HEALTH ASSESSMENT PRACTICE QUESTIONS (B)

Which is not a skills requisite? A: Inspection B: Palpation C: Vital signs D: Percussion - correct answer C: Vital Signs What are some things you are looking for during palpation? - correct answer Temperature, Moisture, Texture, Lumps Over what tissue would you expect to hear resonance? A: Stomach B: Lungs C: Brain D: Bones - correct answer B: Lungs Over what tissue would you expect to hear tympany? A: Lungs B: Bone C: Brain D: Stomach - correct answer D: Stomach Over what tissue would you expect to hear a dull sound? A: Stomach B: Bone C: Liver D: Lungs - correct answer C: Liver Over what tissue would you expect to hear a flat sound? A: Lung B: Bone C: Muscle D: Stomach E: B&C - correct answer E: Bone & Muscle When is NOT best to use the diaphragm of the stethoscope? A: Heart murmur B: Breathing C: Bowl sounds D: High-pitched - correct answer A: Heart murmer How should you listen to heart and lung sounds? A: Over a gown B: Touching the skin - correct answer B: Touching the skin What position is correct for inserting a rectal suppository? A: Lithotomy B: Sims C: Dorsal Recumbent D: Supine - correct answer B: Sims Taking an axillary temperature on an adult will result in a temperature reading that is: A: One degree lower B: Accurate C: One degree higher D: Same as Oral - correct answer A: One degree lower What is a full & bounding pulse force? A: 3+ B: 2+ C: 1+ D: 0 - correct answer A: 3+ What is inversely related to blood pressure? A: Cardiac output B: Viscosity C: Elasticity D: Peripheral vascular resistance - correct answer C: Elasticity What category of blood pressure is 142/95? A: Normal B: Prehypertension C: Hypertension I D: Hypertension II - correct answer C: Hypertension I Which describes orthostatic blood pressure? A: A rise in systolic pressure by 10 mmHg B: A drop in Diastolic pressure by 10 mmHg C: A drop in systolic pressure by 10 mmHg D: A drop in diastolic pressure by 5 mmHg - correct answer B: A drop in diastolic pressure by 10 mmHg My blood pressure is 116/62. What is my pulse pressure? A: 20 B: 32 C: 63 D: 54 - correct answer D: 54 What is my cardiac output if my heart rate is 60bpm and my blood pressure is 120/72? A: 5.7L B: 6.1L C: 4.8L D: 5.0L - correct answer A: 5.7L At what phase would you hear muffling in Korotkoffs? A: Phase I B: Phase II C: Phase III D: Phase IV - correct answer D: Phase IV Which would not higher blood pressure? A: Anxiety B: Small cuff size C: Large cuff size D: Thigh blood pressure - correct answer C: Large cuff size What causes an auscultatory gap? A: Hypertension B: Arterial wall stiffness C: Both A&B D: Neither - correct answer C: Both A&B How should you take an infants temperature? A: Rectal B: Oral C: Axillary D: Temporal - correct answer C: Axillary What things should you look for during a health history? A: Physical Appearance B: Body Structure C: Mobility D: Behavior E: all of the above - correct answer E: ALl What percent of your diet should carbohydrates be? A: 40% B: 50% C: 60% D: 20% - correct answer B: 50% When does general survey begin? A: When you first look at the patient B: When you are looking through the patients chart C: After the meeting D: None of these - correct answer A: When you first look at the patient Which is not a primary lesion? A: Macule B: Papule C: Pustule D: Keloid - correct answer D: Keloid Which of the following do not go together? A: Macule & Patch B: Vesicle & Bulla C: Wheal & Cyst D: Nodule & Tumor - correct answer C: Wheal & Cyst What is a freckle an example of? A: Macule B: Papule C: Cyst D: Vesicle - correct answer A: Macule Which is related to shingles? A: Macule B: Vesicle C: Nodule D: Plaque - correct answer B: Vesicle Which is related to psoriasis? A: Plaque B: Patch C: Wheal D: Bulla - correct answer A: Plaque A patient comes in a has a crack in on his big toe. He tells you that he spends a lot of time doing yard work outside and is very sweaty. When you look at the crack it appears to travel into the dermis. It is most likely a: A: Scar B: Papule C: Keloid D: Fissure - correct answer D: Fissure A patient comes in with a spider angioma spot. This could indicate the patient has: A: Liver disease B: Diabetes C: Vitamin A Deficiency D: COPD - correct answer A: Liver disease A patient comes in with worry of edema. While assessing, you notice they show deep pitting that indents for a short time. This is: A: 1+ B: 2+ C: 3+ D: 4+ - correct answer C: 3+ A patient with edema would show what kind of turgor? A: Delayed B: Fast - correct answer B: Fast Which of the following is not a benign lesion? A: Freckles B: Cherry angioma C: Mongolian spot D: Malignant melanoma - correct answer D: Malignant melanoma A 56-year-old patient comes in with worry about her skin color change. She has noticed her hands have become a purple color. This would most likely be: A: Senile prupura B: Cherry angioma C: Spider angioma D: Bulla - correct answer A: Senile prupura What disease is associated with clubbing of the nails? A: Diabetes B: Hypothyroidism C: Pulmonary Disease D: Vitamin D deficiency - correct answer C: Pulmonary Disease ** Also cyanotic heart disease & lung cancer What would a capillary refill of more than 3 seconds indicated? A: Edema B: poor circulation C: inflammation D: Anxiety - correct answer B: poor circulation A patient with hyperthyroidism would have what type of hair? A: Dry B: Alopecia C: Blond D: Fine - correct answer D: Fine **Dry is hypo A patient is being assessed for their level of consciousness. When assessing their eyes, the patient only reacts to pain. What rating would this be? A: 4 B: 3 C: 2 D: 1 - correct answer C: 2 A patient is being assessed