Advanced Health Assessment Final
21 year antique university senior to clinic c/o SOB x three days. Hx asthma, managed with
medicines. S/s URI with fever. Increased use of rescue inhaler. What could you assume her
lung sounds to be? - ANS-Wheezes all through idea and expiration
fifty two yo F palpable breast lump. Fine needle aspiration does no longer convey any fluid. ..
.. .. What is the following step? - ANS-Refer for biopsy
55 yo patron tells you she smoked 2ppd in view that age 14. How many % years? -
ANS-eighty two
56 yo salesman evaluated region on the tongue that has been gift for three ___, unable to
scrape off. White painless plaques. What is the probably prognosis? - ANS-Leukoplakia
57 yo university professor is hospitalized for SOB. As you observe her in ER, JVP of forty
five ranges eight cm above the clavicle. Locating is most constant with which of the
subsequent diagnoses? - ANS-Right sided heart failure
fifty nine yo M with records of COPD presents with worsening dyspnea. Patient is afebrile,
breath sounds are decreased bilaterally, mentioned to have JVD and pitting edema of lower
extremities. What is the most probable cause of his dyspnea? - ANS-CHF
60 yo landscaper affords for your office to establish care, history of CHF controlled with
medicinal drugs. Denies cp, edema. Early diastolic ? With commencing snap ___. You
suspect? - ANS-Mitral stenosis
70 yo comes to health facility c/o blurred vision, problems w glare, no pain. NP need to take
a look at first for ___ - ANS-cataract
70 yo Mr Willians is a brand new affected person, has no court cases, soliciting for a
physical. His physical is unremarkable but which of the subsequent places him at threat: -
ANS-Waits of 42 inches
A 30 yo F is within the workplace c/o palpiations and a few lightheadedness for the past ?,
random episodes, no detectable pattern. NP notes a mid systolic click with a past due
systolic murmur heard first-class inside the apical location. You suspect - ANS-Mitral valve
prolapse (MVP)
a 34 yo female cited that she had nipple discharge for two months. Pregnancy take a look at
turned into poor.. ... ... .. Which of the following characteristics of the discharge would be
most concerning? - ANS-Bloody
, A 58 yo dentist presents for ordinary check up. He has been healthful. Non smoker, does no
longer drink alcohol. You pay attention a fairly loud murmur, no palpable thrill. What is the
precise grade for this murmur? - ANS-Grade three
A charitable basis plans to build a network kids middle in a large urban vicinity with records
of gang violence. What form of prevention is being executed? - ANS-Primary prevention
A circumscribed, elevated lesion, >1 cm I diameter and containing clean serous fluid is best
described as - ANS-Bulla
A customers complains of intense ache in his abdomen and factors to the RLQ. In examining
the acute stomach, the NP would: - ANS-Palpate the left facet of the abdomen, then the
proper aspect, noting guarding and tenderness
A middle-aged female who is obese had RUQ pain that radiates to her R subscapular place.
If there may be a wonderful ______, the patient has _____ - ANS-Murphy's signal,
cholecystitis
A patient states that she has had a rash on her breast for approximately 2 weeks. In order to
determine if it's far pagets ailment you'll assume to have all the following on bodily
examination EXCEPT - ANS-inverted nipple
A high-quality medical join up the physical examination indicating pneumonia is -
ANS-Dullness on percussion
A high quality fluid wave take a look at may additionally occur with all the following situations
EXCEPT - ANS-Inflammation of the spleen
All of the following are proper about domestic abuse EXCEPT? - ANS-No delay in looking for
remedy
All of the subsequent statements concerning basal cellular carcinoma are true EXCEPT? -
ANS-It is most often located on abdomen or trunk
All of the following symptoms associated with chest ache are probable to symbolize CAD
except? - ANS-pain with notion
All of the subsequent checks require the patient's voice to perform efficiently besides: -
ANS--egophany
-tactile fremitus
-whispered pectoriloquy
*auscultation*
All of these are atypical breathing inside the infant EXCEPT - ANS-louder, harsher sounds
An bizarre symmetric expansion would most in all likelihood be mentioned on which of the
following patients? - ANS-Pneumonia
21 year antique university senior to clinic c/o SOB x three days. Hx asthma, managed with
medicines. S/s URI with fever. Increased use of rescue inhaler. What could you assume her
lung sounds to be? - ANS-Wheezes all through idea and expiration
fifty two yo F palpable breast lump. Fine needle aspiration does no longer convey any fluid. ..
