NSG 625 ADVANCED HEALTH
ASSESSMENT QUIZ 1 QUESTIONS
AND ANWERS
How many bones in the human head? - ANSWER-22
How many bones in the human face? - ANSWER-14
Three muscles of mastication - ANSWER-Masseter, pterygoid, and temporalis
Where do the three muscles of mastication insert? - ANSWER-Mandible
What is the action of the masseter muscle? - ANSWER-Elevating (closing) and
drawing back the mandible for chewing.
Dermatomes - ANSWER-An area of the skin supplied by nerves from a single spinal
root. Helpful for Dxing shingles.
What three cardinal principle of examination will be used during a head exam? -
ANSWER-Inspection, palpitation, and auscultation.
What needs to be auscultated during a head exam? - ANSWER-Carotid bruit
auscultation
What needs to be documented after a head examination? - ANSWER-Growths,
tenderness, changes in hair pattern, and lesions.
Alopecia - ANSWER-Hair loss
11 characteristics to be concerned about it a pt. has a headaches and has no history
of a similar headache - ANSWER-1. Explosive and severe onset
2. No similar headaches in the past
3. Concomitant infection
4. Altered mental status or seizure
5. Associated with exertion
6. Age over 50
7. Immunosuppression
8. Visual disturbances
9. Pregnancy or postpartum state
10. Medications or illicit drugs
11. Associated with fever without identifiable cause
Diagnostic criteria for migraine - ANSWER-The pt. must have experienced at least
five attacks lasting between 4 and 72 hours that fulfill the following criteria:
Two of the following: unilateral location, pulsating quality, moderate or severe pain
intensity.
Aggravation by or causing avoidance of routine physical activity.
, During the headache, the patient experiences at least one of the following: Nausea
and/or vomiting or photophobia and phonophobia.
8 steps to a headache physical exam - ANSWER-1. Vital signs
2. Inspection
3. Palpitation, looking for tender areas
4. Cranial nerves
5. Eye exa
6. Oral exam
7. Neck motion
8. Balance
- ANSWER-Cataracts
Fundoscopic exam - ANSWER-The use of an ophthalmoscope to look through the
pupil and examine the interior surface of the posterior eye
Tools needed for an eye exam - ANSWER-Light source, ophthalmoscope, Snellen
card, color assessment cards.
4 Hx questions to ask during an eye exam - ANSWER-1. Work
2. Hobbies
3. Eye protection
4. Use of corrective lenses
7 steps to an eye exam - ANSWER-1. Hx
2. visual acuity (Snellen exam)
3. test visual fields with confrontation (including peripheral vision)
4. Assess ocular movement
5. Check alignment (cover test)
6. Pupillary reflex with light, check accommodation (near reflex)
7. Inspect periorbital region, lids.
Peritonitis - ANSWER-Inflammation of the peritoneum (membrane lining the
abdominal cavity and surrounding the organs within it)
What can hyperactive bowel sounds indicate? - ANSWER-early bowel obstruction,
gastroenteritis, diarrhea, or with use of laxatives
During percussion, what do solid organs, fluids, and tumors sound like? - ANSWER-
A dull sound that may sound like percussion sounds of the thigh
During percussion, what do hollow or air filled areas sound like? - ANSWER-A
tympanic (drum like) sound.
What are 4 common causes of a distended abdomen? - ANSWER-Adiposity,
bloating, tumor, or ascites.
Adiposity - ANSWER-A condition of being severely overweight or obese.
ASSESSMENT QUIZ 1 QUESTIONS
AND ANWERS
How many bones in the human head? - ANSWER-22
How many bones in the human face? - ANSWER-14
Three muscles of mastication - ANSWER-Masseter, pterygoid, and temporalis
Where do the three muscles of mastication insert? - ANSWER-Mandible
What is the action of the masseter muscle? - ANSWER-Elevating (closing) and
drawing back the mandible for chewing.
Dermatomes - ANSWER-An area of the skin supplied by nerves from a single spinal
root. Helpful for Dxing shingles.
What three cardinal principle of examination will be used during a head exam? -
ANSWER-Inspection, palpitation, and auscultation.
What needs to be auscultated during a head exam? - ANSWER-Carotid bruit
auscultation
What needs to be documented after a head examination? - ANSWER-Growths,
tenderness, changes in hair pattern, and lesions.
Alopecia - ANSWER-Hair loss
11 characteristics to be concerned about it a pt. has a headaches and has no history
of a similar headache - ANSWER-1. Explosive and severe onset
2. No similar headaches in the past
3. Concomitant infection
4. Altered mental status or seizure
5. Associated with exertion
6. Age over 50
7. Immunosuppression
8. Visual disturbances
9. Pregnancy or postpartum state
10. Medications or illicit drugs
11. Associated with fever without identifiable cause
Diagnostic criteria for migraine - ANSWER-The pt. must have experienced at least
five attacks lasting between 4 and 72 hours that fulfill the following criteria:
Two of the following: unilateral location, pulsating quality, moderate or severe pain
intensity.
Aggravation by or causing avoidance of routine physical activity.
, During the headache, the patient experiences at least one of the following: Nausea
and/or vomiting or photophobia and phonophobia.
8 steps to a headache physical exam - ANSWER-1. Vital signs
2. Inspection
3. Palpitation, looking for tender areas
4. Cranial nerves
5. Eye exa
6. Oral exam
7. Neck motion
8. Balance
- ANSWER-Cataracts
Fundoscopic exam - ANSWER-The use of an ophthalmoscope to look through the
pupil and examine the interior surface of the posterior eye
Tools needed for an eye exam - ANSWER-Light source, ophthalmoscope, Snellen
card, color assessment cards.
4 Hx questions to ask during an eye exam - ANSWER-1. Work
2. Hobbies
3. Eye protection
4. Use of corrective lenses
7 steps to an eye exam - ANSWER-1. Hx
2. visual acuity (Snellen exam)
3. test visual fields with confrontation (including peripheral vision)
4. Assess ocular movement
5. Check alignment (cover test)
6. Pupillary reflex with light, check accommodation (near reflex)
7. Inspect periorbital region, lids.
Peritonitis - ANSWER-Inflammation of the peritoneum (membrane lining the
abdominal cavity and surrounding the organs within it)
What can hyperactive bowel sounds indicate? - ANSWER-early bowel obstruction,
gastroenteritis, diarrhea, or with use of laxatives
During percussion, what do solid organs, fluids, and tumors sound like? - ANSWER-
A dull sound that may sound like percussion sounds of the thigh
During percussion, what do hollow or air filled areas sound like? - ANSWER-A
tympanic (drum like) sound.
What are 4 common causes of a distended abdomen? - ANSWER-Adiposity,
bloating, tumor, or ascites.
Adiposity - ANSWER-A condition of being severely overweight or obese.
