AMCB Health Assessment and Diagnostics Questions With Correct Answers

waist circumference - Answer -used for individuals with bmi between 25-39.9 as a measure of risk for disease -for females, >35in is considered increased relative risk ABCDEs of melanoma - Answer Asymmetric, border irregular, color variance/black or blue, diameter >0.6 cm, elevation Lymph node normal - Answer Less than 1 cm, nontender, mobile, soft, and discrete Normal Ophthalmic Exam - Answer Red reflex present, no clouding or opacities, yellow to pink optic disc with distinct margins, light red arterioles that are two-thirds of the vein diameters with bright light reflex; veins are dark red and larger than arterioles with no light reflex; no venous tapering at AV crossings Normal otoscopic exam - Answer -tympanic membrane should be intact, pearly gray, translucent, with cone of light at 5-7 pm, umbo and handle of malleus visible, no bulging or retraction tactile fremitus - Answer -decreased with emphysema, asthma, pleural effusion -increased with lobar pneumonia, pulmonary edema Crackles - Answer -air flowing by fluid- pneumonia, bronchitis, early heart failure Rhonchi - Answer Air passing over solid or thick secretions in large airways - bronchitis, pneumonia Appendicitis signs - Answer McBurney's point tenderness, Psoas', Obturator's, Rovsing's (referred rebound) Wheezes - Answer Air flowing through constricted passageways-asthma, chronic emphysema Cholecystitis sign - Answer Murphys-sharp increase in tenderness and sudden stop in inspiratory effort with upward pressure under right costal margin while client takes deep breath Normal RBC count - Answer 4.2-5.4 mill/mm Pleural friction rub - Answer Inflammation of pleural tissue-pleuritis, pericarditis bronchophony, egophony, whispered pectoriloquy - Answer Indicate fluid or solid mass in lungs Low RBC causes - Answer -hemorrhage -hemolysis -dietary deficiencies -hemoglobinopathies -bone marrow failure -chronic illness -medications