Advanced Health Assessment Midterm
Review
______is an allergic inflammation of the nasal airways. It happens when an allergen, inclusive
of pollen, dust or animal dander is inhaled by way of an person with a sensitized immune
system. In such people; the allergen triggers the production of the antibody immunoglobulin E
(IgE), which binds to mast cells and basophils containing histamine.
Allergic rhinitis
decompensation
deficiency
degeneration - ANS-allergic rhinitis
A 12-year-antique offers to the sanatorium together with his father for evaluation of a painful
lump in the left eye. It commenced this morning. He denies any trauma or harm. There is no
visible disturbance. Upon bodily exam, there's a pink raised location on the margin of the eyelid
that is smooth to palpation; no tearing occurs with palpation of the lesion. Based on this
description, what's the maximum possibly prognosis?
Xanthelasma
Hordeolum
Dacryocystitis
Chalazion - ANS-Hordeolum
A 15-month-antique is introduced to you for a fever of 38.6 tiers Celsius and fussiness. The ear
examination is as follows: outside ear, ordinary look and no tenderness with manipulation;
canal, normal diameter with out proof of irritation; tympanic membrane, bulging, erythematous,
and opaque. Insufflation is deferred due to ache. What is your prognosis?
Otitis externa
Cholesteatoma
Ruptured tympanic membrane
,Otitis media - ANS-Otitis media
There is not any irritation of the outer ear, which includes the canal, thus with the exception of
otitis externa. Cholesteatoma is a painless white lesion at the back of the TM. There is no
drainage from the TM; accordingly, rupture is not going. This is a classic description of otitis
media. Many examiners will forego insufflation if the prognosis is apparent, due to the fact this
can reason pain in an already uncomfortable ear.
A 15-year-antique high school sophomore and her mother come on your health facility because
the mom is involved approximately her daughter's weight. You degree her daughter's top and
weight and reap a BMI of 19.5 kg/m2. Based in this facts, which of the subsequent is
appropriate?
Refer the affected person to a nutritionist and a psychologist due to the fact the affected person
is anorexic.
Reassure the mother that this is a regular frame weight.
Give the patient statistics about workout due to the fact the patient is obese.
Give the patient records concerning reduction of fat and ldl cholesterol in her diet due to the
fact she is obese. - ANS-Reassure the mom that this is a ordinary body weight.
The affected person has a everyday BMI; the variety for a normal BMI is 18.Five to 24.Nine
kg/m2. You can be able to provide the patient and her mom the lower restrict of normal in
pounds for her daughter's peak, or train her in a way to use a BMI table.
A 15-year-old high school sophomore comes to the sanatorium for evaluation of a three-week
history of sneezing; itchy, watery eyes; clean nasal discharge; ear ache; and nonproductive
cough. Which is the most probably pathologic manner?
Infection
Inflammation
Allergic
Vascular - ANS-Allergic
This description is most constant with allergic rhinitis.
A 17-12 months-old excessive faculty student is brought in on your emergency room in a
comatose nation. His pals have accompanied him and tell you that they've been doping up
heroin tonight and that they suppose their buddy may additionally have had too much. The
affected person is unconscious and cannot guard his airway, so he is intubated. His heart fee is
60 and he's respiratory thru the ventilator. He isn't posturing and he does now not reply to a
sternal rub. Preparing to complete the neurologic exam, you get a penlight.
,What size scholars do you assume to look in this comatose patient?
Asymmetric students
Irregularly formed scholars
Pinpoint scholars
Large students - ANS-Pinpoint scholars
A 19-year antique-university student gives to the emergency room with fever, headache, and
neck pain/stiffness. She is concerned approximately the possibility of meningococcal meningitis.
Several of her dorm mates had been vaccinated, however she hasn't been. Which of the
subsequent physical examination descriptions is maximum constant with meningitis?
Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range of
movement
Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous muscle
spasm and restrained range of movement to the proper
Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to
palpation, unable to carry out variety of motion
Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with
complete range of movement - ANS-Head is normocephalic and atraumatic, fundi with blurred
disc margins, neck tender to palpation, not able to perform variety of movement
Blurred disc margins are steady with papilledema, and neck tenderness and absence of variety
of motion are regular with neck stiffness, which on this scenario is in all likelihood to be caused
by meningeal inflammation. Later, you may study Kernig's and Brudzinski's signs, which might
be beneficial in checking out for meningeal inflammation on examination.