.. .. What is the following step? - ANS-Refer for biopsy
55 yo patron tells you she smoked 2ppd in view that age 14. How many % years? -
ANS-eighty two
56 yo salesman evaluated region on the tongue that has been gift for three ___, unable to
scrape off. White painless plaques. What is the probably prognosis? - ANS-Leukoplakia
57 yo university professor is hospitalized for SOB. As you observe her in ER, JVP of forty
five ranges eight cm above the clavicle. Locating is most constant with which of the
subsequent diagnoses? - ANS-Right sided heart failure
fifty nine yo M with records of COPD presents with worsening dyspnea. Patient is afebrile,
breath sounds are decreased bilaterally, mentioned to have JVD and pitting edema of lower
extremities. What is the most probable cause of his dyspnea? - ANS-CHF
60 yo landscaper affords for your office to establish care, history of CHF controlled with
medicinal drugs. Denies cp, edema. Early diastolic ? With commencing snap ___. You
suspect? - ANS-Mitral stenosis
70 yo comes to health facility c/o blurred vision, problems w glare, no pain. NP need to take
a look at first for ___ - ANS-cataract
70 yo Mr Willians is a brand new affected person, has no court cases, soliciting for a
physical. His physical is unremarkable but which of the subsequent places him at threat: -
ANS-Waits of 42 inches
A 30 yo F is within the workplace c/o palpiations and a few lightheadedness for the past ?,
random episodes, no detectable pattern. NP notes a mid systolic click with a past due
systolic murmur heard first-class inside the apical location. You suspect - ANS-Mitral valve
prolapse (MVP)
a 34 yo female cited that she had nipple discharge for two months. Pregnancy take a look at
turned into poor.. ... ... .. Which of the following characteristics of the discharge would be
most concerning? - ANS-Bloody
, A 58 yo dentist presents for ordinary check up. He has been healthful. Non smoker, does no
longer drink alcohol. You pay attention a fairly loud murmur, no palpable thrill. What is the
precise grade for this murmur? - ANS-Grade three
A charitable basis plans to build a network kids middle in a large urban vicinity with records
of gang violence. What form of prevention is being executed? - ANS-Primary prevention
A circumscribed, elevated lesion, >1 cm I diameter and containing clean serous fluid is best
described as - ANS-Bulla
A customers complains of intense ache in his abdomen and factors to the RLQ. In examining
the acute stomach, the NP would: - ANS-Palpate the left facet of the abdomen, then the
proper aspect, noting guarding and tenderness
A middle-aged female who is obese had RUQ pain that radiates to her R subscapular place.
If there may be a wonderful ______, the patient has _____ - ANS-Murphy's signal,
cholecystitis
A patient states that she has had a rash on her breast for approximately 2 weeks. In order to
determine if it's far pagets ailment you'll assume to have all the following on bodily
examination EXCEPT - ANS-inverted nipple
A high-quality medical join up the physical examination indicating pneumonia is -
ANS-Dullness on percussion
A high quality fluid wave take a look at may additionally occur with all the following situations
EXCEPT - ANS-Inflammation of the spleen
All of the following are proper about domestic abuse EXCEPT? - ANS-No delay in looking for
remedy
All of the subsequent statements concerning basal cellular carcinoma are true EXCEPT? -
ANS-It is most often located on abdomen or trunk
All of the following symptoms associated with chest ache are probable to symbolize CAD
except? - ANS-pain with notion
All of the subsequent checks require the patient's voice to perform efficiently besides: -
ANS--egophany
-tactile fremitus
-whispered pectoriloquy
*auscultation*
All of these are atypical breathing inside the infant EXCEPT - ANS-louder, harsher sounds
An bizarre symmetric expansion would most in all likelihood be mentioned on which of the
following patients? - ANS-Pneumonia
