Final Exam: NR509 / NR 509 (Latest
) Advanced Physical
Assessment | Questions & Answers
| 100% Correct | Grade A -
Chamberlain
Question:
A 50-year-old realtor comes to your office for evaluation of neck pain. She was
in a motor vehicle collision 1 day ago and was assessed by the emergency
medical technicians on site, but she didn't think that she needed to go to the
emergency room at that time. Now, she has severe pain and stiffness in her
neck. On physical examination, you note pain and spasm over the
paraspinous muscles on the left side of the neck, and pain when you make the
patient do active range of motion of the cervical spine. What is the most likely
cause of this neck pain?
Answer:
Cervical sprain
Question:
When collecting the health history, what non-modifiable risk factor in
developing breast cancer is considered to be the most important?
Answer:
Paternal aunt had breast cancer
,Question:
A 50-year-old truck driver comes to your clinic for a work physical. He has had
no upper respiratory, cardiac, pulmonary, gastrointestinal, urinary, or
musculoskeletal system complaints. His past medical history is significant for
mild arthritis and prior knee surgery in college. He is married and just
changed jobs, working for a different trucking company. He smokes one pack
of cigarettes a day, drinks less than six beers a week, and denies using any
illegal drugs. His mother has high blood pressure and arthritis and his father
died of lung cancer in his 60s. On examination, his blood pressure is 130/80
and his pulse is 80. His cardiac, lung, and abdominal examinations are
normal. He has no inguinal hernia, but on his digital rectal examination you
palpate a soft, smooth, non-tender pedunculated mass on the posterior wall
of the rectum. What anal, rectal, or prostate disorder best fits his
presentation?
Answer:
Rectal polyp
Question:
Which of the following represents metrorrhagia?
Answer:
bleeding between periods
Question:
Which is true of a third heart sound (S3)?
Answer:
It is caused by rapid deceleration of blood against the ventricular wall.
, Question:
Mrs. Geller is somewhat quiet today. She has several bruises of different colors
on the ulnar aspects of her forearms and on her abdomen. She otherwise has
no complaints and her diabetes and hypertension are well managed. Her son
from out of state accompanies her today and has recently moved in to help
her. What should you suspect?
Answer:
Elder Abuse
Question:
A 26-year-old stewardess comes in for a third trimester prenatal visit. She has
had prenatal care since her sixth week of pregnancy. She has no complaints
today and her prenatal course has been unremarkable. Today her blood
pressure and weight gain are appropriate and her urine is unremarkable. You
measure the patient's uterus in centimeters by placing one end of the tape
over the uterine fundus. From what inferior anatomic position should the
beginning of the tape be placed?
Answer:
Pubic Symphysis
Question:
Where is the point of maximal impulse (PMI) normally located?
Answer:
In the left 5th intercostal space, 7 to 9 cm lateral to the sternum
) Advanced Physical
Assessment | Questions & Answers
| 100% Correct | Grade A -
Chamberlain
Question:
A 50-year-old realtor comes to your office for evaluation of neck pain. She was
in a motor vehicle collision 1 day ago and was assessed by the emergency
medical technicians on site, but she didn't think that she needed to go to the
emergency room at that time. Now, she has severe pain and stiffness in her
neck. On physical examination, you note pain and spasm over the
paraspinous muscles on the left side of the neck, and pain when you make the
patient do active range of motion of the cervical spine. What is the most likely
cause of this neck pain?
Answer:
Cervical sprain
Question:
When collecting the health history, what non-modifiable risk factor in
developing breast cancer is considered to be the most important?
Answer:
Paternal aunt had breast cancer
,Question:
A 50-year-old truck driver comes to your clinic for a work physical. He has had
no upper respiratory, cardiac, pulmonary, gastrointestinal, urinary, or
musculoskeletal system complaints. His past medical history is significant for
mild arthritis and prior knee surgery in college. He is married and just
changed jobs, working for a different trucking company. He smokes one pack
of cigarettes a day, drinks less than six beers a week, and denies using any
illegal drugs. His mother has high blood pressure and arthritis and his father
died of lung cancer in his 60s. On examination, his blood pressure is 130/80
and his pulse is 80. His cardiac, lung, and abdominal examinations are
normal. He has no inguinal hernia, but on his digital rectal examination you
palpate a soft, smooth, non-tender pedunculated mass on the posterior wall
of the rectum. What anal, rectal, or prostate disorder best fits his
presentation?
Answer:
Rectal polyp
Question:
Which of the following represents metrorrhagia?
Answer:
bleeding between periods
Question:
Which is true of a third heart sound (S3)?
Answer:
It is caused by rapid deceleration of blood against the ventricular wall.
, Question:
Mrs. Geller is somewhat quiet today. She has several bruises of different colors
on the ulnar aspects of her forearms and on her abdomen. She otherwise has
no complaints and her diabetes and hypertension are well managed. Her son
from out of state accompanies her today and has recently moved in to help
her. What should you suspect?
Answer:
Elder Abuse
Question:
A 26-year-old stewardess comes in for a third trimester prenatal visit. She has
had prenatal care since her sixth week of pregnancy. She has no complaints
today and her prenatal course has been unremarkable. Today her blood
pressure and weight gain are appropriate and her urine is unremarkable. You
measure the patient's uterus in centimeters by placing one end of the tape
over the uterine fundus. From what inferior anatomic position should the
beginning of the tape be placed?
Answer:
Pubic Symphysis
Question:
Where is the point of maximal impulse (PMI) normally located?
Answer:
In the left 5th intercostal space, 7 to 9 cm lateral to the sternum
