ADVANCED HEALTH ASSESSMENT TEST 1.pdf

ADVANCED HEALTH ASSESSMENT
TEST 1

1.ooMrs.ooBlackooisoobringingooherooadolescentoodaughterooinooforooheroofollow-
upoovisit.ooWhichooofootheoofollowingoostatementsooisootrueooaboutoosexualoomaturation?
A.ooBreastooandoopubicoohairoodevelopmentooareoonotoorelatedootoooaoogrowthoospurt.
B.ooSexualoomaturationoooccursoolaterooinoogirlsoothanooboys.
C.ooMexicanooAmericanoogirlsooenteroopubertyoolateroothanooblacksooandooearlieroothanoo
whites.
D.ooSexualoomaturationoooccursoolaterooinootalleroogirls.oo-ooans--
✔✔C.ooMexicanooAmericanoogirlsooenteroopubertyoolateroothanooblacksooandooearlierootha
noowhites.

Sexualoomaturationoobeginsooearlierooinoogirlsoowithooaoohigheroobodyoomassooindex.ooOn
ooaverage,ooblackoogirlsooenteroopubertyoofirst,oofollowedoobyooMexicanooAmericanoogirls,o
oandoothenoowhiteoogirls.


1.ooMrs.ooJonesoohasoobroughtooheroo4-month-
oldoofemaleooinfantooinooforooherooroutineoophysical.ooWhichoostatementooisootrueooaboutoo
theoobaby'sooexpectedooweight?
A.ooWeightoodoublesooduringootheoofirstoo3oomonths,oothenootriplesoobyoo1ooyear.
B.ooWeightoodoublesooduringootheoofirstoo4ootooo5oomonths,oothenootriplesoobyoo1ooyear.
C.ooWeightoodoublesooduringootheoofirstoo6oomonths,ooandoodoublesooagainoobyoo1ooyear.
D.ooWeightoodoublesooduringootheoofirstoo6oomonths,ooandoothenootriplesoobyoo18oomonths
.oo-ooans--
✔✔B.ooWeightoodoublesooduringootheoofirstoo4ootooo5oomonths,oothenootriplesoobyoo1ooyear
.

Inoogeneral,ooinfantsoodoubleootheiroobirthooweightoobyoo4ootooo5oomonthsooofooageooandoo
tripleootheiroobirthooweightoobyoo12oomonthsooofooage.ooTheooremainingooanswersooareoon
otootrue.

1.ooTheooappearanceooofoosecondaryoosexualoocharacteristicsooinooanoo8-year-
oldooboyoofollowedoobyooprogressiveoosexualoomaturationoocanoobeooindicativeooofoowhich
ooproblem?
A.ooCushingoosyndrome
B.ooKlinefelteroosyndrome
C.ooTesticularootumor
D.ooBrainootumoroo-ooans--✔✔D.ooBrainootumor

,Aoobrainootumoroooroolesionoo(e.g.,oohypothalamicoohamartoma)oomayooactivateootheoohy
pothalamic-pituitary-
gonadalooaxis,oowithoogonadotropinsootriggeringootheoogrowthooofootheoogonads,oosecretio
nooofootheoosexoohormones,ooandooprogressiveoosexualoomaturation.ooAnswersooa,oob,ooa
ndoocooresultooinoodifferentoocharacteristics.

Whichooofootheoofollowingooinhibitsootheoopituitaryoofromooreleasingoogrowthoohormone?
A.ooGrowthoohormone-releasingoohormone
B.ooInsulin-likeoogrowthoofactor
C.ooSomatostatin
D.ooSexoosteroidsoo-ooans--✔✔C.ooSomatostatin

Somatostatinooinhibitsootheoosecretionooofoobothoogrowthoohormone-
releasingoohormoneoo(GHRH)ooandoothyroid-
stimulatingoohormone.ooGrowthoohormoneooisoosecretedooinoopulses,oowithoo70%ooofoose
cretionoooccurringooduringoodeepoosleep.

