Advanced Health Assessment and Diagnostic Midterm Exam 2022

Advanced Health Assessment and Diagnostic Midterm Exam 2022 The majority of Diagnsosis can be made on History alone? True Evidence Based Practice is the provision of care based on 1. The highest level of evidence 2. The wishes and desires of the patient and family 3. The expertise of the practitioner The review of systems is the physical examination of each body system False A Likelihood Ratio (LR) of 1.0 means the post-test probability is exactly the same as the pretest probability. True When a test result suggests that a disease is present when that disease is not present, this is called a: False Positive A focused health assessment includes which of the following? Chief Complaint, History of present illness, and physical exam Randomized control trials are the highest level of evidence. False- Systematic review is the highest level of evidence Which of the following are components of the history of the present illness (HPI)? Onset, relieving factors, and effect on function A short list of possible diagnoses consistent with the patient's presenting signs and symptoms is the: Differential Diagnosis Which of the following are tests of auditory acuity? Whisper Test and Weber test Risk Factors for Skin Cancer Include Age 50 Male Fair, freckled, Ruddy complexion sunburns easily Living near the equator Family History Precancerous Dermatoses Overexposure to frost, wind, UV, and radium What thyroid problem should be suspected in a patient who presents with swelling in the neck area, tachycardia and palpitations? Hyperthyroidism Signs of Skin Cancer ABC's Asymmetry- unequal halves of mole or lesion Borders- Irregular, notched, scalloped, or indistinct Color- variation or change in color Diameter- 6mm or pencil eraser Elevation- Raised Blue to Red Lesions that blanch when compressed are Vascular lesions Lesions that do not blanch completely when compressed are Purpuric lesions The best form of adequate lighting for a skin assessment is natural light Weber Test Test: Place vibrating tuning fork anywhere on midline of skill Normal- Negative weber; vibration heard equally Abnormal- Positive weber Rinne Test Test: Place vibrating tuning fork on mastoid bone until patient no longer hears it, then place in front of external auditory canal. Measure amount of seconds at each. Normal- Positive Rinne; AC 2x BC Abnormal- Negative Rinne; AC 2x BC What could an abnormal Rinne test signify? Conductive hearing loss You have performed a Weber test on your patient and have determined it to be positive. This means that the vibrations were heard: More in one ear than the other Kissing tonsils would be documented as Tonsillar grade: 4 If a patient reports seeing "halos" around the lights, you would be suspicious of cataracts Otitis Externa is commonly known as Swimmers ear Basal Skin Carcinoma 90% of all cancerous lesions Slow growing, nodular, superficial, rarely spreads Squamous cell carcinoma Small, firm, hyperkeratotic, nodule on inflamed base It is slow growing but more likely to spread than basal! Melanoma Typically black or brown but can be any color. Caused by intense, occasional, UV exposure (leading to sunburn). Pityriasis Rosea - Occurs between ages of 10-35 - Unknown Cause - Starts with herald's patch (single round patch that is scaly with raised borders) - progresses to 1-2 cm salmon colored rash on abdomen, chest, back, and legs in CHRISTMAS TREE PATTERN Seborrheic Dermatitis dandruff, cradle cap, oily scales Tinea versicolor Fungal sun spots Vitiligo