ADVANCED HEALTH ASSESSMENT
MIDTERM REVIEW QUESTIONS WITH
CORRECT ANSWERS
1.aAa19-year-oldamanacomesatoayouraclinicawithaaared,airritatedarightaeyeafora24-
48ahours.aHeanotesathatawhenaheawokeaup,ahisaeyelidsawerea"stuckatogether".aPhysicalaexa
mafindings:ascleraaisainjected,avisionaisanormal,aandaEOMaareaintact,apurulentadischargeaisa
noted.aWhataisatheamostalikelyadiagnosis?
A.aChemicalaexposure
B.aBacterialaConjunctivitis
C.aErythemaanodosa
D.aTraumaa-aans--B.aBacterialaConjunctivitis
2.aAna18-year-oldafemaleapresentsatoatheaERawitha1-
dayahistoryaofasevereasoreathroat,amalaise,aandaheadache.aTheapatientareportsanoahistoryao
facoughaorarhinitis.aV.S.:aTa101F,aP98,aR22,aBPa124/60.aOnaskinainspection,atheaNPanotices
aaafineasandpaperarashaonatheachest.aTheathroataexaminationarevealsaanainflamedauvula,ap
harynx,aandatonsilsawithagray-
whiteaexudateaonathearightatonsil.aNeckaexaminationarevealsatenderacervicalalymphadenop
athy.aTheamostalikelyadiagnosisais:
A.aHand-foot-and-mouthadisease
B.aAcuteaherpeticapharyngitis
C.aGroupaAabeta-hemolyticastreptococcalainfection
D.aAcuteadiphtherialainfectiona-aans--C.aGroupaAabeta-hemolyticastreptococcalainfection
3.aTheapurposeaofatheahealthahistoryaisato:
A.aGatherasubjectiveadataaaboutatheapatient
B.aObtainaaageneticahistoryatoadetermineasusceptibilityatoadisease
C.aGatherapastaandacurrentaobjectiveaandasubjectiveadataaaboutatheapatient
D.aObtainaaagenealogicarecordaofafamilialadiseasesa-aans--
A.aGatherasubjectiveadataaaboutatheapatient
4.aAa67-year-oldamanawithaaa40apack-
yearasmokingahistoryacomplainsaofashortnessaofabreathaforatheapasta6amonthsaandaswellinga
inahisalegs.aHeaoftenawakesaupaatanightagaspingaforabreathaandafeelsamostacomfortableaslee
pingaona3apillows.aHeahasanoapastamedicalahistoryaofaCOPDaoraCHF,abutaheahasadiabetesaa
ndahypertension.aWhataisatheamostalikelyadiagnosis?
A.aCongestiveaheartafailure
B.aChronicaobstructiveapulmonaryadisease
C.aAsthma
D.aLungacancera-aans--A.aCongestiveaheartafailure
,5.aAa50-year-
oldawomanacomesatoayouraofficeawithaaahistoryaofa2aepisodesaofacoughingablood.aTheaquant
ityaisaestimatedatoabea2atoa3atablespoonsaofabrightabloodaonaeachaoccasion.aSheahasamildas
hortnessaofabreath,abutasheafeelsacomfortableaatarest.aSheahasaneverasmoked,adeniesaweig
htalossaorafever,aandahasanoaotheramedicalaproblems.aWhatawouldabeatheanextastepainaheram
anagement?
A.aReferralatoaaapulmonologistaforabronchoscopy
B.aReturnatoayouraclinicainatheanextaseveralaweeksatoamonitoraherasymptoms
C.aChestax-rayawithaanaadmissionatoatheahospitalaforaadditionalatesting
D.aCompleteavitalasignsaandaphysicalaexaminationa-aans--
D.aCompleteavitalasignsaandaphysicalaexamination
6.aDuringatheacentralanervousasystemaexam,atheaNPaevaluatesatheapatient'sagaitaandadeter
minesatheapatientaisaunableatoaperformaaaheel-
walk.aTheadifferentialadiagnosisatheaNPaisamostaconcernedaaboutaisadamageatoathe:
A.aCorticospinalatract
B.aSpinocerebellaratract
C.aSpinothalamicatract
D.aDorsalacolumn-medialalemniscusatracta-aans--A.aCorticospinalatract
7.aWhataisatheabestawayatoabeginaaskingaaboutatheapastamedicalahistory?
A.aHaveayouahadameasles,amumps,arubella,achickenapox,ascarletafever,aorarheumaticafever
?
