Advanced Health Assessment Quiz #1 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\
A patient presents for a pre-operative physical. He
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
has been previously diagnosed with Macular
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Degeneration. The practitioner knows what to be the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
most consistent visual problem associated with this
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
condition?
Answers: ||\\||\\
A. Difficulty with Peripheral vision
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. Blurring of near vision
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. Difficulty with distant vision
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Loss of the central vision field - correct answers
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
✔✔D. Loss of the central vision field ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Mrs. Smith's medical chart documents that her visual
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
acuity is 20/40 in both eyes. This means that:
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Answers:
,A. She was standing 40 feet from the eye chart and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
could read the line that someone with normal vision ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
would read standing 20 feet from the chart. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B.She was standing 20 feet from the chart and could ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
read the line that someone with normal vision could
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
read standing 40 feet from the chart. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. She was able to read 20 of the 40 letter on the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
chart with both eyes. ||\\||\\ ||\\||\\ ||\\||\\
D. She has presbyopia. - correct answers ✔✔B. She
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
was standing 20 feet from the chart and could read
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the line that someone with normal vision could read
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
standing 40 feet from the chart. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The advanced practice nurse screens for nystagmus
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
by:
Answers: ||\\||\\
A. Assessing visual acuity
||\\||\\ ||\\||\\ ||\\||\\
B. Palpating the glove while the eyelids are closed
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,C. Inspecting the macula of the eye with an
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
opthalmoscope
D. Inspecting movement of the eyes to the six
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
cardinal fields of gaze - correct answers ✔✔D. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Inspecting movement of the eyes to the six cardinal ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
fields of gaze ||\\||\\ ||\\||\\
Which of the following examination findings is cause ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
for concern in an adult?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Answers: ||\\||\\
A. The lymph node is not palpable
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. A palpable lymph node is fixed in its setting
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. A palpable lymph is approximately 0.3 cm in size
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. A palpable lymph node moves under the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
examiner's fingers - correct answers ✔✔B. A ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
palpable lymph node is fixed in its setting ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, Bulging of the typmpanic membrane without ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
mobility is most often associated with: ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Answers: ||\\||\\
A. Fluid in the middle ear
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. Impacted cerumen in the ear canal
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. Repeated and prolonged crying cycles
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Healed typmanic membrane perforation - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔A. Fluid in the middle ear ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Which of the following is a "red flag" regarding
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patients presenting with headache? ||\\||\\ ||\\||\\ ||\\||\\
Answers: ||\\||\\
A. Unilateral pain
||\\||\\ ||\\||\\
B. Phonophobia and photophobia
||\\||\\ ||\\||\\ ||\\||\\
C. New onset after age 50 year
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Pain over sinuses - correct answers ✔✔C. New
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
onset after age 50 year
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\
A patient presents for a pre-operative physical. He
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
has been previously diagnosed with Macular
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Degeneration. The practitioner knows what to be the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
most consistent visual problem associated with this
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
condition?
Answers: ||\\||\\
A. Difficulty with Peripheral vision
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. Blurring of near vision
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. Difficulty with distant vision
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Loss of the central vision field - correct answers
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
✔✔D. Loss of the central vision field ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Mrs. Smith's medical chart documents that her visual
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
acuity is 20/40 in both eyes. This means that:
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Answers:
,A. She was standing 40 feet from the eye chart and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
could read the line that someone with normal vision ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
would read standing 20 feet from the chart. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B.She was standing 20 feet from the chart and could ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
read the line that someone with normal vision could
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
read standing 40 feet from the chart. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. She was able to read 20 of the 40 letter on the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
chart with both eyes. ||\\||\\ ||\\||\\ ||\\||\\
D. She has presbyopia. - correct answers ✔✔B. She
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
was standing 20 feet from the chart and could read
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the line that someone with normal vision could read
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
standing 40 feet from the chart. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The advanced practice nurse screens for nystagmus
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
by:
Answers: ||\\||\\
A. Assessing visual acuity
||\\||\\ ||\\||\\ ||\\||\\
B. Palpating the glove while the eyelids are closed
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,C. Inspecting the macula of the eye with an
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
opthalmoscope
D. Inspecting movement of the eyes to the six
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
cardinal fields of gaze - correct answers ✔✔D. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Inspecting movement of the eyes to the six cardinal ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
fields of gaze ||\\||\\ ||\\||\\
Which of the following examination findings is cause ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
for concern in an adult?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Answers: ||\\||\\
A. The lymph node is not palpable
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. A palpable lymph node is fixed in its setting
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. A palpable lymph is approximately 0.3 cm in size
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. A palpable lymph node moves under the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
examiner's fingers - correct answers ✔✔B. A ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
palpable lymph node is fixed in its setting ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, Bulging of the typmpanic membrane without ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
mobility is most often associated with: ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Answers: ||\\||\\
A. Fluid in the middle ear
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. Impacted cerumen in the ear canal
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. Repeated and prolonged crying cycles
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Healed typmanic membrane perforation - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔A. Fluid in the middle ear ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Which of the following is a "red flag" regarding
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patients presenting with headache? ||\\||\\ ||\\||\\ ||\\||\\
Answers: ||\\||\\
A. Unilateral pain
||\\||\\ ||\\||\\
B. Phonophobia and photophobia
||\\||\\ ||\\||\\ ||\\||\\
C. New onset after age 50 year
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Pain over sinuses - correct answers ✔✔C. New
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
onset after age 50 year
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\