Latest Update 2026/2027 All Answers Correct Verified Best Graded
To Score A+
All of the following tests require the patient's voice to perform correctly except: - CORRECT
ANSWERS -egophany
-tactile fremitus
-whispered pectoriloquy
auscultation
59 yo M with history of COPD presents with worsening dyspnea. Patient is afebrile, breath sounds
are decreased bilaterally, noted to have JVD and pitting edema of lower extremities. What is the
most likely cause of his dyspnea? - CORRECT ANSWERS CHF
James Jones 55 yo M smoker presents with thick sputum producing cough. Exam: +tactile fremitus,
resonant percussion, and normal voice transmission. You suspect: - CORRECT ANSWERS bronchitis
During the breast exam of a 30 year old nulliparous female. The NP palpates several rubbery areas of
the breast tissue. They are slightly tender to palpation and present in both breasts. Expecting menses
in 5 days. Which intervention is best? - CORRECT ANSWERS Tell her to recheck 1 week after her
menses
All of the following symptoms associated with chest pain are likely to represent CAD except? -
CORRECT ANSWERS pain with inspiration
During a routine physical exam of a 44 yo woman you note she has an inverted left nipple. You decide
to investigate because: - CORRECT ANSWERS The inversion may be a recent change
A 30 yo F is in the office c/o palpitations and some lightheadedness for the past ?, random episodes,
no detectable pattern. NP notes a mid systolic click with a late systolic murmur heard best in the
apical area. You suspect - CORRECT ANSWERS Mitral valve prolapse (MVP)
60 yo landscaper presents to your office to establish care, history of CHF controlled with medications.
Denies cp, edema. Early diastolic ? with opening snap . You suspect? - CORRECT ANSWERS Mitral
stenosis
, Advanced Health Assessment - Quiz 2 Questions And Answers
Latest Update 2026/2027 All Answers Correct Verified Best Graded
To Score A+
A patient states that she has had a rash on her breast for about 2 weeks. In order to determine if it is
pagets disease you would expect to have all of the following on physical exam EXCEPT - CORRECT
ANSWERS inverted nipple
You notice a medium-pitched harsh systolic murmur during a routine exam or R upper border of the
sternum. Which of the following is most likely? - CORRECT ANSWERS Aortic stenosis
Which of the following statements in NOT typical of the murmur it is describing? - CORRECT
ANSWERS Grade II/Grade VI murmur is associated with a thrill?
A 58 yo dentist presents for routine check up. He has been healthy. Non smoker, does not drink
alcohol. You hear a moderately loud murmur, no palpable thrill. What is the appropriate grade for
this murmur? - CORRECT ANSWERS Grade 3
57 yo college professor is hospitalized for SOB. As you examine her in ER, JVP of 45 degrees 8 cm
above the clavicle. finding is most consistent with which of the following diagnoses? - CORRECT
ANSWERS Right sided heart failure
What technique should be used to best auscultate the 2nd heart sounds? - CORRECT ANSWERS
Diaphragm of the stethoscope at 2nd intercostal space at the base of the heart
You hear a split s2 on auscultation of a 25 yo client. What is your best action? - CORRECT ANSWERS
Tell them to hold their breath and repeat
The client has been told he has a heart murmur. He asks you what this means. You explain -
CORRECT ANSWERS It is the rushing sound blood makes moving through narrow places. Some are
harmless and others indicate problems
Where would you expect to hear best an abnormal sound with mitral valve insufficiency? - CORRECT
ANSWERS 5th ICS at MCL
when auscultating the heart sounds of a 72 yo client with history of HTN. NP notes an S4. This finding
could indicate - CORRECT ANSWERS An increased resistance to ventricular filling