Assessment for Patients and
Populations UJC2 EXAM QUESTIONS
AND VERIFIED CORRECT ANSWERS
GRADED A+ LATEST 100%
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Which of the following represents age-related changes in the lungs?
A) Decrease in chest wall compliance
B) Speed of expiration increases
C) Increase in respiratory muscle strength
D) Increased elastic recoil of lung tissue - CORRECT ANSWER-answer- A
A 67-year-old retired janitor comes to the clinic with his wife. She brought him in because she is
concerned about his weight loss. He has a history of smoking 3 packs of cigarettes a day for 30
years, for a total of 90 pack-years. He has noticed a daily cough for the past several years, which
he states is productive of sputum. He came into the clinic approximately 1 year ago, and at that
time his weight was 140 pounds. Today, his weight is 110 pounds. Which one of the following
questions would be the most important to ask if you suspect that he has lung cancer?
A) Have you tried to force yourself to vomit after eating a meal?
B) Do you have heartburn/indigestion and diarrhea?
C) Do you have enough food to eat?
D) Have you tried to lose weight? - CORRECT ANSWER-answer- D
,A 19-year old-college student presents to the emergency room with fever, headache, and neck
pain/stiffness. She is concerned about the possibility of meningococcal meningitis. Several of
her dorm mates have been vaccinated, but she hasn't been. Which of the following physical
examination descriptions is most consistent with meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range of
motion
B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous muscle
spasm and limited range of motion to the right
C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to
palpation, unable to perform range of motion
D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with full
range of motion - CORRECT ANSWER-answer- C
A young woman comes in for a routine wellness examination. You notice that her vaginal walls
have deep rugae and are slightly bluish in color. She also has a thicker white discharge. What
should you suspect?
A) Hypoxia
B) Varicosities
C) Pregnancy
D) Sexually transmitted infection - CORRECT ANSWER-answer- C
Adam is a very successful 15-year-old student and athlete. His mother brings him in today
because he no longer studies, works out, or sees his friends. This has gone on for a month and a
half. When you speak with him alone in the room, he states it "would be better if he were not
here." What would you do next?
A) Tell him that he has a very promising career in anything he chooses and soon he will feel
better.
B) Tell him that he needs an antidepressant and it will take about 4 weeks to work.
C) Speak with his mother about getting him together more with his friends.
D) Assess his suicide risk. - CORRECT ANSWER-answer- D
,A 26-year-old violinist comes to your clinic, complaining of anxiety. He is a first chair violinist in
the local symphony orchestra and has started having symptoms during performances, such as
sweating, shaking, and hyperventilating. It has gotten so bad that he has thought about giving
up his first chair status so he does not have to play the solo during one of the movements. He
says that he never has these symptoms during rehearsals or when he is practicing. He denies
having any of these symptoms at any other time. His past medical history is unremarkable. He
denies any tobacco use, drug use, or alcohol abuse. His parents are both healthy. On
examination you see a young man who appears worried. His vital signs and physical examination
are unremarkable.
What type of anxiety disorder best describes his situation?
A) Panic disorder
B) Specific phobia
C) Social phobia
D) Generalized anxiety disorder - CORRECT ANSWER-answer- C
A 24-year-old cashier comes to your clinic for her first OB visit. She had her last period 10 weeks
before, which would mean she is 12 weeks pregnant. She did a home pregnancy urine test a
month ago and it was positive. She has had some fatigue and nausea, but not in the last week.
She has had no cramping or bleeding. Her vital signs, head, eyes, ears, nose, throat, thyroid,
cardiac, pulmonary, and abdominal examinations are all unremarkable. On speculum
examination her os is closed and there is a pinkish hue to the cervix. On bimanual examination
the cervix is soft and the uterus is enlarged to the pelvic brim. Despite 20 minutes of trying, you
cannot find heart tones. You repeat a urine pregnancy test and it is negative. A serum pregnancy
test is ordered and is positive. You send the patient for a vaginal ultrasound.
What is the most likely explanation for her presentation?
A) Earlier than 12 weeks
B) Fetal demise - CORRECT ANSWER-answer- B
Mrs. Buckley is a 75-year-old widow who wants you to look at her teeth because over the past 2
weeks she has had right-sided jaw pain when eating. It does not occur otherwise. She also has
had a headache. Which of the following should be considered?
, A) Palpation of her temples
B) Dental referral
C) Ultrasound of the gallbladder - CORRECT ANSWER-answer- A
Mrs. H. comes to your clinic, wanting antibiotics for a sinus infection. When you enter the room,
she appears to be very angry. She has a raised tone of voice and states that she has been
waiting for the past hour and has to get back to work. She states that she is unimpressed by the
reception staff, the nurse, and the clinic in general and wants to know why the office wouldn't
call in an antibiotic for her. Which of the following techniques is not useful in helping to calm
this patient?
A) Avoiding admission that you had a part in provoking her anger because you were late
B) Accepting angry feelings from the patient and trying not to get angry in return
C) Staying calm
D) Keeping your posture relaxed - CORRECT ANSWER-answer- A
In obtaining a history, you note that a patient uses the word "largely" repeatedly, to the point of
being a distraction to your task. Which word best describes this speech pattern?
A) Clanging
B) Echolalia
C) Confabulation
D) Perseveration - CORRECT ANSWER-answer- D
A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper chest.
The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a flat surface.
It has a rough, wartlike texture on palpation. Based on this description, what is your most likely
diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma