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Advanced Physical Assessment FINAL
Questions and Correct Answers
For which one of the patients would a comprehensive health
history be appropriate? Ans: A new patient with the CC of "Im here
to establish care"
The components of a health history include all of the following
except which one? Ans: A. ROS
B. Thorax and lungs
C. Present Illness
D. Personal and social items
Answer is B thorax and lungs
Is the following info subjective or objective? Mr. M has SOB that
has persisted for the past 10 days; it is worse with activity and
relieved by rest Ans: Subjective
Is the following info subjective or objective? Mr. M has a RR of 32
and a pulse rate of 120 Ans: objective
Health history includes- "patient has had and pain for 1 week. Pain
lasts for 30min at a time; it comes and goes. Severity is 7-9,
accompanied by N&V, located in mid-epigastric area" which
category does it belong to? Ans: Present Illness
This info is in the health history: "patient completed 8th grade.
Currently lives with his wife and two children. Works on cars on
© 2025 All rights reserved
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the weekend. Works in a glass factory during the week." Which
category does it belong to? Ans: Personal and social history
The following info is recorded in the health history: "I feel really
tired." which category does it belong to? Ans: Chief complaint
Recorded in health history: "patient denies chest pain, palpitation,
orthopnea, and paroxysmal nocturnal dyspnea." which category?
Ans: ROS
The following info is best placed in which category? "The patient
had a stent placed in the LAD in 99." Ans: Adult illnesses
The following info is best placed in which category? "The patient
was treated for an asthma exacerbation in the hospital last year;
the patient has never been intubated." Ans: Adult illnesses
19 yr old college student Todd...brought in by his mom for odd
behavior....He tells you he has seen a black van and computer tech
workers are stealing his work through special gamma waves. "See I
told you...he's crazy. What do I do about it?" While arranging for a
psychiatry consult, what psychotic disorder do you think Todd
has? Ans: Schizophrenia
24 yr old secretary, complaining of difficulty sleeping, severe
nightmares, and irritability. 6 months ago she was held at
gunpoint...On exam, you find a nervous woman appearing her
stated age. Physical exam is unremarkable. You recommend
medication and counseling. What anxiety disorder do you think
she has? Ans: PTSD
75-year old homemaker brings her 76 yr old husband to the clinic.
had a stroke 4 months ago..."I will change the Kool-aid out of the
sink myself with the ludrip." She says that these sayings are
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becoming frustrating. What type os aphasia does he have? Ans:
Wernike's aphasia
32-yr old complaining of overwhelming sadness. Last 2 months
she has had crying episodes, difficulty sleeping, and problems
with overeating. On examination you see a woman appearing her
stated age who seems quite sad. Her facial expression does not
change while you talk to her and she makes little eye contact. She
speaks so softly you cannot always understand her. Her though
processes and content seem unremarkable. What type of disorder
do you think she has? Ans: Major depressive episode
27 yr-old woman brought to office by her mother. Mother says
daughter has schizophrenic for last 8 years...Patient has been
microwaving letters from mailman. Pt agrees that she does this but
only bc the mailman flipping through the envelopes and she
knows he's putting anthrax on the letters. Which bus describes the
patient's abnormality of perception? Ans: Illusion
22-yr old brought to office by his father to discuss mental health
disorder. schizophrenia was diagnosed 6 months ago...Son has
been hearing things that don't exist. You ask the young man what
is going on and he tells you that his father is just jealous bc his
sister talks only to him. "Son, your sister died 2 years ago." Son
thinks she still talks to him. Which best describes the patient's
abnormality of perception? Ans: Hallucination
26 yr old violinist, complains of anxiety. during performances only
starts to sweat, shake, and hyperventilate. It has gotten so bad he
has thought about giving up his first chair status so he doesn't
have to play the solo during one of the movements. These
symptoms don't happen during rehearsals or when he is
practicing. What type of anxiety disorder best describes his sit?
Ans: social phobia
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23 yr-old ticket agent is brought in by her husband bc he is
concerned with her recent behavior. Stopped showering, up all
night cleaning, racking up credit cards, she states she is very
happy and fulfilled. Speaks quickly and changes the subject often.
On exam she is very loud and outspoken. PE is unremarkable.
Which mood disorder does she most likely have? Ans: Manic
episode
72-yr old AA, after weakness in his R arm and leg...MRI showed
small stroke...everyone is still having trouble communicating with
him. You ask the pt how he thinks he is doing. "well, fine, doing,
okay." Other than his weak R arm and leg his PE is unremarkable.
What disorder of speech does he have? Ans: Broca's aphasia
35-yr old stockbroker, complaining of feeling tired and irritable.
Also says she feels like nothing ever goes her way and that nothing
good ever happens. When you ask her how long she has felt this
way she laughs and says, "since when have I not?" She relates that
she has felt pessimistic about life in general since she was in High
school. Mother has depression...What mental health disorder best
describes her symptoms? Ans: Dysthymic disorder
Susanne is a 27 yr old who has had HAs, muscle aches, and fatigue
for the last 2 months. thorough history, exam, and lab workup are
negative. What would be your next action? Ans: To screen for
depression
You ask a patient to draw a clock. He fills in all the numbers on
the R half of the circle. What do you suspect? Ans: Hemianopsia
A young woman comes to you with a cut on finger from a can she
was opening. She is pacing about the room, crying loudly, "My
career as a pianist is finished!" which personality type exhibits
these features? Ans: Histrionic
© 2025 All rights reserved
Advanced Physical Assessment FINAL
Questions and Correct Answers
For which one of the patients would a comprehensive health
history be appropriate? Ans: A new patient with the CC of "Im here
to establish care"
The components of a health history include all of the following
except which one? Ans: A. ROS
B. Thorax and lungs
C. Present Illness
D. Personal and social items
Answer is B thorax and lungs
Is the following info subjective or objective? Mr. M has SOB that
has persisted for the past 10 days; it is worse with activity and
relieved by rest Ans: Subjective
Is the following info subjective or objective? Mr. M has a RR of 32
and a pulse rate of 120 Ans: objective
Health history includes- "patient has had and pain for 1 week. Pain
lasts for 30min at a time; it comes and goes. Severity is 7-9,
accompanied by N&V, located in mid-epigastric area" which
category does it belong to? Ans: Present Illness
This info is in the health history: "patient completed 8th grade.