B.aDidayouagetaallayourashotsagrowingaup?
C.aWereayouahospitalizedaasaaachild?
D.aHowawasayourahealthaasaaachild?a-aans--D.aHowawasayourahealthaasaaachild?
8.aTheaNPaisaconductingaanaophthalmoscopicaexamination.aWhichastatementabyatheaNPatoa
theapreceptoraindicatesacorrectaunderstandingaregardingaophthalmoscopicaexamination:
A.aIawillalookaforatheayellowatintainatheapatient'sapupilatoaexamineatheafundus
B.aIawillalookaforatheaorangeaglowainatheapatient'sapupilatoaexamineatheafundus
C.aIawillalookaforathealightareflexainatheapatient'sapupilatoaexamineatheafundus
D.aIawillalookaforatheapinkareflexainatheapatient'sapupilatoaexamineatheafundusa-aans--
B.aIawillalookaforatheaorangeaglowainatheapatient'sapupilatoaexamineatheafundus
9.aYouaareaevaluatingaaa20-year-oldamaleawitha1-
dayahistoryaofaleftaearapain.aOnaotoscopicaexam,atheatympanicamembraneaappearsaredden
ed,abulging,aandanoaobservablealandmarks.aTheamostalikelyadiagnosisais:
A.aCholesteatoma
B.aOtitisamedia
C.aOtitisaexterna
D.aCerumenaimpactiona-aans--B.aOtitisamedia
, 10.aTheaNPaisaconductingaaacardiovascularaexamination.aTheaNPaknowsatoauseatheabellaofat
heastethoscopeatoaauscultateaforaallatheafollowingaexcept:
A.aPericardialafrictionarub
B.aS3agallop
C.aS4agallop
D.aMurmuraofamitralastenosisa-aans--A.aPericardialafrictionarub
11.aWhenaaapatientagivesaanaincompleteaoraone-
wordaansweratoaaasensitiveaquestion,atheainterviewerashould:
A.aPauseauntilatheapatientaprovidesaaamoreadetailedaanswer
B.aAssumeathatatheaissueaisanotaimportantatoatheapatientaandamoveaon
C.aGentlyaaskatheaquestionainaaadifferentaway
D.aDemandatoaknowawhyatheapatientaisawithholdingainformationa-aans--
C.aGentlyaaskatheaquestionainaaadifferentaway
12.aAa65-year-
oldawomanacomesatoayouraclinicawithaaahistoryaofacoughingaupa1atoa2atablespoonsaofabrighta
bloodaona2aoccasions.aSheahasasmokedaheavilyaforatheapasta30ayearsaandareportsarecentaw
eightalossaofa25atoa30albs.aHerapastamedicalahistoryaincludesadiabetes,ahypertension,aandar
heumatoidaarthritis.aHeramedicationsaincludeainsulin,aatenolol,aandalisinopril.aWhatais/areath
eaalarmafeaturesapresentainathisapatient?
A.aQuantityaofahemoptysis
B.aAdvancedaage,aweightaloss,aandahistoryaofasmoking
C.aHistoryaofadiabetes,ahypertension.aandarheumatoidaarthritis
D.aCurrentamedicationsa-aans--B.aAdvancedaage,aweightaloss,aandahistoryaofasmoking
13.aDuringatheaneurologicalaexamination,atheapatientadoesanotasenseavibrationawhenatheaN
Paappliesaaavibratingatuningaforkatoatheapatient'sarightabigatoe.aAadifferentialadiagnosisatheaN
Pashouldaconsiderais:
A.aHyperthyroidism
B.aDiabetes
C.aDermatitis
D.aLupusaerythematosusa-aans--B.aDiabetes
14.aTobaccoauseaisarecordedainapackayears.aHowadoaweacalculateapackayears?
A.a#apacksaperaweekaxa12
B.a#apacksaperadayax12
C.a#apacksaperadayaxayearsaaapersonahasasmoked
D.a#apacksaperaweekaxatheanumberaofayearsaaapersonahasasmokeda-aans--
C.a#apacksaperadayaxayearsaaapersonahasasmoked
15.aTheaNPaisacalledatoaevaluateaaapatient.aTheanursingastaffagrewaconcernedabecauseathea
patientaappearsaagitatedaandainsistsaheahearsavoicesatellingahimapeopleaareagoingatoakillahi
m.aTheaNPaknowsathataauditoryahallucinationsacanaoccurainaallatheafollowingaexcept:
A.aSchizophrenia
MIDTERM REVIEW QUESTIONS WITH
CORRECT ANSWERS
1.aAa19-year-oldamanacomesatoayouraclinicawithaaared,airritatedarightaeyeafora24-
48ahours.aHeanotesathatawhenaheawokeaup,ahisaeyelidsawerea"stuckatogether".aPhysicalaexa
mafindings:ascleraaisainjected,avisionaisanormal,aandaEOMaareaintact,apurulentadischargeaisa
noted.aWhataisatheamostalikelyadiagnosis?
