MIDTERM CLINICAL EXAM STUDY GUIDE
– MULTIPLE CHOICE PRACTICE
(ADVANCED NURSING & MEDICAL
TRAINING) approved by the best
professors guarantee success to our
customers.
Question 1
An 18-year-old client comes to the office for Assessment of a skin eruption. At first there
was only one large patch, but then more lesions erupted suddenly on the back and
torso; the lesions itch. On physical assesment, you note that the pattern of eruption is
like a Christmas tree and that there are a variety of erythematous papules and macules
on the cleavage lines of the back. Based on this description, what is the most likely
assesment?
Pityriasis rosea
Psoriasis
Atopic eczema
Tinea versicolor
Question 2
A 19-year-old construction worker presents for Assessment of a skin eruption. He notes
that it started on his back with a multitude of spots and is also on his arms, chest, and
neck. It itches a lot. He does sweat more than before because being outdoors is part of
his job. On physical assesment, you note dark tan patches with a reddish cast that has
,sharp borders and fine scales, scattered more prominently around the upper back,
chest, neck, and upper arms as well as under the arms. Based on this description, what
is your most likely assesment?
Psoriasis
Tinea versicolor
Atopic eczema
Pityriasis rosea
Question 3
You are examining a child with severe cerebral palsy. When you
suddenly move his foot dorsally, a sustained “beating” of the foot against
your hand ensues. What does this represent?
Clonus
Reinforcement
A focal seizure
Extinction
Question 4
A client presents with a daily cranial pain which has worsened over the past several
months. On funduscopic assesment, you notice that the disk edge is indistinct and the
veins do not pulsate. Which is most likely?
Detached retina
Glaucoma
,Migraine
Increased intracranial pressure
Question 5
A client complains of nasal bleed. Which other cause should be considered?
Hematemesis
, Hematoma of the nasal septum
Intestinal hemorrhage
Intracranial hemorrhage
Question 6
A client complains of breathlessness for the past few days. On assesment, you note late
inspiratory crackles in the lower third of the chest that were not present a week ago.
What is the most likely explanation for these?
Heart failure
Asthma
Bronchiectasis
COPD
Question 7
You are excited about a positive test finding you have just noticed on physical
assesment of your client. You go on to do more assesment, laboratory work, and
diagnostic tests, only to find that there is no sign of the disease you thought would
correlate with the finding. This same experience happens several times. What should
you conclude?
Continue using the test, perhaps doing less laboratory work and diagnostics.
Omit this test from future assesments.
– MULTIPLE CHOICE PRACTICE
(ADVANCED NURSING & MEDICAL
TRAINING) approved by the best
professors guarantee success to our
customers.
Question 1
An 18-year-old client comes to the office for Assessment of a skin eruption. At first there
was only one large patch, but then more lesions erupted suddenly on the back and
torso; the lesions itch. On physical assesment, you note that the pattern of eruption is
like a Christmas tree and that there are a variety of erythematous papules and macules
on the cleavage lines of the back. Based on this description, what is the most likely
assesment?
Pityriasis rosea
Psoriasis
Atopic eczema
Tinea versicolor
Question 2
A 19-year-old construction worker presents for Assessment of a skin eruption. He notes
that it started on his back with a multitude of spots and is also on his arms, chest, and
neck. It itches a lot. He does sweat more than before because being outdoors is part of
his job. On physical assesment, you note dark tan patches with a reddish cast that has
,sharp borders and fine scales, scattered more prominently around the upper back,
chest, neck, and upper arms as well as under the arms. Based on this description, what
is your most likely assesment?
Psoriasis
Tinea versicolor
Atopic eczema
Pityriasis rosea
Question 3
You are examining a child with severe cerebral palsy. When you
suddenly move his foot dorsally, a sustained “beating” of the foot against
your hand ensues. What does this represent?
Clonus
Reinforcement
A focal seizure
Extinction
Question 4
A client presents with a daily cranial pain which has worsened over the past several
months. On funduscopic assesment, you notice that the disk edge is indistinct and the
veins do not pulsate. Which is most likely?
Detached retina
Glaucoma
,Migraine
Increased intracranial pressure
Question 5
A client complains of nasal bleed. Which other cause should be considered?
Hematemesis
, Hematoma of the nasal septum
Intestinal hemorrhage
Intracranial hemorrhage
Question 6
A client complains of breathlessness for the past few days. On assesment, you note late
inspiratory crackles in the lower third of the chest that were not present a week ago.
What is the most likely explanation for these?
Heart failure
Asthma
Bronchiectasis
COPD
Question 7
You are excited about a positive test finding you have just noticed on physical
assesment of your client. You go on to do more assesment, laboratory work, and
diagnostic tests, only to find that there is no sign of the disease you thought would
correlate with the finding. This same experience happens several times. What should
you conclude?
Continue using the test, perhaps doing less laboratory work and diagnostics.
Omit this test from future assesments.