A 21-year-old engineering scholar comes in your workplace, complaining of leg and returned
pain and of tripping when he walks. He states this began three months in the past with returned
and buttock pain but has seeing that progressed to feeling susceptible in his left leg. He denies
any bowel or bladder signs. He can think of no specific stressful incidences but he became a
shielding lineman in excessive college and junior college. His past medical history is
unremarkable. He denies tobacco use or alcohol or drug abuse. His parents are both
wholesome. On exam he's tender over the lumbar backbone and he has a fine directly-leg raise
on the left. His Achilles tendon deep reflex is reduced on the left. While watching his gait you
note he has to pick out his left foot up excessive in order not to ride.
What abnormality of gait does he most likely have?
Parkinsonian gait
, Steppage gait
Spastic hemiparesis
Sensory ataxia - ANS-Steppage gait
A 22-12 months-antique marketing copywriter presents for evaluation of joint pain. The pain is
new, located within the wrists and palms bilaterally, with a few subjective fever. The affected
person denies a rash; she additionally denies current tour or tenting sports. She has a family
records giant for rheumatoid arthritis. Based on this information, which of the following
pathologic tactics would be the maximum correct?
Infectious
Inflammatory
Hematologic
Traumatic - ANS-Inflammatory
The description is maximum consistent with an inflammatory process, even though all the other
etiologies should be considered. Lyme disorder is an infection which commonly reasons
arthritis, hemophilia is a hematologic condition which could motive bleeding in the joints, and
trauma can glaringly purpose joint pain. Your clinical reasoning talents are critical for sorting via
all the statistics to arrive on the most likely end.
A 23-yr-old graduate scholar comes for your health center for evaluation of a urethral discharge.
As the provider, you need to get a sexual history. Which one of the following questions is
irrelevant for eliciting the data?
Are you sexually lively?
When become the ultimate time you had intimate bodily touch with a person, and did that touch
consist of sexual sex?
Do you've got sex with men, women, or both?
How many sexual partners have you ever had in the remaining 6 months? - ANS-Are you
sexually active?
This is beside the point due to the fact it is too vague. Given the complaint, you need to in all
likelihood count on that he is sexually lively. Sometimes patients may reply to this query with the
word No, I just lie there. A particular sexual history will help you to assess this affected person's
chance for other sexually transmitted infections
Review
______is an allergic inflammation of the nasal airways. It happens when an allergen, inclusive
of pollen, dust or animal dander is inhaled by way of an person with a sensitized immune
system. In such people; the allergen triggers the production of the antibody immunoglobulin E
(IgE), which binds to mast cells and basophils containing histamine.
Allergic rhinitis
decompensation
deficiency
degeneration - ANS-allergic rhinitis
A 12-year-antique offers to the sanatorium together with his father for evaluation of a painful
lump in the left eye. It commenced this morning. He denies any trauma or harm. There is no
visible disturbance. Upon bodily exam, there's a pink raised location on the margin of the eyelid
that is smooth to palpation; no tearing occurs with palpation of the lesion. Based on this
description, what's the maximum possibly prognosis?
Xanthelasma
Hordeolum
Dacryocystitis
Chalazion - ANS-Hordeolum
A 15-month-antique is introduced to you for a fever of 38.6 tiers Celsius and fussiness. The ear
examination is as follows: outside ear, ordinary look and no tenderness with manipulation;
canal, normal diameter with out proof of irritation; tympanic membrane, bulging, erythematous,
and opaque. Insufflation is deferred due to ache. What is your prognosis?
Otitis externa
Cholesteatoma
Ruptured tympanic membrane
,Otitis media - ANS-Otitis media
There is not any irritation of the outer ear, which includes the canal, thus with the exception of
otitis externa. Cholesteatoma is a painless white lesion at the back of the TM. There is no
drainage from the TM; accordingly, rupture is not going. This is a classic description of otitis
media. Many examiners will forego insufflation if the prognosis is apparent, due to the fact this
can reason pain in an already uncomfortable ear.
A 15-year-antique high school sophomore and her mother come on your health facility because
the mom is involved approximately her daughter's weight. You degree her daughter's top and
weight and reap a BMI of 19.5 kg/m2. Based in this facts, which of the subsequent is
appropriate?
Refer the affected person to a nutritionist and a psychologist due to the fact the affected person
is anorexic.
Reassure the mother that this is a regular frame weight.
Give the patient statistics about workout due to the fact the patient is obese.
Give the patient records concerning reduction of fat and ldl cholesterol in her diet due to the
fact she is obese. - ANS-Reassure the mom that this is a ordinary body weight.
