Nur 631 / Nur631 Advanced Health Assessment Test 1. Questions With 100% Correct Answers.
A 72 year old woman presents with a newly formed painless, pearly, ulcerated nodule with an overlying telangiectasis on the upper lip. this most likely represents: a. actinic keratosis b. basal cell carcinoma c. squamous cell carcinoma d. molluscum contagiosa -remember PUT ON When examining a mole for malignant melanoma, all of the following characteristics can indicate a melanoma, except: a. asymmetry with non matching sides b. color that is not uniform c. a recently formed lesion d. a lesion that has been present for at least 2 years -ABCDE E-evolving (new or changing lesion) The most common sites for squamous and basal cell carcinoma include: a. palms of hands and soles of feet b. pelvic and lumbar c. abdomen d. the face and scalp -(where we get the most sun exposure) A 56 year old truck drive presents with a new nodular, opaque lesion with non distinct borders on his left forearm. This most likely represents: a. actinic keratosis b. squamous cell carcinoma c. basal cell carcinoma d. malignant melanoma -remember NO SUN An urticarial lesion is usually described as a: A. wheal B. plaque C. patch D. papule Which of the following changes are expected in vision as part of the normal aging process? A) Cataracts B) Glaucoma C) Macular degeneration D) Blurring of near vision A 72-year-old retired truck driver comes to the clinic with his wife for evaluation of hearing loss. He has noticed some decreased ability to hear what his wife and grandchildren are saying to him. He admits to lip-reading more. He has a history of noise exposure in his young adult years: He worked as a sound engineer at a local arena and had to attend a lot of concerts. Based on this information, what is the most likely finding regarding his hearing acuity? A) Loss of acuity for middle-range sounds B) Increase of acuity for low-range sounds C) Loss of acuity for high-range sounds D) Increase of acuity for high-range sounds -human speech is middle-range sound A 70-year-old retired auto mechanic comes to your office because his neighbor is concerned about his memory. The patient himself admits to misplacing his keys more often and forgets what he is supposed to buy from the grocery store and where he has parked the car. He denies getting lost in familiar places. Upon further questioning, he states that his wife of 40 years died 8 months ago; his three children live in three different states; and he has limited his activities because the people he interacted with were "his wife's friends, not his." He drinks a six-pack of beer daily; he does not smoke or use illicit drugs. You perform a mini-mental state examination and obtain a total score of 24 out of 28. Based on this information, what is your most likely diagnosis? A) Benign forgetfulness B) Dementia C) Meningitis D) Depression
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