanced Health Assessment Key Points Exam #4 Test Exam
With 334Questions and Answers All Answers 100% Verified (Latest Update
2024/2025 RATED A+
,HPI questions for a patient with a chief complaint of vomiting - CORRECT
ANSWERS -character: nature (color, bright red blood, coffee grounds, bilious,
undigested food particles), quantity, duration, frequency, ability to keep liquids or
food in stomach.
-associated symptoms: constipation, diarrhea, fever, chills, headache, nausea,
weight loss, abdominal pain or cramping, heartburn.
HPI questions for a patient with the chief complaint of diarrhea - CORRECT
ANSWERS -character: watery, copious, explosive, color, presence of blood,
mucus, undigested food, oil, or fat, odor, number of times per day, duration, change
in pattern.
-associated symptoms: fever, chills, thirst, weight loss, abdominal pain or
cramping, fecal incontinence.
-relationship to: amount, type and timing of food intake, stressful life events or
daily stressors.
-travel history and or ill contacts
-Medications: laxatives or stool softeners, antidiarrheals
HPI questions for the patient with the chief complaint of constipation - CORRECT
ANSWERS -character: presence of bright red blood, black or tarry, diarrhea
alternating with constipation, accompanied by pain or discomfort
-pattern: last BM, pain with defecation, change in consistency or the size of the
stool.
-diet: recent change in diet, intake of fiber, change in fluid intake
-medications: laxatives, stool softeners, diuretics, iron
HPI questions for the patient with jaundice - CORRECT ANSWERS -onset and
duration
-color of stools or urine
-associated with abdominal pain, chills, fever
-exposure to hepatitis, use of recreational drugs, high----risk sexual activity
-medications: high doses of acetaminophen, antipsychotics, antiepileptics,
antibiotics
Maryville Advanced Health Assessment Key Points Exam #4 Test Exam
With 334Questions and Answers All Answers 100% Verified (Latest Update
2024/2025 RATED A+
,HPI questions for the patient with fecal incontinence - CORRECT ANSWERS
-character: stool characteristics, timing in relation to meals, number of episodes
per day, occurring with or without warning sensations
-associated with: use of laxatives, presence of underlying disease
HPI questions for the patient with dysuria - CORRECT ANSWERS -character:
location (suprapubic, distal urethra), pain or burning, frequency or volume
changes
-associated fever or other systemic signs of illness: bacterial infection,
tuberculosis, fungal or viral infection, parasitic infection
-increased frequency of sexual intercourse or high risk sexual activity.
-changes in the amount of fluid intake
HPI questions for patients with urinary frequency - CORRECT ANSWERS
-change in pattern or volume
-associated with other characteristics: urgency hematuria, incontinence, nocturia,
increased thirst, weight loss
-change in urinary stream: dribbling
HPI questions for patient with urinary incontinence - CORRECT ANSWERS
-character: amount and frequency, constant or intermittent, dribbling vs frank
incontinence
-associated with urgency, previous surgery, coughing, sneezing , walking up the
stairs, nocturia, menopause
-medications: diuretics
HPI questions for patient with hematuria - CORRECT ANSWERS -character:
color (bright red, rusty brown, cola-colored) present at the beginning, end, or
throughout voiding.
-associated symptoms: flank or costovertebral pain, passage of wormlike clots, pain
on voiding
-alternate possibilities: ingestion of foods containing red vegetable dyes, ingestion
of laxatives containing phenolphthalein
-medications: aspirin, NSAIDS, anticoagulants, diuretics, antibiotics
Maryville Advanced Health Assessment Key Points Exam #4 Test Exam
With 334Questions and Answers All Answers 100% Verified (Latest Update
2024/2025 RATED A+
, Changes in the abdomen with pregnant patients - CORRECT ANSWERS
-striae from stretched skin
-abdominal muscles have less tone
-2nd trimester lower esophageal sphincter pressure decreases=GERD
-gastric emptying does not change but gastro transit time is prolonged leading to
constipation.