for their level of consciousness. When testing their motor responses, it is found the patient presents a Add to decerebrate pose. This is: A: Side lying B: Prone with elbows flexed C: Prone with elbows extended D: Supine - correct answer C: Prone with elbows extended What would the mini-mental state exam most likely test for? A: Substance abuse B: Anxiety C: Cognition D: Depression - correct answer C: Cognition What are things you would look for with Behavior & Physical Cues? A: Mood & affect B: Body Language C: Facial Expressions D: Speech patterns E: all of the above - correct answer E: All of the above What would you not look for with speech and language? A: Pace B: Articulation C: Word choice D: Accent - correct answer D: Accent What does ABCT stand for? - correct answer Appearance, Behavior, Cognitive function, Thought process What is ABCT used for? A: Mental Health Assessment B: Glascows Coma Scale C: Substance abuse D: Interpersonal Violence - correct answer A: Mental Heaht Assessment What does AUDIT test for? A: Alcohol problems B: Bullying C: Speech development D: Danger - correct answer A: Alcohol problems What does CAGE test for? A: Bullying B: Lifetime alcohol abuse C: Domestic violence D: Cognitive impairment - correct answer B: Lifetime alcohol abuse How many drinks per day can a male have for it to be considered moderate? A: 2 B: 3 C: 4 D: 5 - correct answer A: 2 Is it safe to consume alcohol while pregnant? A: Yes B: In the first trimester C: In the third trimester D: No - correct answer D: No Where does the apex of the lungs start? A: Clavicle B: C7 C: T1 D: Anterior Scapula - correct answer B: C7 A patient comes in and claims they smoke 3 packs a day. The patients states this started 20 years ago. What is their pack year? A: 30 B: 45 C: 50 D: 60 - correct answer D: 60 There is negative pressure in the pleural space during: A: Expiration B: Wheezing C: Inspiration D: Syncope - correct answer C: Inspiration There is greater lung pressure than atmospheric pressure during: A: Expiration B: Inhalation C: Vertigo D: COPD - correct answer A: Expiration Which is not a sign of difficulty breathing? A: Abdominal breathing B: Nasal Flaring C: Eupneic breaths D: Anxiety E: Retractions - correct answer C: Eupneic Breaths A patient comes in and shows periods of increased depth interspersed with apnea. This is most likely related to: A: Bradypnea B: Biot C: Cheyne-Stokes D: Ataxic - correct answer C: Cheyne-Stokes A patient comes in and shows a breathing pattern that is deep and greate than 20 breaths per minute. This is most likely A: Tachypnea B: Hyperventilation C: Air trapping D: Sighing - correct answer B: Hyperventilation A patient comes in and shows frequently interspersed deep breaths. This is most likely due to: A: Bradypnea B: Biot C: Ataxic D: Sighing - correct answer D: Sighing ** Expands alveoli! A patient comes in and shows an AP Lateral ration of 1:1 due to hyperinflation of the lungs. Which disease is this most related to: A: Heart disease B: Bronchitis C: Emphysema D: Congenital defect - correct answer C: Emphysema A patient comes into your clinic for a routine exam. Upon examining the thorax, you realize their ribs are sloping up. This is related to: A: Barrel Chest B: Pigeon Chest C: Normal Chest D: Kyphosis - correct answer B: Pigeon Chest Upon palpation, you find that the skin is crackling. Your first instinct is crepitus. Where would the air have moved in this situation? A: Epidermis B: Dermis C: Alveoli D: Subcutaneous - correct answer D: Subcutaneous While measuring a patients costal angle, you find that it is greater than 90 degrees. This is related to: A: Barrel Chest B: Lordosis C: Kyphosis D: Funnel Chest - correct answer A: Barrel Chest While percussing an obese patient, you would expect to hear: A: A decreased resonance B: A jiggle C: An increased resonance D: Broncho phony - correct answer A: A decreased resonance A normal diaphragmatic excursion would be measured at? A: 1-3cm B: 3-5cm C: 5-8cm D: 0cm - correct answer B: 3-5cm How many liters of air should normally be inhaled? A: 100-200L B: 500-800ml C: 550-650L D: 300-400ml - correct answer B: 500-800ml Which is not a normal breath sound? A: Bronchial B: Vesicular C: Wheeze D: Bronchovesicular - correct answer C: Wheeze While you are standing in line for lunch you hear a person next to you start to make a musical sound while exhaling. This is most likely due to: A: Pleural Friction Rub B: Wheezing C: Asthma D: A from C E: B from C - correct answer E: B from C (wheezing from asthma) Your patient has been diagnosed with pneumonia. While entering the room you hear a sound as if someone were blowing bubbles into water. This is most likely due to: A: Bronchitis B: Crackles C: Wheezes D: Egophony - correct answer B: Crackles Your patient says they have no time for the symptoms of bronchitis. What is one thing they can do to rid the snoring sound their mucus is making while breathing? A: Laugh B: Cry C: Cough D: Burp - correct answer C: Cough A man comes into the emergency for breathing problems. He is underweight with pursed lips. This is most likely related to: A: Bronchitis B: Asthma C: Pneumonia D: Emphysema - correct answer D: Emphysema A patient comes in and you are to do the tactile fremitus test on them. You realize there is an increase in vibrations compared to normal. This indicates: A: Emphysema B: Pneumothorax C: A tumor D: Collapsed lung - correct answer C: a tumor ** Things that are not air. (pneumonia) A patients needs the tactile fremitus test to help diagnose him. While doing the test you find that there are no vibrations felt. This is likely due to: A: A tumor B: Emphysema C: Pneumonia