Advanced Health Assessment Midterm Review:
Comprehensive Questions, Four-Option Answers, and Clearly
Identified Correct Responses for Clinical Practice
107 source-based review questions
Review Sections
• Questions 1–26: Health History, Interviewing, General Survey, and Cultural Assessment
• Questions 27–35: Skin and Dermatologic Assessment
• Questions 36–44: Mental Status, Neurologic, and Related Assessment
• Questions 45–60: Head, Eyes, Ears, Nose, Throat, and Neck Assessment
• Questions 61–62: Mental Health and Psychiatric Assessment
• Questions 63–72: Respiratory Assessment
• Questions 73–87: Cardiovascular and Peripheral Vascular Assessment
• Questions 88–101: Abdominal, Gastrointestinal, and Genitourinary Assessment
• Questions 102–107: Breast Assessment
Health History, Interviewing, General Survey, and Cultural Assessment
1. The following information belongs in which section of the Comprehensive Health History
(H&P)? "3 day history of rash and swelling"
A. History of Present Illness
B. Review of Systems
C. Allergies
D. Chief Complaint
Correct Answer: Chief Complaint
2. A patient with abdominal pain describes "what" the pain feels like and "how long" it lasts. In
which part of the H&P would you place this information?
A. History of Present Illness
B. Past Medical History
C. Sexual History
D. Review of Systems
Correct Answer: History of present illness
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,3. Which of the following best describes the patient record?
A. describes the approach to a problem
B. serves a dual purpose as it reflects your analysis of the patient's health status and documents
examination findings
C. shows your clinical thought process
D. reflects you interpersonal skills with the patient
Correct Answer: serves a dual purpose as it reflects your analysis of the patient's health status
and documents examination findings
4. The consideration of culture and ethnicity during the interview process are important because:
A. similar cultures always provide similar responses
B. some cultures consider certain questions and gestures offensive
C. it is politically correct
D. none of the above
Correct Answer: some cultures consider certain questions and gestures offensive
5. During an interview, your patient admits to feeling worthless and having a sleep disturbance for
the last 3 weeks. These are clues that warrant exploration of:
A. risk for suicide
B. split personality
C. cognitive function
D. functional assessment
Correct Answer: risk for suicide
6. Worries persisting for =>6 months most likely reflects one of the most prevalent psychiatric
conditions in the United States known as:
A. posttraumatic stress disorder
B. generalized anxiety disorder
C. fatigue
Page 2
, D. social phobia
Correct Answer: generalized anxiety disorder
7. Risk factors for fatal overdose of pain medications include all of the following except:
A. age 65 or older
B. depression
C. arthritis
D. concurrent benzodiazepine use
Correct Answer: arthritis
8. A healthy BMI can best be described as:
A. 18.5-24.9
B. 30.0-34.9
C. 25.0-29.9
D. 35.0-39.9
Correct Answer: 18.5-24.9
9. The comprehensive health history:
A. has a completely different format that varies with each institution
B. varies from country to country
C. follows the same general format regardless of the institution or geographical location
D. follows the exact same format across the world, except Europe
Correct Answer: follows the same general format regardless of the institution or geographical
location
10. Which of the following is not a common symptom of depression?
A. Anhedonia
B. Dry lips
C. Appetite disturbance
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, D. Worthlessness
Correct Answer: Dry lips
11. During a mental status exam, which question might you ask to assess abstraction ability?
A. What does a rolling stone gathers no moss mean?
B. Start with 100 and keep subtracting by 7
C. C How long have you been here?
D. What's your mother's maiden name?
Correct Answer: What does a rolling stone gathers no moss mean?
12. Dave, age 76, is brought in by his wife, who states that within the last 2 days Dave has become
agitated and restless, has had few lucid moments, slept very poorly last night and can remember
only recent events. Of the following differential diagnoses, which best fits the symptoms from this
brief history?