A.aChemicalaexposure
B.aBacterialaConjunctivitis
C.aErythemaanodosa
D.aTraumaa-aans--B.aBacterialaConjunctivitis
2.aAna18-year-oldafemaleapresentsatoatheaERawitha1-
dayahistoryaofasevereasoreathroat,amalaise,aandaheadache.aTheapatientareportsanoahistoryao
facoughaorarhinitis.aV.S.:aTa101F,aP98,aR22,aBPa124/60.aOnaskinainspection,atheaNPanotices
aaafineasandpaperarashaonatheachest.aTheathroataexaminationarevealsaanainflamedauvula,ap
harynx,aandatonsilsawithagray-
whiteaexudateaonathearightatonsil.aNeckaexaminationarevealsatenderacervicalalymphadenop
athy.aTheamostalikelyadiagnosisais:
A.aHand-foot-and-mouthadisease
B.aAcuteaherpeticapharyngitis
C.aGroupaAabeta-hemolyticastreptococcalainfection
D.aAcuteadiphtherialainfectiona-aans--C.aGroupaAabeta-hemolyticastreptococcalainfection
3.aTheapurposeaofatheahealthahistoryaisato:
A.aGatherasubjectiveadataaaboutatheapatient
B.aObtainaaageneticahistoryatoadetermineasusceptibilityatoadisease
C.aGatherapastaandacurrentaobjectiveaandasubjectiveadataaaboutatheapatient
D.aObtainaaagenealogicarecordaofafamilialadiseasesa-aans--
A.aGatherasubjectiveadataaaboutatheapatient
4.aAa67-year-oldamanawithaaa40apack-
yearasmokingahistoryacomplainsaofashortnessaofabreathaforatheapasta6amonthsaandaswellinga
inahisalegs.aHeaoftenawakesaupaatanightagaspingaforabreathaandafeelsamostacomfortableaslee
pingaona3apillows.aHeahasanoapastamedicalahistoryaofaCOPDaoraCHF,abutaheahasadiabetesaa
ndahypertension.aWhataisatheamostalikelyadiagnosis?
A.aCongestiveaheartafailure
B.aChronicaobstructiveapulmonaryadisease
C.aAsthma
D.aLungacancera-aans--A.aCongestiveaheartafailure
,5.aAa50-year-
oldawomanacomesatoayouraofficeawithaaahistoryaofa2aepisodesaofacoughingablood.aTheaquant
ityaisaestimatedatoabea2atoa3atablespoonsaofabrightabloodaonaeachaoccasion.aSheahasamildas
hortnessaofabreath,abutasheafeelsacomfortableaatarest.aSheahasaneverasmoked,adeniesaweig
htalossaorafever,aandahasanoaotheramedicalaproblems.aWhatawouldabeatheanextastepainaheram
anagement?
A.aReferralatoaaapulmonologistaforabronchoscopy
B.aReturnatoayouraclinicainatheanextaseveralaweeksatoamonitoraherasymptoms
C.aChestax-rayawithaanaadmissionatoatheahospitalaforaadditionalatesting
D.aCompleteavitalasignsaandaphysicalaexaminationa-aans--
D.aCompleteavitalasignsaandaphysicalaexamination
6.aDuringatheacentralanervousasystemaexam,atheaNPaevaluatesatheapatient'sagaitaandadeter
minesatheapatientaisaunableatoaperformaaaheel-
walk.aTheadifferentialadiagnosisatheaNPaisamostaconcernedaaboutaisadamageatoathe:
A.aCorticospinalatract
B.aSpinocerebellaratract
C.aSpinothalamicatract
D.aDorsalacolumn-medialalemniscusatracta-aans--A.aCorticospinalatract
7.aWhataisatheabestawayatoabeginaaskingaaboutatheapastamedicalahistory?
A.aHaveayouahadameasles,amumps,arubella,achickenapox,ascarletafever,aorarheumaticafever
?
