BATES TEST BANK QUESTIONS WITH ANSWERS
A 49-year-old truck driver comes to the emergency
room for shortness of breath and swelling in his
ankles. He is diagnosed with congestive heart failure
Small amplitude, weak and admitted to the hospital. You are the student
assigned to do the patient's complete history and
physical examination. When you palpate the pulse,
what do you expect to feel?
An 18-year-old college freshman presents to the clinic
for evaluation of gastroenteritis. You measure the
Large amplitude, forceful patient's temperature and it is 104 degrees Fahrenheit.
What type of pulse would you expect to feel during
his initial examination?
A 25-year-old type 1 diabetic clerk presents to the
emergency room with shortness of breath and states
rapid and deep that his blood sugar was 605 at home. You diagnose
the patient with diabetic ketoacidosis. What is the
expected pattern of breathing?
, Mrs. Lenzo weighs herself every day with a very
accurate balance-type scale. She has noticed that
over the past 2 days she has gained 4 pounds. How
Attribute this to body would you best explain this?
fluid. A) Attribute this to some overeating at the holidays.
B)Attribute this to wearing different clothing.
C) Attribute this to body fluid.
D)Attribute this to instrument inaccuracy.
Mr. Curtiss has a history of obesity, diabetes,
osteoarthritis of the knees, HTN, and obstructive
sleep apnea. His BMI is 43 and he has been
discouraged by his difficulty in losing weight. He is
also discouraged that his goal weight is 158 pounds
"Even a weight loss of 10% away. What would you tell him?
can make a noticeable A) "When you get down to your goal weight, you will
improvement in the feel so much better."
problems you mention." B)"Some people seem to be able to lose weight and
others just can't, no matter how hard they try."
C) "We are coming up with new medicines and
methods to treat your conditions every day."
D) "Even a weight loss of 10% can make a noticeable
improvement in the problems you mention."
, You are seeing an older patient who has not had
medical care for many years. Her vital signs taken by
your office staff are: T 37.2, HR 78, BP 118/92, and RR
14, and she denies pain. You notice that she has some
hypertensive changes in her retinas and you find mild
proteinuria on a urine test in your office. You
expected the BP to be higher. She is not on any
It is caused by an
medications. What do you think is causing this BP
"auscultatory gap."
reading, which doesn't correlate with the other
findings?
A) It is caused by an "auscultatory gap."
B)It is caused by a cuff size error.
C) It is caused by the patient's emotional state.
D) It is caused by resolution of the process which
caused her retinopathy and kidney problems.
Despite having high BP readings in the office, Mr.
Kelly tells you that his readings at home are much
lower. He checks them twice a day at the same time of
day and has kept a log. How do you respond?
You question the accuracy
A) You diagnose "white coat hypertension."
of his measurements.
B)You assume he is quite nervous when he comes to
your office.
C) You question the accuracy of his measurements.
D)You question the accuracy of your measurements.
You are observing a patient with heart failure and
notice that there are pauses in his breathing. On
Cheyne-Stokes respiration closer examination, you notice that after the pauses
(seen with pt's that have the patient takes progressively deeper breaths and
HF) then progressively shallower breaths, which are
followed by another apneic spell. The patient is not in
any distress. You make the diagnosis of:
, Mr. Garcia comes to your office for a rash on his chest
associated with a burning pain. Even a light touch
causes this burning sensation to worsen. On
neuropathic examination, you note a rash with small blisters
(vesicles) on a background of reddened skin. The rash
overlies an entire rib on his right side. What type of
pain is this?
A 50-year-old body builder is upset by a letter of
denial from his life insurance company. He is very lean
but has gained 2 pounds over the past 6 months. You
measure his waist personally performed his health assessment and
found no problems whatsoever. He says he is
classified as "high risk" because of obesity. What
should you do next?
Ms. Wright comes to your office, complaining of
palpitations. While checking her pulse you notice an
irregular rhythm. When you listen to her heart, every
Regularly irregular rhythm
fourth beat sounds different. It sounds like a triplet
rather than the usual "lub dup." How would you
document your examination?
Which of the following is a symptom involving the
eye?
A) Scotomas
scotomas
B)Tinnitus
C) Dysphagia
D) Rhinorrhea
You are performing a thorough cardiac examination.
Which of the following chambers of the heart can you
assess by palpation?