Currently lives with his wife and two children. Works on cars on
© 2025 All rights reserved
, 2 | Page
the weekend. Works in a glass factory during the week." Which
category does it belong to? Ans: Personal and social history
The following info is recorded in the health history: "I feel really
tired." which category does it belong to? Ans: Chief complaint
Recorded in health history: "patient denies chest pain, palpitation,
orthopnea, and paroxysmal nocturnal dyspnea." which category?
Ans: ROS
The following info is best placed in which category? "The patient
had a stent placed in the LAD in 99." Ans: Adult illnesses
The following info is best placed in which category? "The patient
was treated for an asthma exacerbation in the hospital last year;
the patient has never been intubated." Ans: Adult illnesses
19 yr old college student Todd...brought in by his mom for odd
behavior....He tells you he has seen a black van and computer tech
workers are stealing his work through special gamma waves. "See I
told you...he's crazy. What do I do about it?" While arranging for a
psychiatry consult, what psychotic disorder do you think Todd
has? Ans: Schizophrenia
24 yr old secretary, complaining of difficulty sleeping, severe
nightmares, and irritability. 6 months ago she was held at
gunpoint...On exam, you find a nervous woman appearing her
stated age. Physical exam is unremarkable. You recommend
medication and counseling. What anxiety disorder do you think
she has? Ans: PTSD
75-year old homemaker brings her 76 yr old husband to the clinic.
had a stroke 4 months ago..."I will change the Kool-aid out of the
sink myself with the ludrip." She says that these sayings are
© 2025 All rights reserved
, 3 | Page
becoming frustrating. What type os aphasia does he have? Ans:
Wernike's aphasia
32-yr old complaining of overwhelming sadness. Last 2 months
she has had crying episodes, difficulty sleeping, and problems
with overeating. On examination you see a woman appearing her
stated age who seems quite sad. Her facial expression does not
change while you talk to her and she makes little eye contact. She
speaks so softly you cannot always understand her. Her though
processes and content seem unremarkable. What type of disorder
do you think she has? Ans: Major depressive episode
27 yr-old woman brought to office by her mother. Mother says
daughter has schizophrenic for last 8 years...Patient has been
microwaving letters from mailman. Pt agrees that she does this but
only bc the mailman flipping through the envelopes and she
knows he's putting anthrax on the letters. Which bus describes the
patient's abnormality of perception? Ans: Illusion
22-yr old brought to office by his father to discuss mental health
disorder. schizophrenia was diagnosed 6 months ago...Son has
been hearing things that don't exist. You ask the young man what
is going on and he tells you that his father is just jealous bc his
sister talks only to him. "Son, your sister died 2 years ago." Son
thinks she still talks to him. Which best describes the patient's
abnormality of perception? Ans: Hallucination
26 yr old violinist, complains of anxiety. during performances only
starts to sweat, shake, and hyperventilate. It has gotten so bad he
has thought about giving up his first chair status so he doesn't
have to play the solo during one of the movements. These
symptoms don't happen during rehearsals or when he is
practicing. What type of anxiety disorder best describes his sit?
Ans: social phobia
© 2025 All rights reserved
, 4 | Page
23 yr-old ticket agent is brought in by her husband bc he is
concerned with her recent behavior. Stopped showering, up all
night cleaning, racking up credit cards, she states she is very
happy and fulfilled. Speaks quickly and changes the subject often.
On exam she is very loud and outspoken. PE is unremarkable.
Which mood disorder does she most likely have? Ans: Manic
episode
72-yr old AA, after weakness in his R arm and leg...MRI showed
small stroke...everyone is still having trouble communicating with
him. You ask the pt how he thinks he is doing. "well, fine, doing,
okay." Other than his weak R arm and leg his PE is unremarkable.
What disorder of speech does he have? Ans: Broca's aphasia
35-yr old stockbroker, complaining of feeling tired and irritable.
Also says she feels like nothing ever goes her way and that nothing
good ever happens. When you ask her how long she has felt this
way she laughs and says, "since when have I not?" She relates that
she has felt pessimistic about life in general since she was in High
school. Mother has depression...What mental health disorder best
describes her symptoms? Ans: Dysthymic disorder
Susanne is a 27 yr old who has had HAs, muscle aches, and fatigue
for the last 2 months. thorough history, exam, and lab workup are
negative. What would be your next action? Ans: To screen for
depression
You ask a patient to draw a clock. He fills in all the numbers on
the R half of the circle. What do you suspect? Ans: Hemianopsia
A young woman comes to you with a cut on finger from a can she
was opening. She is pacing about the room, crying loudly, "My
career as a pianist is finished!" which personality type exhibits
these features? Ans: Histrionic
© 2025 All rights reserved
