Advanced health assessment final
3 risk factors for men to get breast cancer - ANS -1. testosterone level
2. low levels of physical activity
3. h/o bone fracture after 45
NOT 45-55 y/o
\30 y/o patient c/o palpitations and some light-headedness for past 6 months. NP notices a
mid-systolic click with a late systolic murmur heard best in the apical area. what would you
suspect? - ANS -mitral valve prolapse
\72 y/o retired factory worker has hearing loss in his right ear due to excessive cerumen (means
theres no air conduction). what would you expect when performing a Weber test - ANS -sound
lateralizes to the right ear
\a bruit above and to the left of the umbilicus is most consistent with: - ANS -history of HTN
\a circumscribed, elevated lesion >1 cm in diameter and containing clear serous fluid is best
described as what: - ANS -bulla
\a client complains of extreme pain in his abdomen and points to the RLQ. In examining the
acute abdominal pain the NP would: - ANS -palpate the left side of the abdomen, then gently
palpate the right side, noting guarding and tenderness
\A cullen's sign after surgery may indicate: - ANS -intra-abdominal bleeding
\a liver span of 3.0 cm MCL would indicate: - ANS -liver atrophy
small liver span for a male
\a positive clinical sign on physical exam indicating pneumonia is: - ANS -dullness on
percussion
\abdominal disorders in the older patient are more difficult to diagnose because they usually
present with: - ANS -vague symptoms & often little or no abdominal pain
\according to the ABCDE approach to preventive cardiology, the items to assess for the "A"
include: (3 Things) - ANS -1. assessment of risk
2. antiplatelet therapy
3. anticoagulation therapy
NOT apple shape
\adding a community youth center to an area with a history of gangs is what type of prevention -
ANS -primary prevention
trying to prevent more gangs
\affects of aging on our body - ANS -1. fat replaces muscle
2. decrease in lean body mass
3. lowered protein reserves slow the body's response
4. total caloric needs decrease
\an adult female presents with an irregular variegated nevus on her lower left back that has
doubled in size. what should the NP do? - ANS -refer immediately to a dermatologist
sounds like a possible melanoma and DO NOT want to do a punch biopsy
\an annular skin lesion is usually arranged in what kind of shape - ANS -a circle or ring shape
, \as you assess a client you understand that their dyspnea is basically a dysfunction with
external respiratory physiology due to her: - ANS -emphysema
happens at the lung
\as you palpate the abdomen, +rebound tenderness at McBurney's point would alert you to
what? - ANS -appendicitis
\as you review your note for your patient you realize that the keys to select the right level of
billing include what 3 things - ANS -history
exam
decision making
\assess a 55 y/o smoker with a thick sputum producing cough. on exam you notice a positive
tactile fremitus, resonant percussion, and normal voice sounds. you suspect: - ANS -bronchitis
\assessment of a patients skin reveals a positive Auspitzs sign. What diagnosis does this help
you with? - ANS -psoriasis
\bilateraly gray ring around the iris NOT in an elderly patient - ANS -hyperlipidemia
\client is older (70 y/o) c/o blurred vision that has been getting increasingly worse over past 2
years and has a problem with glare but no pain. What would you first check for? - ANS -cataract
\coronary artery disease risk factors (4) - ANS -1. smoking
2. HTN
3. family history
4. age
\cultural competence is best enhanced when the HCP? - ANS -uses self-awareness and
reflection
\description of a possible melanoma - ANS -a new 2-mm mole that is brown with a red, irregular
border, and is occasionally pruritic
\During the physical exam of a 72 y/o you note a BP of 140/90. According to the JNC 8, what
would you do first? - ANS -calculate cardiac risk
\elderly retired farmer presents with a rolled border, pearly, firm nodule with telangiectasia on his
nose. what would you list in his differential diagnosis? - ANS -basal cell carcinoma
\female patient with a history of ETOH abuse. your abdominal exam should include what test? -
ANS -scratch test-looks at liver size
\how do people with meniscal injuries present - ANS -may hear a "pop"
painful locking
\how do you correctly palpate the thyroid gland - ANS -have the client lower their chin and lean
head slightly toward the side being evaluated
\how do you define an established patient - ANS -patient presents for a checkup in your office.