Right ventricle A) Left atrium
B)Right atrium
C) Right ventricle
D) Sinus node
A 49-year-old truck driver comes to the emergency
room for shortness of breath and swelling in his
ankles. He is diagnosed with congestive heart failure
Small amplitude, weak and admitted to the hospital. You are the student
assigned to do the patient's complete history and
physical examination. When you palpate the pulse,
what do you expect to feel?
An 18-year-old college freshman presents to the clinic
for evaluation of gastroenteritis. You measure the
Large amplitude, forceful patient's temperature and it is 104 degrees Fahrenheit.
What type of pulse would you expect to feel during
his initial examination?
A 25-year-old type 1 diabetic clerk presents to the
emergency room with shortness of breath and states
rapid and deep that his blood sugar was 605 at home. You diagnose
the patient with diabetic ketoacidosis. What is the
expected pattern of breathing?
, Mrs. Lenzo weighs herself every day with a very
accurate balance-type scale. She has noticed that
over the past 2 days she has gained 4 pounds. How
Attribute this to body would you best explain this?
fluid. A) Attribute this to some overeating at the holidays.
B)Attribute this to wearing different clothing.
C) Attribute this to body fluid.
D)Attribute this to instrument inaccuracy.
Mr. Curtiss has a history of obesity, diabetes,
osteoarthritis of the knees, HTN, and obstructive
sleep apnea. His BMI is 43 and he has been
discouraged by his difficulty in losing weight. He is
also discouraged that his goal weight is 158 pounds
"Even a weight loss of 10% away. What would you tell him?
can make a noticeable A) "When you get down to your goal weight, you will
improvement in the feel so much better."
problems you mention." B)"Some people seem to be able to lose weight and
others just can't, no matter how hard they try."
C) "We are coming up with new medicines and
methods to treat your conditions every day."
D) "Even a weight loss of 10% can make a noticeable
improvement in the problems you mention."
, You are seeing an older patient who has not had
medical care for many years. Her vital signs taken by
your office staff are: T 37.2, HR 78, BP 118/92, and RR
14, and she denies pain. You notice that she has some
hypertensive changes in her retinas and you find mild
proteinuria on a urine test in your office. You
expected the BP to be higher. She is not on any
It is caused by an
medications. What do you think is causing this BP
"auscultatory gap."
reading, which doesn't correlate with the other
findings?
A) It is caused by an "auscultatory gap."
B)It is caused by a cuff size error.
C) It is caused by the patient's emotional state.
D) It is caused by resolution of the process which
caused her retinopathy and kidney problems.
Despite having high BP readings in the office, Mr.
Kelly tells you that his readings at home are much
lower. He checks them twice a day at the same time of
day and has kept a log. How do you respond?
You question the accuracy
A) You diagnose "white coat hypertension."
of his measurements.
B)You assume he is quite nervous when he comes to
your office.
C) You question the accuracy of his measurements.
D)You question the accuracy of your measurements.
You are observing a patient with heart failure and
notice that there are pauses in his breathing. On
Cheyne-Stokes respiration closer examination, you notice that after the pauses
(seen with pt's that have the patient takes progressively deeper breaths and
HF) then progressively shallower breaths, which are
followed by another apneic spell. The patient is not in
any distress. You make the diagnosis of:
, Mr. Garcia comes to your office for a rash on his chest
associated with a burning pain. Even a light touch
causes this burning sensation to worsen. On
neuropathic examination, you note a rash with small blisters
(vesicles) on a background of reddened skin. The rash
overlies an entire rib on his right side. What type of
pain is this?
A 50-year-old body builder is upset by a letter of
denial from his life insurance company. He is very lean
but has gained 2 pounds over the past 6 months. You
measure his waist personally performed his health assessment and
found no problems whatsoever. He says he is
classified as "high risk" because of obesity. What
should you do next?
Ms. Wright comes to your office, complaining of
palpitations. While checking her pulse you notice an
irregular rhythm. When you listen to her heart, every
Regularly irregular rhythm
fourth beat sounds different. It sounds like a triplet
rather than the usual "lub dup." How would you
document your examination?
Which of the following is a symptom involving the
eye?
A) Scotomas
scotomas
B)Tinnitus
C) Dysphagia
D) Rhinorrhea
You are performing a thorough cardiac examination.
Which of the following chambers of the heart can you
assess by palpation?
Right ventricle A) Left atrium
B)Right atrium
C) Right ventricle
D) Sinus node
