ADVANCED PHYSICAL ASSESSMENT
FINAL EXAM QUESTIONS WITH
COMPLETE ANSWERS [ GRADED A+]
For which one of the patients would a comprehensive health history be
appropriate? - ✔✔A new patient with the CC of "Im here to establish care"
The components of a health history include all of the following except which one?
- ✔✔A. ROS
B. Thorax and lungs
C. Present Illness
D. Personal and social items
Answer is B thorax and lungs
Is the following info subjective or objective? Mr. M has SOB that has persisted for
the past 10 days; it is worse with activity and relieved by rest - ✔✔Subjective
,Is the following info subjective or objective? Mr. M has a RR of 32 and a pulse rate
of 120 - ✔✔objective
Health history includes- "patient has had and pain for 1 week. Pain lasts for 30min
at a time; it comes and goes. Severity is 7-9, accompanied by N&V, located in mid-
epigastric area" which category does it belong to? - ✔✔Present Illness
This info is in the health history: "patient completed 8th grade. Currently lives
with his wife and two children. Works on cars on the weekend. Works in a glass
factory during the week." Which category does it belong to? - ✔✔Personal and
social history
The following info is recorded in the health history: "I feel really tired." which
category does it belong to? - ✔✔Chief complaint
Recorded in health history: "patient denies chest pain, palpitation, orthopnea,
and paroxysmal nocturnal dyspnea." which category? - ✔✔ROS
The following info is best placed in which category? "The patient had a stent
placed in the LAD in 99." - ✔✔Adult illnesses
,The following info is best placed in which category? "The patient was treated for
an asthma exacerbation in the hospital last year; the patient has never been
intubated." - ✔✔Adult illnesses
19 yr old college student Todd...brought in by his mom for odd behavior....He tells
you he has seen a black van and computer tech workers are stealing his work
through special gamma waves. "See I told you...he's crazy. What do I do about it?"
While arranging for a psychiatry consult, what psychotic disorder do you think
Todd has? - ✔✔Schizophrenia
24 yr old secretary, complaining of difficulty sleeping, severe nightmares, and
irritability. 6 months ago she was held at gunpoint...On exam, you find a nervous
woman appearing her stated age. Physical exam is unremarkable. You
recommend medication and counseling. What anxiety disorder do you think she
has? - ✔✔PTSD
75-year old homemaker brings her 76 yr old husband to the clinic. had a stroke 4
months ago..."I will change the Kool-aid out of the sink myself with the ludrip."
She says that these sayings are becoming frustrating. What type os aphasia does
he have? - ✔✔Wernike's aphasia
, 32-yr old complaining of overwhelming sadness. Last 2 months she has had crying
episodes, difficulty sleeping, and problems with overeating. On examination you
see a woman appearing her stated age who seems quite sad. Her facial expression
does not change while you talk to her and she makes little eye contact. She
speaks so softly you cannot always understand her. Her though processes and
content seem unremarkable. What type of disorder do you think she has? -
✔✔Major depressive episode
27 yr-old woman brought to office by her mother. Mother says daughter has
schizophrenic for last 8 years...Patient has been microwaving letters from
mailman. Pt agrees that she does this but only bc the mailman flipping through
the envelopes and she knows he's putting anthrax on the letters. Which bus
describes the patient's abnormality of perception? - ✔✔Illusion
22-yr old brought to office by his father to discuss mental health disorder.
schizophrenia was diagnosed 6 months ago...Son has been hearing things that
don't exist. You ask the young man what is going on and he tells you that his
father is just jealous bc his sister talks only to him. "Son, your sister died 2 years
ago." Son thinks she still talks to him. Which best describes the patient's
abnormality of perception? - ✔✔Hallucination
FINAL EXAM QUESTIONS WITH
COMPLETE ANSWERS [ GRADED A+]
For which one of the patients would a comprehensive health history be
appropriate? - ✔✔A new patient with the CC of "Im here to establish care"
The components of a health history include all of the following except which one?
- ✔✔A. ROS
B. Thorax and lungs
C. Present Illness
D. Personal and social items
Answer is B thorax and lungs
Is the following info subjective or objective? Mr. M has SOB that has persisted for
the past 10 days; it is worse with activity and relieved by rest - ✔✔Subjective
,Is the following info subjective or objective? Mr. M has a RR of 32 and a pulse rate
of 120 - ✔✔objective
Health history includes- "patient has had and pain for 1 week. Pain lasts for 30min
at a time; it comes and goes. Severity is 7-9, accompanied by N&V, located in mid-
epigastric area" which category does it belong to? - ✔✔Present Illness
This info is in the health history: "patient completed 8th grade. Currently lives
with his wife and two children. Works on cars on the weekend. Works in a glass
factory during the week." Which category does it belong to? - ✔✔Personal and
social history
The following info is recorded in the health history: "I feel really tired." which
category does it belong to? - ✔✔Chief complaint
Recorded in health history: "patient denies chest pain, palpitation, orthopnea,
and paroxysmal nocturnal dyspnea." which category? - ✔✔ROS
The following info is best placed in which category? "The patient had a stent
placed in the LAD in 99." - ✔✔Adult illnesses
,The following info is best placed in which category? "The patient was treated for
an asthma exacerbation in the hospital last year; the patient has never been
intubated." - ✔✔Adult illnesses
19 yr old college student Todd...brought in by his mom for odd behavior....He tells
you he has seen a black van and computer tech workers are stealing his work
through special gamma waves. "See I told you...he's crazy. What do I do about it?"
While arranging for a psychiatry consult, what psychotic disorder do you think
Todd has? - ✔✔Schizophrenia
24 yr old secretary, complaining of difficulty sleeping, severe nightmares, and
irritability. 6 months ago she was held at gunpoint...On exam, you find a nervous
woman appearing her stated age. Physical exam is unremarkable. You
recommend medication and counseling. What anxiety disorder do you think she
has? - ✔✔PTSD
75-year old homemaker brings her 76 yr old husband to the clinic. had a stroke 4
months ago..."I will change the Kool-aid out of the sink myself with the ludrip."
She says that these sayings are becoming frustrating. What type os aphasia does
he have? - ✔✔Wernike's aphasia
, 32-yr old complaining of overwhelming sadness. Last 2 months she has had crying
episodes, difficulty sleeping, and problems with overeating. On examination you
see a woman appearing her stated age who seems quite sad. Her facial expression
does not change while you talk to her and she makes little eye contact. She
speaks so softly you cannot always understand her. Her though processes and
content seem unremarkable. What type of disorder do you think she has? -
✔✔Major depressive episode
27 yr-old woman brought to office by her mother. Mother says daughter has
schizophrenic for last 8 years...Patient has been microwaving letters from
mailman. Pt agrees that she does this but only bc the mailman flipping through
the envelopes and she knows he's putting anthrax on the letters. Which bus
describes the patient's abnormality of perception? - ✔✔Illusion
22-yr old brought to office by his father to discuss mental health disorder.
schizophrenia was diagnosed 6 months ago...Son has been hearing things that
don't exist. You ask the young man what is going on and he tells you that his
father is just jealous bc his sister talks only to him. "Son, your sister died 2 years
ago." Son thinks she still talks to him. Which best describes the patient's
abnormality of perception? - ✔✔Hallucination
