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Advanced Health Assessment Final Questions and Answers
with Complete Solutions UPDATED!!!
BMI Classifications
Underweight: <18.5
Normal: 18.5-24.9
Overweight: 25.0-29.9
Obesity class
• I: 30.0-34.9
• II: 35.0-39.9
• III: at or over 40
How do you calculate BMI?
Stages of HTN
Normal: under 120/80
Prehypertension: 120-139/80-89
Stage 1: 140-159/90-99
Stage 2: over 160/100
If diabetes or renal disease: goal is under 130/80
Waist Circumference
Risk if over 35in for women
Risk if over 40in for men
Cranial Nerves
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1. Olfactory: Sensory
2. Optic: Sensory
3. Occulomotor: Motor
4. Trochlear: Motor
5. Trigeminal: Both
6. Abducens: Motor
7. Facial: Both
8. Acoustic: Sensory
9. Glossopharyngeal: Both
10. Vagus: Both
11. Spinal Accessory: Motor
12. Hypoglossal: Motor
Romberg Test
Stand with hands to the sides and eyes closed, observe swaying
Pronator Drift
Stand with arms out, eyes closed, and hands supine -- watch for
hands pronating.
Graphesthesia
The inability to recognize numbers written on the hand.
Suggests a lesion in the sensory cortex.
Astereognosis:
Inability to recognize objects placed in the hand
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Kernig
Flex patient's leg at hip and knee, then straighten the knee.
Discomfort behind the knee during full extension should not
cause pain.
Brudzinski
Pt supine, your hands behind pt's head and flex the neck
forward, until chin touches the chest if possible. Neck stiffness
with resistance and flexion of hips and knees is a positive sign.
May be a sign of acute bacterial meningitis or subarachnoid
hemorrhage
Straight Leg Raising
Lift the straight leg, if pt has low back pain with nerve pain that
radiates down the leg = sciatica from compression of the spinal
nerve root as it passes through the vertebral foramen
Plantar (Babinski) Reflex
Dorsiflexion of the big toe is a positive Babinski response from a
CNS lesion in the corticospinal tract
Finkelstein Test
Pt grabs thumb with hand and you pull down to see if there is
tendon tenderness - if positive, might mean tendonitis
Tinel's Sign
Tap on the Median Nerve
Advanced Health Assessment Final Questions and Answers
with Complete Solutions UPDATED!!!
BMI Classifications
Underweight: <18.5
Normal: 18.5-24.9
Overweight: 25.0-29.9
Obesity class
• I: 30.0-34.9
• II: 35.0-39.9
• III: at or over 40
How do you calculate BMI?
Stages of HTN
Normal: under 120/80
Prehypertension: 120-139/80-89
Stage 1: 140-159/90-99
Stage 2: over 160/100
If diabetes or renal disease: goal is under 130/80
Waist Circumference
Risk if over 35in for women
Risk if over 40in for men
Cranial Nerves
,2|Page
1. Olfactory: Sensory
2. Optic: Sensory
3. Occulomotor: Motor
4. Trochlear: Motor
5. Trigeminal: Both
6. Abducens: Motor
7. Facial: Both
8. Acoustic: Sensory
9. Glossopharyngeal: Both
10. Vagus: Both
11. Spinal Accessory: Motor
12. Hypoglossal: Motor
Romberg Test
Stand with hands to the sides and eyes closed, observe swaying
Pronator Drift
Stand with arms out, eyes closed, and hands supine -- watch for
hands pronating.
Graphesthesia
The inability to recognize numbers written on the hand.
Suggests a lesion in the sensory cortex.
Astereognosis:
Inability to recognize objects placed in the hand
, 3|Page
Kernig
Flex patient's leg at hip and knee, then straighten the knee.
Discomfort behind the knee during full extension should not
cause pain.
Brudzinski
Pt supine, your hands behind pt's head and flex the neck
forward, until chin touches the chest if possible. Neck stiffness
with resistance and flexion of hips and knees is a positive sign.
May be a sign of acute bacterial meningitis or subarachnoid
hemorrhage
Straight Leg Raising
Lift the straight leg, if pt has low back pain with nerve pain that
radiates down the leg = sciatica from compression of the spinal
nerve root as it passes through the vertebral foramen
Plantar (Babinski) Reflex
Dorsiflexion of the big toe is a positive Babinski response from a
CNS lesion in the corticospinal tract
Finkelstein Test
Pt grabs thumb with hand and you pull down to see if there is
tendon tenderness - if positive, might mean tendonitis
Tinel's Sign
Tap on the Median Nerve
