NUR 631-Advanced Health
Assessment Test 1
A 22-year-old advertising copywriter presents for evaluation of joint pain. The
pain is new, located in the wrists and fingers bilaterally, with some subjective
fever. The patient denies a rash; she also denies recent travel or camping
activities. She has a family history significant for rheumatoid arthritis. Based on
this information, which of the following pathologic processes would be the most
correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
answer- B
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for
a regular skin check-up. She has just returned from her annual dig site in
Greece. She has fair skin and reddish-blonde hair. She has a family history of
melanoma. She has many freckles scattered across her skin. From this
description, which of the following is not a risk factor for melanoma in this
patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
answer- A
A 15-year-old high school sophomore and her mother come to your clinic
because the mother is concerned about her daughter's weight. You measure her
daughter's height and weight and obtain a BMI of 19.5 kg/m2. Based on this
information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is
anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in her
diet because she is obese.
answer- B
A middle-aged man comes in because he has noticed multiple small, blood-red,
raised lesions over his anterior chest and abdomen for the past several months.
They are not painful and he has not noted any bleeding or bruising. He is
concerned this may be consistent with a dangerous condition. What should you
do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office.
, answer- A
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over
his scapula. It has been there for about a year and is getting larger. He says his
wife has been able to squeeze out a cheesy-textured substance on occasion. He
worries this may be cancer. When gently pinched from the side, a prominent
dimple forms in the middle of the mass. What is most likely?
A) An enlarged lymph node
B) A sebaceous cyst
C) An actinic keratosis
D) A malignant lesion
answer- B
A patient comes to you for the appearance of red patches on his forearms that
have been present for several months. They remain for several weeks. He
denies a history of trauma. Which of the following is likely?
A) Actinic keratoses
B) Pseudoscars
C) Actinic purpura
D) Cherry angiomas
answer- C
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
answer- C
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
D) Squamous cell carcinoma
answer- B
A patient presents for evaluation of a cough. Which of the following anatomic
regions can be responsible for a cough?
A) Ophthalmologic
B) Auditory
Assessment Test 1
A 22-year-old advertising copywriter presents for evaluation of joint pain. The
pain is new, located in the wrists and fingers bilaterally, with some subjective
fever. The patient denies a rash; she also denies recent travel or camping
activities. She has a family history significant for rheumatoid arthritis. Based on
this information, which of the following pathologic processes would be the most
correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
answer- B
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for
a regular skin check-up. She has just returned from her annual dig site in
Greece. She has fair skin and reddish-blonde hair. She has a family history of
melanoma. She has many freckles scattered across her skin. From this
description, which of the following is not a risk factor for melanoma in this
patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
answer- A
A 15-year-old high school sophomore and her mother come to your clinic
because the mother is concerned about her daughter's weight. You measure her
daughter's height and weight and obtain a BMI of 19.5 kg/m2. Based on this
information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is
anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in her
diet because she is obese.
answer- B
A middle-aged man comes in because he has noticed multiple small, blood-red,
raised lesions over his anterior chest and abdomen for the past several months.
They are not painful and he has not noted any bleeding or bruising. He is
concerned this may be consistent with a dangerous condition. What should you
do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office.
, answer- A
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over
his scapula. It has been there for about a year and is getting larger. He says his
wife has been able to squeeze out a cheesy-textured substance on occasion. He
worries this may be cancer. When gently pinched from the side, a prominent
dimple forms in the middle of the mass. What is most likely?
A) An enlarged lymph node
B) A sebaceous cyst
C) An actinic keratosis
D) A malignant lesion
answer- B
A patient comes to you for the appearance of red patches on his forearms that
have been present for several months. They remain for several weeks. He
denies a history of trauma. Which of the following is likely?
A) Actinic keratoses
B) Pseudoscars
C) Actinic purpura
D) Cherry angiomas
answer- C
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
answer- C
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
D) Squamous cell carcinoma
answer- B
A patient presents for evaluation of a cough. Which of the following anatomic
regions can be responsible for a cough?
A) Ophthalmologic
B) Auditory