The affected person has a everyday BMI; the variety for a normal BMI is 18.Five to 24.Nine
kg/m2. You can be able to provide the patient and her mom the lower restrict of normal in
pounds for her daughter's peak, or train her in a way to use a BMI table.
A 15-year-old high school sophomore comes to the sanatorium for evaluation of a three-week
history of sneezing; itchy, watery eyes; clean nasal discharge; ear ache; and nonproductive
cough. Which is the most probably pathologic manner?
Infection
Inflammation
Allergic
Vascular - ANS-Allergic
This description is most constant with allergic rhinitis.
A 17-12 months-old excessive faculty student is brought in on your emergency room in a
comatose nation. His pals have accompanied him and tell you that they've been doping up
heroin tonight and that they suppose their buddy may additionally have had too much. The
affected person is unconscious and cannot guard his airway, so he is intubated. His heart fee is
60 and he's respiratory thru the ventilator. He isn't posturing and he does now not reply to a
sternal rub. Preparing to complete the neurologic exam, you get a penlight.
,What size scholars do you assume to look in this comatose patient?
Asymmetric students
Irregularly formed scholars
Pinpoint scholars
Large students - ANS-Pinpoint scholars
A 19-year antique-university student gives to the emergency room with fever, headache, and
neck pain/stiffness. She is concerned approximately the possibility of meningococcal meningitis.
Several of her dorm mates had been vaccinated, however she hasn't been. Which of the
subsequent physical examination descriptions is maximum constant with meningitis?
Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range of
movement
Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous muscle
spasm and restrained range of movement to the proper
Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to
palpation, unable to carry out variety of motion
Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with
complete range of movement - ANS-Head is normocephalic and atraumatic, fundi with blurred
disc margins, neck tender to palpation, not able to perform variety of movement
Blurred disc margins are steady with papilledema, and neck tenderness and absence of variety
of motion are regular with neck stiffness, which on this scenario is in all likelihood to be caused
by meningeal inflammation. Later, you may study Kernig's and Brudzinski's signs, which might
be beneficial in checking out for meningeal inflammation on examination.
A 21-year-old engineering scholar comes in your workplace, complaining of leg and returned
pain and of tripping when he walks. He states this began three months in the past with returned
and buttock pain but has seeing that progressed to feeling susceptible in his left leg. He denies
any bowel or bladder signs. He can think of no specific stressful incidences but he became a
shielding lineman in excessive college and junior college. His past medical history is
unremarkable. He denies tobacco use or alcohol or drug abuse. His parents are both
wholesome. On exam he's tender over the lumbar backbone and he has a fine directly-leg raise
on the left. His Achilles tendon deep reflex is reduced on the left. While watching his gait you
note he has to pick out his left foot up excessive in order not to ride.
What abnormality of gait does he most likely have?
Parkinsonian gait
, Steppage gait
Spastic hemiparesis
Sensory ataxia - ANS-Steppage gait
A 22-12 months-antique marketing copywriter presents for evaluation of joint pain. The pain is
new, located within the wrists and palms bilaterally, with a few subjective fever. The affected
person denies a rash; she additionally denies current tour or tenting sports. She has a family
records giant for rheumatoid arthritis. Based on this information, which of the following
pathologic tactics would be the maximum correct?
Infectious
Inflammatory
Hematologic
Traumatic - ANS-Inflammatory
The description is maximum consistent with an inflammatory process, even though all the other
etiologies should be considered. Lyme disorder is an infection which commonly reasons
arthritis, hemophilia is a hematologic condition which could motive bleeding in the joints, and
trauma can glaringly purpose joint pain. Your clinical reasoning talents are critical for sorting via
all the statistics to arrive on the most likely end.
A 23-yr-old graduate scholar comes for your health center for evaluation of a urethral discharge.
As the provider, you need to get a sexual history. Which one of the following questions is
irrelevant for eliciting the data?
Are you sexually lively?
When become the ultimate time you had intimate bodily touch with a person, and did that touch
consist of sexual sex?
Do you've got sex with men, women, or both?
How many sexual partners have you ever had in the remaining 6 months? - ANS-Are you
sexually active?
This is beside the point due to the fact it is too vague. Given the complaint, you need to in all
likelihood count on that he is sexually lively. Sometimes patients may reply to this query with the
word No, I just lie there. A particular sexual history will help you to assess this affected person's
chance for other sexually transmitted infections