B.aDidayouagetaallayourashotsagrowingaup?
C.aWereayouahospitalizedaasaaachild?
D.aHowawasayourahealthaasaaachild?a-aans--D.aHowawasayourahealthaasaaachild?
8.aTheaNPaisaconductingaanaophthalmoscopicaexamination.aWhichastatementabyatheaNPatoa
theapreceptoraindicatesacorrectaunderstandingaregardingaophthalmoscopicaexamination:
A.aIawillalookaforatheayellowatintainatheapatient'sapupilatoaexamineatheafundus
B.aIawillalookaforatheaorangeaglowainatheapatient'sapupilatoaexamineatheafundus
C.aIawillalookaforathealightareflexainatheapatient'sapupilatoaexamineatheafundus
D.aIawillalookaforatheapinkareflexainatheapatient'sapupilatoaexamineatheafundusa-aans--
B.aIawillalookaforatheaorangeaglowainatheapatient'sapupilatoaexamineatheafundus
9.aYouaareaevaluatingaaa20-year-oldamaleawitha1-
dayahistoryaofaleftaearapain.aOnaotoscopicaexam,atheatympanicamembraneaappearsaredden
ed,abulging,aandanoaobservablealandmarks.aTheamostalikelyadiagnosisais:
A.aCholesteatoma
B.aOtitisamedia
C.aOtitisaexterna
D.aCerumenaimpactiona-aans--B.aOtitisamedia
, 10.aTheaNPaisaconductingaaacardiovascularaexamination.aTheaNPaknowsatoauseatheabellaofat
heastethoscopeatoaauscultateaforaallatheafollowingaexcept:
A.aPericardialafrictionarub
B.aS3agallop
C.aS4agallop
D.aMurmuraofamitralastenosisa-aans--A.aPericardialafrictionarub
11.aWhenaaapatientagivesaanaincompleteaoraone-
wordaansweratoaaasensitiveaquestion,atheainterviewerashould:
A.aPauseauntilatheapatientaprovidesaaamoreadetailedaanswer
B.aAssumeathatatheaissueaisanotaimportantatoatheapatientaandamoveaon
C.aGentlyaaskatheaquestionainaaadifferentaway
D.aDemandatoaknowawhyatheapatientaisawithholdingainformationa-aans--
C.aGentlyaaskatheaquestionainaaadifferentaway
12.aAa65-year-
oldawomanacomesatoayouraclinicawithaaahistoryaofacoughingaupa1atoa2atablespoonsaofabrighta
bloodaona2aoccasions.aSheahasasmokedaheavilyaforatheapasta30ayearsaandareportsarecentaw
eightalossaofa25atoa30albs.aHerapastamedicalahistoryaincludesadiabetes,ahypertension,aandar
heumatoidaarthritis.aHeramedicationsaincludeainsulin,aatenolol,aandalisinopril.aWhatais/areath
eaalarmafeaturesapresentainathisapatient?
A.aQuantityaofahemoptysis
B.aAdvancedaage,aweightaloss,aandahistoryaofasmoking
C.aHistoryaofadiabetes,ahypertension.aandarheumatoidaarthritis
D.aCurrentamedicationsa-aans--B.aAdvancedaage,aweightaloss,aandahistoryaofasmoking
13.aDuringatheaneurologicalaexamination,atheapatientadoesanotasenseavibrationawhenatheaN
Paappliesaaavibratingatuningaforkatoatheapatient'sarightabigatoe.aAadifferentialadiagnosisatheaN
Pashouldaconsiderais:
A.aHyperthyroidism
B.aDiabetes
C.aDermatitis
D.aLupusaerythematosusa-aans--B.aDiabetes
14.aTobaccoauseaisarecordedainapackayears.aHowadoaweacalculateapackayears?
A.a#apacksaperaweekaxa12
B.a#apacksaperadayax12
C.a#apacksaperadayaxayearsaaapersonahasasmoked
D.a#apacksaperaweekaxatheanumberaofayearsaaapersonahasasmokeda-aans--
C.a#apacksaperadayaxayearsaaapersonahasasmoked
15.aTheaNPaisacalledatoaevaluateaaapatient.aTheanursingastaffagrewaconcernedabecauseathea
patientaappearsaagitatedaandainsistsaheahearsavoicesatellingahimapeopleaareagoingatoakillahi
m.aTheaNPaknowsathataauditoryahallucinationsacanaoccurainaallatheafollowingaexcept:
A.aSchizophrenia
