SHADOW HEALTH EXAM QUESTIONS
AND ANSWERS
1. A brief statement of the reason the patient is seeking health care is
called the: - ANSWER-chief complaint
2. Which of the following is an "ABCD" characteristic of malignant
melanoma? - ANSWER-Irregular borders
3. Which question would be considered a "leading question"? -
ANSWER-"You don't get headaches often, do you?"
4. A flat, nonpalpable lesion is described as a macule if the diameter is: -
ANSWER-less than 1 cm.
5. When you are questioning a patient regarding alcohol intake, she tells
you that she is "only a social drinker." Which initial response is
appropriate? - ANSWER-"What amount and what kind of alcohol do you
drink in a week?"
6. Mrs. Britton is a 34-year-old patient who presents to the office with
complaints of skin rashes. You have noted a 3-cm, rough, elevated area
of psoriasis. This is an example of a: - ANSWER-plaque
7. Painful vesicles are associated with: - ANSWER-herpes zoster
8. A 29-year-old white woman appears jaundiced. An etiology of liver
disease has been excluded. What history questions should the nurse
ask? - ANSWER-Whether she eats a lot of yellow and orange
vegetables.
,9. Mr. D. complains of a headache. During the history, he mentions his
use of alcohol and illicit drugs. This information would most likely
belong in the: - ANSWER-personal and social history.
10. The thyroid gland is partially obscured by the: - ANSWER-
sternocleidomastoid
11. To perform the Rinne test, place the tuning fork on the: -
ANSWER-mastoid bone.
12. You observe pupillary response as the patient looks at a distant
object and then at an object held 10 cm from the bridge of the nose.
You are assessing for: - ANSWER-accommodation.
13. Normal tympanic membrane color is: - ANSWER-pearly gray.
14. Ask the patient to look directly at the light of the
ophthalmoscope when you are ready to examine the: - ANSWER-
macula.
15. According to the AUDIT scale , a person who receives a score of
14 is : - ANSWER-Is in the high risk category for alcohol abuse
16. Bulging of an amber tympanic membrane without mobility is
most often associated with: - ANSWER-middle ear effusion.
17. You ask your patient to perform the DAST questionnaire, and
note that he scored a "5". You understand this means: - ANSWER-the
patient is at high risk for drug abuse
, 18. After you have the patient complete the AUDIT questionnaire,
your tally the score and realize the patient has scored a "9" . Your next
communication with the patient should be: - ANSWER-I see that you
completed the questionnaire, may I discuss the results with you?
19. You are conducting a brief negotiated interview with your young
male patient after you have reviewed his AUDIT questionnaire results.
You discuss the safe drinking limits per day for his gender . You explain
to him that this number is: - ANSWER-4
20. You are discussing the amount of alcohol in different drinks with
your patient. You explain to your patient what constitutes a standard
drink. You review that 12 oz of regular beer is equal to: - ANSWER-5 oz.
of table wine
21. With consolidation in the lung tissue, the breath sounds are
louder and easier to hear, whereas healthy lung tissue produces softer
sounds. This is because: - ANSWER-air-filled lung tissue is an insulator
of sound
22. The characteristic barrel chest of the older adult is due to a
combination of factors including: - ANSWER-skeletal changes of aging.
23. You would expect to document the presence of a pleural friction
rub for a patient being treated for: - ANSWER-pleurisy.
24. Both pleural effusion and lobar pneumonia are characterized by
_____ percussion. - ANSWER-dullness heard on
25. Mr. L. has cyanotic lips and nail beds. His lips are pursed, and he
has nasal flaring. You suspect he is having cardiac or pulmonary
difficulty. What additional sign would support this impression? -
ANSWER-Clubbing of the fingers
AND ANSWERS
1. A brief statement of the reason the patient is seeking health care is
called the: - ANSWER-chief complaint
2. Which of the following is an "ABCD" characteristic of malignant
melanoma? - ANSWER-Irregular borders
3. Which question would be considered a "leading question"? -
ANSWER-"You don't get headaches often, do you?"
4. A flat, nonpalpable lesion is described as a macule if the diameter is: -
ANSWER-less than 1 cm.
5. When you are questioning a patient regarding alcohol intake, she tells
you that she is "only a social drinker." Which initial response is
appropriate? - ANSWER-"What amount and what kind of alcohol do you
drink in a week?"
6. Mrs. Britton is a 34-year-old patient who presents to the office with
complaints of skin rashes. You have noted a 3-cm, rough, elevated area
of psoriasis. This is an example of a: - ANSWER-plaque
7. Painful vesicles are associated with: - ANSWER-herpes zoster
8. A 29-year-old white woman appears jaundiced. An etiology of liver
disease has been excluded. What history questions should the nurse
ask? - ANSWER-Whether she eats a lot of yellow and orange
vegetables.
,9. Mr. D. complains of a headache. During the history, he mentions his
use of alcohol and illicit drugs. This information would most likely
belong in the: - ANSWER-personal and social history.
10. The thyroid gland is partially obscured by the: - ANSWER-
sternocleidomastoid
11. To perform the Rinne test, place the tuning fork on the: -
ANSWER-mastoid bone.
12. You observe pupillary response as the patient looks at a distant
object and then at an object held 10 cm from the bridge of the nose.
You are assessing for: - ANSWER-accommodation.
13. Normal tympanic membrane color is: - ANSWER-pearly gray.
14. Ask the patient to look directly at the light of the
ophthalmoscope when you are ready to examine the: - ANSWER-
macula.
15. According to the AUDIT scale , a person who receives a score of
14 is : - ANSWER-Is in the high risk category for alcohol abuse
16. Bulging of an amber tympanic membrane without mobility is
most often associated with: - ANSWER-middle ear effusion.
17. You ask your patient to perform the DAST questionnaire, and
note that he scored a "5". You understand this means: - ANSWER-the
patient is at high risk for drug abuse
, 18. After you have the patient complete the AUDIT questionnaire,
your tally the score and realize the patient has scored a "9" . Your next
communication with the patient should be: - ANSWER-I see that you
completed the questionnaire, may I discuss the results with you?
19. You are conducting a brief negotiated interview with your young
male patient after you have reviewed his AUDIT questionnaire results.
You discuss the safe drinking limits per day for his gender . You explain
to him that this number is: - ANSWER-4
20. You are discussing the amount of alcohol in different drinks with
your patient. You explain to your patient what constitutes a standard
drink. You review that 12 oz of regular beer is equal to: - ANSWER-5 oz.
of table wine
21. With consolidation in the lung tissue, the breath sounds are
louder and easier to hear, whereas healthy lung tissue produces softer
sounds. This is because: - ANSWER-air-filled lung tissue is an insulator
of sound
22. The characteristic barrel chest of the older adult is due to a
combination of factors including: - ANSWER-skeletal changes of aging.
23. You would expect to document the presence of a pleural friction
rub for a patient being treated for: - ANSWER-pleurisy.
24. Both pleural effusion and lobar pneumonia are characterized by
_____ percussion. - ANSWER-dullness heard on
25. Mr. L. has cyanotic lips and nail beds. His lips are pursed, and he
has nasal flaring. You suspect he is having cardiac or pulmonary
difficulty. What additional sign would support this impression? -
ANSWER-Clubbing of the fingers