-gallbladder can distend, decreased emptying time and change in tone. This can
lead to the development of gallstones.
-bladder sensitivity increased=frequency and urgency
-colon is displaced leading to increased constipation and flatus.
Changes in the abdomen with older patients - CORRECT ANSWERS -motility
of the intestine is slower
-reduced circulation to the intestine
-digestive enzymes and protective mucus decreases in the intestinal tract
-liver size decreases after fifty years of age.
-the liver looses the ability to metabolize certain drugs
What is the proper order of the abdominal exam? - CORRECT ANSWERS
Inspection, auscultation, percuss, and palpate
Order is different from other systems so examiner does not alter the frequency of
bowel sounds.
How would you inspect the abdomen? - CORRECT ANSWERS -patient should
be seated.
-assess symmetry while patient is breathing and holding breath.
-patients bladder should be emptied.
Four Quadrants of the abdomen - CORRECT ANSWERS see picture
Maryville Advanced Health Assessment Key Points Exam #4 Test Exam
With 334Questions and Answers All Answers 100% Verified (Latest Update
2024/2025 RATED A+
Test Exam With 334Questions and Answers All Answers
100% Verified (Latest Update 2024/2025 RATED A+
HPI questions for a patient with a chief complaint of an abdominal pain -
CORRECT ANSWERS -onset and duration: sudden or gradual, persistent
-character: dull, sharp, stab, cramp
-location: at time of onset, change over time, radiates to another area, superficial
or deep
-associated symptoms: n/v, diarrhea, constipation, flatus, belching, jaundice,
change in girth, weight changes.
-relationship to: menstrual cycle, change in menses, intercourse, urination,
defecation, inspiration, change in body position, change in food or alcohol intake,
stress, time of day, trauma.
-recent stool characteristics: color, consistency, odor, and frequency.
-urinary characteristics: frequency, color, volume consistent with intake, force of
stream, ease of starting stream, ability to empty bladder.
-Medications: high doses of aspirin, steroids, NSAIDS
HPI questions for a patient with a chief complaint of indigestion - CORRECT
ANSWERS -character: feeling of fullness, heartburn, discomfort, excessive
belching, flatulence, loss of appetite, severe pain.
-location: localized or general, radiating to the arms or shoulders.
-relationship to: amount, timing of food intake, menses
-onset of symptoms: time of day or night, sudden or gradual.
-symptoms relieved by: antacids, change in diet, rest, or activity.
-medications: antacids (calcium carbonate, H2 blockers, PPIs)
HPI questions for patient with a chief complaint of nausea - CORRECT ANSWERS
-associated with: vomiting, particular stimuli such as time of day, activities, odors,
food intake, menses.
-medications: antiemetics
Maryville Advanced Health Assessment Key Points Exam #4 Test Exam
With 334Questions and Answers All Answers 100% Verified (Latest Update
2024/2025 RATED A+
,HPI questions for a patient with a chief complaint of vomiting - CORRECT
ANSWERS -character: nature (color, bright red blood, coffee grounds, bilious,
undigested food particles), quantity, duration, frequency, ability to keep liquids or
food in stomach.
-associated symptoms: constipation, diarrhea, fever, chills, headache, nausea,
weight loss, abdominal pain or cramping, heartburn.
HPI questions for a patient with the chief complaint of diarrhea - CORRECT
ANSWERS -character: watery, copious, explosive, color, presence of blood,
mucus, undigested food, oil, or fat, odor, number of times per day, duration, change
in pattern.
-associated symptoms: fever, chills, thirst, weight loss, abdominal pain or
cramping, fecal incontinence.
-relationship to: amount, type and timing of food intake, stressful life events or
daily stressors.
-travel history and or ill contacts
-Medications: laxatives or stool softeners, antidiarrheals
HPI questions for the patient with the chief complaint of constipation - CORRECT
ANSWERS -character: presence of bright red blood, black or tarry, diarrhea
alternating with constipation, accompanied by pain or discomfort
-pattern: last BM, pain with defecation, change in consistency or the size of the
stool.