Growthooofoowhichoobodyooregionoopredominatesooduringooinfancy?
A.ooHead
B.ooArms
C.ooTrunk
D.ooLegsoo-ooans--✔✔C.ooTrunk

Duringooinfancy,ootheoogrowthooofootheootrunkoopredominates.ooWeightoogainooisooinitiallyo
orapid,oobutootheoospeedoowithoowhichooweightooisoogainedoodecreasesoooverootheoofirstoo
yearooofoolife.ooGrowthooofootheooheadoopredominatesooduringootheoofetalooperiod.ooGrowt
hooofoolegsoopredominatesooduringoochildhood.

Inootheooolderooadultoopatient,oostatureoobeginsootooodeclineooat:
A.oo40ooyearsooofooage.
B.oo50ooyearsooofooage.oo
C.oo60ooyearsooofooage.
D.oo70ooyearsooofooage.oo-ooans--✔✔B.oo50ooyearsooofooage.oo

Physicaloostatureoodeclinesooinooolderooadultsoobeginningooatooapproximatelyoo50ooyearso
oofooage.ooTheoointervertebraloodisksoothin,ooandookyphosisoodevelopsoowithooosteoporoti
coovertebraloocompression.

Whichoofactorooaccountsooforootheoomajorityooofooweightoogainedoobyooaoopregnantoowom
anooduringootheoothirdootrimester?
A.ooPlacentaloogrowth
B.ooIncreaseooinooamnioticoofluid
C.ooGrowthooofoomaternalootissues
Fetaloogrowthoo-ooans--✔✔D.ooFetaloogrowth

,Maternalootissueoogrowthooaccountsooforoomostooofootheooweightoogainedooinootheoofirstooa
ndoosecondootrimesters.ooFetaloogrowthooaccountsooforoomostooweightoogainedooduringoot
heoothirdootrimester.ooPlacentalooandooincreaseooinooamnioticoofluidoogrowthooareoopartooo
footheoomaternalootissueoogrowthoothatooaccountsooforooweightoogainedooinootheoofirstooand
oosecondootrimesters.


Whichooisootheoomostoorapidooandoocriticalooperiodooofoobrainoogrowth?
A.ooBirthootooo1ooyearooofooage
B.ooConceptionootooo3ooyearsooofooage
C.ooBirthootooo4ooyearsooofooage
D.ooOneootooo2ooyearsooofooageoo-ooans--✔✔B.ooConceptionootooo3ooyearsooofooage

Theoobrain,ooalongoowithootheooskull,ooeyes,ooandooears,oocompletesoophysicaloodevelop
mentoomoreooquicklyoothanooanyoootheroobodyoopart.ooTheoomostoorapidooandoocriticaloope
riodooofoobrainoogrowthoooccursoobetweenooconceptionooandoo3ooyearsooofooage.

Aooneonateoowasoo18½ooinchesoolongooatoobirth.ooWhatoowouldooyouooexpectoohisoolength
ootooobeooatooageoo1ooyear?
A.oo24ootooo25ooinches
B.oo27¾ooinches
C.oo30ootooo31ooinches
D.oo37ooinchesoo-ooans--✔✔B.oo27¾ooinches

Atoobirth,oohealthyootermoonewbornsoohaveoolengthoovariationsoobetweenoo45ooandoo55ooc
moo(18ooandoo22ooinches).ooLengthooincreasesoobyoo50%ooinootheoofirstooyearooofoolifeoo(1
8.5/2oo+oo9.25oo=oo27.75).

Theooprevalenceooofooobesityooamongooadultsooisooincreasing.ooInoo2010ooinootheooUnited
ooStates,oowhatoowasootheoopercentageooofooobeseooadults?
A.oo15.5%
B.oo35.7%
C.oo49%
D.oo65.2%oo-ooans--✔✔B.oo35.7%

Obeseoochildrenoooftenoobecomeooobeseooadults.ooInoo2010,oo35.7%ooofooadultsooinoothe
ooUnitedooStatesoowereooobeseoo(CenterooforooDiseaseooControlooDivisionooofooNutrition,o
oPhysicalooActivity,ooandooObesity,oo2012).