A. Depression
B. Dementia
C. Delirium
D. Schizophrenia
Correct Answer: Delirium
13. Which technique is applied throughout the entire examination and interview process?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
Correct Answer: Inspection
14. During a patient's pain assessment, the most important element is the patient's:
A. Sleep hygiene
B. Perception of his/her own pain
Page 4
Comprehensive Questions, Four-Option Answers, and Clearly
Identified Correct Responses for Clinical Practice
107 source-based review questions
Review Sections
• Questions 1–26: Health History, Interviewing, General Survey, and Cultural Assessment
• Questions 27–35: Skin and Dermatologic Assessment
• Questions 36–44: Mental Status, Neurologic, and Related Assessment
• Questions 45–60: Head, Eyes, Ears, Nose, Throat, and Neck Assessment
• Questions 61–62: Mental Health and Psychiatric Assessment
• Questions 63–72: Respiratory Assessment
• Questions 73–87: Cardiovascular and Peripheral Vascular Assessment
• Questions 88–101: Abdominal, Gastrointestinal, and Genitourinary Assessment
• Questions 102–107: Breast Assessment
Health History, Interviewing, General Survey, and Cultural Assessment
1. The following information belongs in which section of the Comprehensive Health History
(H&P)? "3 day history of rash and swelling"
A. History of Present Illness
B. Review of Systems
C. Allergies
D. Chief Complaint
Correct Answer: Chief Complaint
2. A patient with abdominal pain describes "what" the pain feels like and "how long" it lasts. In
which part of the H&P would you place this information?
A. History of Present Illness
B. Past Medical History
C. Sexual History
D. Review of Systems
Correct Answer: History of present illness
Page 1
,3. Which of the following best describes the patient record?
A. describes the approach to a problem
B. serves a dual purpose as it reflects your analysis of the patient's health status and documents
examination findings
C. shows your clinical thought process
D. reflects you interpersonal skills with the patient
Correct Answer: serves a dual purpose as it reflects your analysis of the patient's health status
and documents examination findings
4. The consideration of culture and ethnicity during the interview process are important because:
A. similar cultures always provide similar responses
B. some cultures consider certain questions and gestures offensive
C. it is politically correct
D. none of the above
Correct Answer: some cultures consider certain questions and gestures offensive
5. During an interview, your patient admits to feeling worthless and having a sleep disturbance for
the last 3 weeks. These are clues that warrant exploration of:
A. risk for suicide
B. split personality
C. cognitive function
D. functional assessment
Correct Answer: risk for suicide
6. Worries persisting for =>6 months most likely reflects one of the most prevalent psychiatric
conditions in the United States known as:
A. posttraumatic stress disorder
B. generalized anxiety disorder
C. fatigue
Page 2
, D. social phobia
Correct Answer: generalized anxiety disorder
7. Risk factors for fatal overdose of pain medications include all of the following except:
A. age 65 or older
B. depression
C. arthritis
D. concurrent benzodiazepine use
Correct Answer: arthritis
8. A healthy BMI can best be described as:
A. 18.5-24.9
B. 30.0-34.9
C. 25.0-29.9
D. 35.0-39.9
Correct Answer: 18.5-24.9
9. The comprehensive health history:
A. has a completely different format that varies with each institution
B. varies from country to country
C. follows the same general format regardless of the institution or geographical location
D. follows the exact same format across the world, except Europe
Correct Answer: follows the same general format regardless of the institution or geographical
location
10. Which of the following is not a common symptom of depression?
A. Anhedonia
B. Dry lips
C. Appetite disturbance
Page 3
, D. Worthlessness
Correct Answer: Dry lips
11. During a mental status exam, which question might you ask to assess abstraction ability?
A. What does a rolling stone gathers no moss mean?
B. Start with 100 and keep subtracting by 7
C. C How long have you been here?
D. What's your mother's maiden name?
Correct Answer: What does a rolling stone gathers no moss mean?
12. Dave, age 76, is brought in by his wife, who states that within the last 2 days Dave has become
agitated and restless, has had few lucid moments, slept very poorly last night and can remember
only recent events. Of the following differential diagnoses, which best fits the symptoms from this
brief history?
A. Depression
B. Dementia
C. Delirium
D. Schizophrenia
Correct Answer: Delirium
13. Which technique is applied throughout the entire examination and interview process?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
Correct Answer: Inspection
14. During a patient's pain assessment, the most important element is the patient's:
A. Sleep hygiene
B. Perception of his/her own pain
Page 4
