ADVANCED HEALTH
ASSESSMENT EXAM 3 (NEW!)
ACTUAL QUESTIONS WITH
DETAILED VERIFIED ANSWERS/
ALREADY GRADED A+
1. A 22 year old law student comes to your office, complaining of severe
abdominal pain radiating to his back. He states it began last night after hours
of heavy drinking. He has had abdominal pain and vomiting in the past after
drinking but never as bad as this. He cannot keep any food or water down,
and these symptoms have been going on for almost 12 hours. He has had no
recent illnesses or injuries. His past medical history is unremarkable, he
denies smoking or using illegal drugs but admits to drinking 6 to 10 beers
per weekend night. He admits that last night he drank something like 14
drinks. On examination table and holding his abdomen with his arms. His
blood pressure is 90/60 and his pulse is 120. He is afebrile. His abdominal
examination reveals normal bowel sounds, but he is very tender in the left
upper quadrant and epigastric area. He has no murphy’s sign or tenderness in
the right lower quadrant the remind - Answer ✔d. Acute pancreatitis
2. A 76 year old retired farmer comes to your office complaining of abdominal
pain, constipation and a low grade fever for about 3 days. He denies any
nausea, vomiting, or diarrhea. The only unusual thing he remembers eating
is two bags of popcorn at the movies with his grandson, 3days before his
symptoms began. He denies any other recent illnesses. His past medical
history is significant for coronary artery disease and high blood pressure. He
has been married for over 50 years. He denies any tobacco, alcohol or drug
use. His mother died of colon cancer and his father had a stroke. On
examination he appears his stated age and is in no acute distress. His
temperature is 100.9 degrees and his other vital signs are unremarkable. His
, head, cardiac, and pulmonary examinations are normal. He has normal
bowel sounds and is tender over the left lower quadrant. He has no rebound
or guarding. His rectal examination is unremarkable- Answer ✔a. Acute
diverticulitis
3. A 77 year old retired bus driver comes to your clinic for a physical
examination at his wife's request. He has recently been losing weight and
has felt very fatigued. He has had no chest pain, shortness of breath, nausea,
vomiting, or fever. His past medical history includes colon cancer, for which
he had surgery, and arthritis. He has been married for over 40 years. He
denies any tobacco or drug use and has not drunk alcohol in over 40 years.
His parents both died of cancer in their 60s. On examination his vital signs
are normal. His head, cardiac and pulmonary examinations are
unremarkable. On abdominal examination you hear normal bowel sounds,
but when you palpate his liver it is abnormal. His rectal examination is
positive of occult blood. What further abnormality of the liver was likely
found on examination?
A. Smooth, large, non-tender liver
B. Irregular, large liver
C. Smooth, large, tender liver - Answer ✔b. Irregular, large liver
4. A 26 year old sports store managers comes to your clinic, complaining of
severe right sided abdominal pain for 12 hours. He began having a
stomachache yesterday, with a decreased appetite, but today the pain seems
to be just on the lower right side. He has had some nausea and vomiting but
no constipation or diarrhea. His last bowel movement was last night and was
normal. He has had no fever or chills. He denies any recent illnesses or
injuries. His past medical history is unremarkable. He is engaged. He denies
any tobacco or drug use and drinks four to 6 beers per week. His mother has
breast cancer and his father has coronary artery disease. On examination he
appears ill and is lying on his right side. His temperature is 100.4 and his
heart rate is 110. His bowel sounds are decreased and he has rebound and
, involuntary guarding, one third of the way between the anterior superior
iliac spine and the umbilicus in the ri - Answer ✔a. Acute appendicitis
5. A 15 year old high school freshman is brought to the clinic by his mother
because of chronic diarrhea. The mother states that for the past couple of
years her son has had diarrhea after many meals. The patient states that the
diarrhea seems the absolute worst after his school lunches. He describe his
symptoms as cramping abdominal pain and gas followed by diarrhea. His
stools are water with no specific smell. He denies any nausea, vomiting,
constipation, weight loss, or fatigue. He has no recent illness, injuries, or
foreign travel. His past medical history is unremarkable. He denies tobaccos,
alcohol or drug use. His parents are both healthy. On examination you see a
relaxed young man breathing comfortably. His vital signs are normal and his
head, eyes, ears throat, neck, cardiac, and pulmonary examinations are
normal. His abdomen is soft and non-distended. His bowel sounds are active
and he has no tenderness, no en - Answer ✔b. Osmotic diarrhea
6. A 27 year old policewoman comes to your clinic, complaining of severe left
sided back pain radiating down into her groin. It began in the middle of the
night and woke her up suddenly. It hurts in her bladder to urinate but she has
no burning outside. She has had no frequency or urgency with urination but
she has seen blood in her urine. She has had nausea with the pain but no
vomiting or fever. She denies any other recent illness or injuries. Her past
medical history is unremarkable. She denies tobacco or drug use and drinks
alcohol rarely. Her mother has high blood pressure and her father is healthy.
On examination she looks her stated age and is in obvious pain. She is lying
on her left side trying to remain very still. She has tenderness just inferior to
the left costovertebral angle. Her urine pregnancy test is negative and her
urine analysis shows red blood cells. What type of urinary tract pain is she
most like - Answer ✔b. Ureteral pain (from kidney stone)
ASSESSMENT EXAM 3 (NEW!)
ACTUAL QUESTIONS WITH
DETAILED VERIFIED ANSWERS/
ALREADY GRADED A+
1. A 22 year old law student comes to your office, complaining of severe
abdominal pain radiating to his back. He states it began last night after hours
of heavy drinking. He has had abdominal pain and vomiting in the past after
drinking but never as bad as this. He cannot keep any food or water down,
and these symptoms have been going on for almost 12 hours. He has had no
recent illnesses or injuries. His past medical history is unremarkable, he
denies smoking or using illegal drugs but admits to drinking 6 to 10 beers
per weekend night. He admits that last night he drank something like 14
drinks. On examination table and holding his abdomen with his arms. His
blood pressure is 90/60 and his pulse is 120. He is afebrile. His abdominal
examination reveals normal bowel sounds, but he is very tender in the left
upper quadrant and epigastric area. He has no murphy’s sign or tenderness in
the right lower quadrant the remind - Answer ✔d. Acute pancreatitis
2. A 76 year old retired farmer comes to your office complaining of abdominal
pain, constipation and a low grade fever for about 3 days. He denies any
nausea, vomiting, or diarrhea. The only unusual thing he remembers eating
is two bags of popcorn at the movies with his grandson, 3days before his
symptoms began. He denies any other recent illnesses. His past medical
history is significant for coronary artery disease and high blood pressure. He
has been married for over 50 years. He denies any tobacco, alcohol or drug
use. His mother died of colon cancer and his father had a stroke. On
examination he appears his stated age and is in no acute distress. His
temperature is 100.9 degrees and his other vital signs are unremarkable. His
, head, cardiac, and pulmonary examinations are normal. He has normal
bowel sounds and is tender over the left lower quadrant. He has no rebound
or guarding. His rectal examination is unremarkable- Answer ✔a. Acute
diverticulitis
3. A 77 year old retired bus driver comes to your clinic for a physical
examination at his wife's request. He has recently been losing weight and
has felt very fatigued. He has had no chest pain, shortness of breath, nausea,
vomiting, or fever. His past medical history includes colon cancer, for which
he had surgery, and arthritis. He has been married for over 40 years. He
denies any tobacco or drug use and has not drunk alcohol in over 40 years.
His parents both died of cancer in their 60s. On examination his vital signs
are normal. His head, cardiac and pulmonary examinations are
unremarkable. On abdominal examination you hear normal bowel sounds,
but when you palpate his liver it is abnormal. His rectal examination is
positive of occult blood. What further abnormality of the liver was likely
found on examination?
A. Smooth, large, non-tender liver
B. Irregular, large liver
C. Smooth, large, tender liver - Answer ✔b. Irregular, large liver
4. A 26 year old sports store managers comes to your clinic, complaining of
severe right sided abdominal pain for 12 hours. He began having a
stomachache yesterday, with a decreased appetite, but today the pain seems
to be just on the lower right side. He has had some nausea and vomiting but
no constipation or diarrhea. His last bowel movement was last night and was
normal. He has had no fever or chills. He denies any recent illnesses or
injuries. His past medical history is unremarkable. He is engaged. He denies
any tobacco or drug use and drinks four to 6 beers per week. His mother has
breast cancer and his father has coronary artery disease. On examination he
appears ill and is lying on his right side. His temperature is 100.4 and his
heart rate is 110. His bowel sounds are decreased and he has rebound and
, involuntary guarding, one third of the way between the anterior superior
iliac spine and the umbilicus in the ri - Answer ✔a. Acute appendicitis
5. A 15 year old high school freshman is brought to the clinic by his mother
because of chronic diarrhea. The mother states that for the past couple of
years her son has had diarrhea after many meals. The patient states that the
diarrhea seems the absolute worst after his school lunches. He describe his
symptoms as cramping abdominal pain and gas followed by diarrhea. His
stools are water with no specific smell. He denies any nausea, vomiting,
constipation, weight loss, or fatigue. He has no recent illness, injuries, or
foreign travel. His past medical history is unremarkable. He denies tobaccos,
alcohol or drug use. His parents are both healthy. On examination you see a
relaxed young man breathing comfortably. His vital signs are normal and his
head, eyes, ears throat, neck, cardiac, and pulmonary examinations are
normal. His abdomen is soft and non-distended. His bowel sounds are active
and he has no tenderness, no en - Answer ✔b. Osmotic diarrhea
6. A 27 year old policewoman comes to your clinic, complaining of severe left
sided back pain radiating down into her groin. It began in the middle of the
night and woke her up suddenly. It hurts in her bladder to urinate but she has
no burning outside. She has had no frequency or urgency with urination but
she has seen blood in her urine. She has had nausea with the pain but no
vomiting or fever. She denies any other recent illness or injuries. Her past
medical history is unremarkable. She denies tobacco or drug use and drinks
alcohol rarely. Her mother has high blood pressure and her father is healthy.
On examination she looks her stated age and is in obvious pain. She is lying
on her left side trying to remain very still. She has tenderness just inferior to
the left costovertebral angle. Her urine pregnancy test is negative and her
urine analysis shows red blood cells. What type of urinary tract pain is she
most like - Answer ✔b. Ureteral pain (from kidney stone)