Aoomoreoorapidoothanooexpectedooweightoogainooinooearlyooinfancyooisooassociatedoowithoo
anooincreasedooriskooofoowhichootypeooofooproblemooinooadulthood?
A.ooRespiratory
B.ooEndocrine
C.ooCardiovascular
D.ooRenaloo-ooans--✔✔C.ooCardiovascular

, Aoomoreoorapidooweightoogainoothanooexpectedooduringooearlyooinfancyoo(e.g.,ootheooinfan
t'sooweightoopercentileoolevelookeepsooincreasingooratheroothanoofollowingooaoospecificoogr
owthoocurve)ooisooassociatedoowithooincreasedoocardiovascularoodiseaseooriskooasooanooa
dultoo(Singhal,oo2006).

Toooaccuratelyooassessooheightoovelocity,ooaoochild'sooheightoocanoobeoomeasured:
A.ooatoo6-monthoointervals.
B.ooatoo9-monthoointervals.
C.ooatoo12-monthoointervals.oo
D.ooatoo15-monthoointervals.oo-ooans--✔✔C.ooatoo12-monthoointervals.

Tooocalculateooheightoovelocity,oodetermineootheoochangeooinooheightoooverooaootimeoointe
rvaloo(e.g.,oo1ooyear).ooShorterootimeoointervalsoomayooreflectooseasonaloovariationsooinoo
growth.ooMakeooheightoomeasurementsooasoocloseootooo12oomonthsooapartooasoopossible
,oonooofeweroothanoo10oomonthsooandoonooomoreoothanoo14oomonths.oo(Seeootheoowebsit
eooforoogender-specificooheightoovelocityoogrowthoocurvesooduringooadolescence.)

Whichoooccurrenceoomarksootheoocompletionooofooskeletaloogrowth?
A.ooFusedooepiphysesooofoolongoobones
B.ooEighteenthoobirthday
C.ooFusedooepiphysesooofooalloobones
D.ooFifteenthoobirthdayoo-ooans--✔✔A.ooFusedooepiphysesooofoolongoobones

Skeletaloogrowthooisooconsideredoocompleteoowhenootheooepiphysesooofoolongoobonesooh
aveoocompletelyoofusedooduringoolateoopuberty.ooAlthoughoomoreoothanoo90%ooofootheoos
keletaloomassooisoopresentoobyoo18ooyearsooofooage,oothisooisooincorrectoobecauseooitoodo
esoonotooapplyootoooeveryone.ooAnswersoocooandoodooareoofalseoostatements.

Typically,ooanooinfant'sooweight,ooheightoo(length),ooandoo_______________ooareooroutin
elyoomeasuredootoooassessooandoomonitoroogrowth.
A.ooheadoocircumferenceoo
B.oohip-to-toeoolength
C.ooforearmoolength
D.oochestoocircumferenceoo-ooans--✔✔A.ooheadoocircumferenceoo

Aoonewborn'soofetaloogrowthoopatternooandoosizeooforoogestationalooageoocanoobeoodeter
minedooonceoogestationalooageooisooassigned.ooAnoointrauterineoogrowthoocurveooisoouse
dootoooplotootheoonewborn'soobirthooweight,oolength,ooandooheadoocircumferenceoo(seeooE
volveoowebsiteooforoogrowthoocurves).ooTheooinfantooisoothenooclassifiedooasoosmall,ooappr
opriate,oooroolargeooforoogestationalooageoobyoopercentileoocurveooplacementooforooweeks
ooofoogestation.


Mrs.ooNilandoobringsooheroo13-year-
oldoodaughterooinooforooaoophysicalooexamination.ooWhichooofootheoofollowingooratingootool
soowouldooyouoouseootooodetermineootheoochild'soopubertaloodevelopment?
A.ooPhilipoopubertaloorating