Advanced Health Assessment Questions And Answers (GUARANTEED SUCCESS)

Advanced Health Assessment Questions And Answers (GUARANTEED SUCCESS) The practitioner is conducting an ophthalmoscopic exam and knows that all the following steps are correct except: ANSWERs: A. Using the practitioner's right eye to examine the patient's right eye B. Using the round beam of white light C. Moving in with the ophthalmoscope at a 15 degree angle D. Starting the examination with the lens disc at 10 diopters - ANSWER D. Starting the examination with the lens disc at 10 diopters A college student presents with a sore throat, fever and fatigue for two days. The practitioner does a careful lymphatic examination and notices some scattered small, mobile lymph nodes just behind her sternocleidomastoid muscles bilaterally. What group of nodes are being palpated? ANSWERs: A. Submandibular B. Tonsillar C. Occipital D. Posterior cervical - ANSWER D. Posterior cervical Which would produce a hyperresonant percussion note? ANSWERs: a. Empyema b. Lobar pneumonia c. Chronic obstructive pulmonary disease (COPD) d. Pleural effusion - ANSWER c. Chronic obstructive pulmonary disease (COPD) A 21-year-old college senior complains of shortness of breath and a non-productive, nocturnal cough. She used to feel this way only with extreme exercise, but lately she has felt this way continuously. On ausculation of her chest, there is decreased air movement and wheezing on expiration in all lobes. Which disorder of the thorax or lung is described? ANSWERs: a. Chronic obstructive pulmonary disease b. Spontaneous pneumothorax c. Asthma d. Pneumonia - ANSWER c. Asthma A 47 year-old receptionist complains of fever, shortness of breath and a productive cough with yellow sputum. She looks ill and her temperature is 101. On auscultation she has decreased air movement, and coarse crackles are heard over the left lower lobe. There is dullness on percussion, increased fremitus during palpation, and egophony on auscultation. Which disorder of the thorax or lungs is described here? ANSWERs: a. Spontaneous pneumothorax b. Chronic obstructive pulmonary disease c. Pneumonia d. Asthma - ANSWER c. Pneumonia Which lung sound possesses the characteristics of being louder and higher in pitch, with a short silence between inspiration and expiration, and with expiration being longer than inspiration? ANSWERs: a. Vesicular b. Bronchovesicular c. Bronchial d. Tracheal - ANSWER c. Bronchial The breath sounds typically heard throughout most of the lung fields are: ANSWERs: a. Vesicular b. Bronchovesicular c. Bronchial d. Tracheal - ANSWER a. Vesicular What is the best way to accentuate the murmur of aortic regurgitation? ANSWERs: a. Have the patient sit leaning forward and exhale b. Place the bell on the apical impulse and turn the patient to the left lateral position c. Have the patient stand and perform a valsalva maneuver. d. Have the patient squat. - ANSWER a. Have the patient sit leaning forward and exhale Which occurs at the start of diastole? ANSWERs: a. Closure of the tricuspid valve b. Opening of the pulmonic valve c. Closure of the aortic valve d. Production of the first heart sound (S1) - ANSWER c. Closure of the aortic valve Which is true about using the bell and diaphragm of the stethoscope? ANSWERs: a. The bell is better at picking up low-pitched sounds b. Use the diaphragm when trying to hear the sounds of S3 and S4. c. The bell is better at picking up S1 and S2. d. Use the diaphragm to listen to the apical impulse while the patient has rolled over in the left, lateral decubitus position. - ANSWER a. The bell is better at picking up lowpitched sounds Elevated jugular venous pressure may be an indicator of