-diet: recent change in diet, intake of fiber, change in fluid intake
-medications: laxatives, stool softeners, diuretics, iron
HPI questions for the patient with jaundice - CORRECT ANSWERS -onset and
duration
-color of stools or urine
-associated with abdominal pain, chills, fever
-exposure to hepatitis, use of recreational drugs, high----risk sexual activity
-medications: high doses of acetaminophen, antipsychotics, antiepileptics,
antibiotics
Maryville Advanced Health Assessment Key Points Exam #4 Test Exam
With 334Questions and Answers All Answers 100% Verified (Latest Update
2024/2025 RATED A+
,HPI questions for the patient with fecal incontinence - CORRECT ANSWERS
-character: stool characteristics, timing in relation to meals, number of episodes
per day, occurring with or without warning sensations
-associated with: use of laxatives, presence of underlying disease
HPI questions for the patient with dysuria - CORRECT ANSWERS -character:
location (suprapubic, distal urethra), pain or burning, frequency or volume
changes
-associated fever or other systemic signs of illness: bacterial infection,
tuberculosis, fungal or viral infection, parasitic infection
-increased frequency of sexual intercourse or high risk sexual activity.
-changes in the amount of fluid intake
HPI questions for patients with urinary frequency - CORRECT ANSWERS
-change in pattern or volume
-associated with other characteristics: urgency hematuria, incontinence, nocturia,
increased thirst, weight loss
-change in urinary stream: dribbling
HPI questions for patient with urinary incontinence - CORRECT ANSWERS
-character: amount and frequency, constant or intermittent, dribbling vs frank
incontinence
-associated with urgency, previous surgery, coughing, sneezing , walking up the
stairs, nocturia, menopause
-medications: diuretics
HPI questions for patient with hematuria - CORRECT ANSWERS -character:
color (bright red, rusty brown, cola-colored) present at the beginning, end, or
throughout voiding.
-associated symptoms: flank or costovertebral pain, passage of wormlike clots, pain
on voiding
-alternate possibilities: ingestion of foods containing red vegetable dyes, ingestion
of laxatives containing phenolphthalein
-medications: aspirin, NSAIDS, anticoagulants, diuretics, antibiotics
Maryville Advanced Health Assessment Key Points Exam #4 Test Exam
With 334Questions and Answers All Answers 100% Verified (Latest Update
2024/2025 RATED A+
, Changes in the abdomen with pregnant patients - CORRECT ANSWERS
-striae from stretched skin
-abdominal muscles have less tone
-2nd trimester lower esophageal sphincter pressure decreases=GERD
-gastric emptying does not change but gastro transit time is prolonged leading to
constipation.
-gallbladder can distend, decreased emptying time and change in tone. This can
lead to the development of gallstones.
-bladder sensitivity increased=frequency and urgency
-colon is displaced leading to increased constipation and flatus.
Changes in the abdomen with older patients - CORRECT ANSWERS -motility
of the intestine is slower
-reduced circulation to the intestine
-digestive enzymes and protective mucus decreases in the intestinal tract
-liver size decreases after fifty years of age.
-the liver looses the ability to metabolize certain drugs
What is the proper order of the abdominal exam? - CORRECT ANSWERS
Inspection, auscultation, percuss, and palpate
Order is different from other systems so examiner does not alter the frequency of
bowel sounds.
How would you inspect the abdomen? - CORRECT ANSWERS -patient should
be seated.
-assess symmetry while patient is breathing and holding breath.
-patients bladder should be emptied.
Four Quadrants of the abdomen - CORRECT ANSWERS see picture
Maryville Advanced Health Assessment Key Points Exam #4 Test Exam
With 334Questions and Answers All Answers 100% Verified (Latest Update
2024/2025 RATED A+