you have not seen her before but she was last seen by the MD in your group 2 years ago
\how long after a diagnosis of ulcerative colitis do you need a colonoscopy? how frequent - ANS
-every 10 years
\how long should it take for jaundice to resolve in a newborn in order for it to be normal? - ANS
-1 week
\how long would it be since a patient has been seen in the same practice for them to be
considered a new patient - ANS -3 years ago
\how would you best describe squamous cell carcinoma? - ANS -often has a keratinous horn
3 risk factors for men to get breast cancer - ANS -1. testosterone level
2. low levels of physical activity
3. h/o bone fracture after 45
NOT 45-55 y/o
\30 y/o patient c/o palpitations and some light-headedness for past 6 months. NP notices a
mid-systolic click with a late systolic murmur heard best in the apical area. what would you
suspect? - ANS -mitral valve prolapse
\72 y/o retired factory worker has hearing loss in his right ear due to excessive cerumen (means
theres no air conduction). what would you expect when performing a Weber test - ANS -sound
lateralizes to the right ear
\a bruit above and to the left of the umbilicus is most consistent with: - ANS -history of HTN
\a circumscribed, elevated lesion >1 cm in diameter and containing clear serous fluid is best
described as what: - ANS -bulla
\a client complains of extreme pain in his abdomen and points to the RLQ. In examining the
acute abdominal pain the NP would: - ANS -palpate the left side of the abdomen, then gently
palpate the right side, noting guarding and tenderness
\A cullen's sign after surgery may indicate: - ANS -intra-abdominal bleeding
\a liver span of 3.0 cm MCL would indicate: - ANS -liver atrophy
small liver span for a male
\a positive clinical sign on physical exam indicating pneumonia is: - ANS -dullness on
percussion
\abdominal disorders in the older patient are more difficult to diagnose because they usually
present with: - ANS -vague symptoms & often little or no abdominal pain
\according to the ABCDE approach to preventive cardiology, the items to assess for the "A"
include: (3 Things) - ANS -1. assessment of risk
2. antiplatelet therapy
3. anticoagulation therapy
NOT apple shape
\adding a community youth center to an area with a history of gangs is what type of prevention -
ANS -primary prevention
trying to prevent more gangs
\affects of aging on our body - ANS -1. fat replaces muscle
2. decrease in lean body mass
3. lowered protein reserves slow the body's response
4. total caloric needs decrease
\an adult female presents with an irregular variegated nevus on her lower left back that has
doubled in size. what should the NP do? - ANS -refer immediately to a dermatologist
sounds like a possible melanoma and DO NOT want to do a punch biopsy
\an annular skin lesion is usually arranged in what kind of shape - ANS -a circle or ring shape
, \as you assess a client you understand that their dyspnea is basically a dysfunction with
external respiratory physiology due to her: - ANS -emphysema
happens at the lung
\as you palpate the abdomen, +rebound tenderness at McBurney's point would alert you to
what? - ANS -appendicitis
\as you review your note for your patient you realize that the keys to select the right level of
billing include what 3 things - ANS -history
exam
decision making
\assess a 55 y/o smoker with a thick sputum producing cough. on exam you notice a positive
tactile fremitus, resonant percussion, and normal voice sounds. you suspect: - ANS -bronchitis
\assessment of a patients skin reveals a positive Auspitzs sign. What diagnosis does this help
you with? - ANS -psoriasis
\bilateraly gray ring around the iris NOT in an elderly patient - ANS -hyperlipidemia
\client is older (70 y/o) c/o blurred vision that has been getting increasingly worse over past 2
years and has a problem with glare but no pain. What would you first check for? - ANS -cataract
\coronary artery disease risk factors (4) - ANS -1. smoking
2. HTN
3. family history
4. age
\cultural competence is best enhanced when the HCP? - ANS -uses self-awareness and
reflection
\description of a possible melanoma - ANS -a new 2-mm mole that is brown with a red, irregular
border, and is occasionally pruritic
\During the physical exam of a 72 y/o you note a BP of 140/90. According to the JNC 8, what
would you do first? - ANS -calculate cardiac risk
\elderly retired farmer presents with a rolled border, pearly, firm nodule with telangiectasia on his
nose. what would you list in his differential diagnosis? - ANS -basal cell carcinoma
\female patient with a history of ETOH abuse. your abdominal exam should include what test? -
ANS -scratch test-looks at liver size
\how do people with meniscal injuries present - ANS -may hear a "pop"
painful locking
\how do you correctly palpate the thyroid gland - ANS -have the client lower their chin and lean
head slightly toward the side being evaluated
\how do you define an established patient - ANS -patient presents for a checkup in your office.
you have not seen her before but she was last seen by the MD in your group 2 years ago
\how long after a diagnosis of ulcerative colitis do you need a colonoscopy? how frequent - ANS
-every 10 years
\how long should it take for jaundice to resolve in a newborn in order for it to be normal? - ANS
-1 week
\how long would it be since a patient has been seen in the same practice for them to be
considered a new patient - ANS -3 years ago
\how would you best describe squamous cell carcinoma? - ANS -often has a keratinous horn
