ADVANCED HEALTH ASSESSMENT EXAM 2 NEWEST 2025 ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

ADVANCED HEALTH ASSESSMENT EXAM 2 NEWEST 2025 ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ .1 y/o presents to your office with blood pressures different in the arms and legs, cyanosis, and diminished pulses. What congenital disorder is this? - ANSWER-Coarctation of the aorta .21 y/o male patient presents to your office with a red swollen ear. You do an ear exam and see purulent drainage. What do you suspect? What may the cause be? How do you want to treat it? - ANSWER-Otitis externa Usually staph or pseudomonas Patient may be a surfer or swimmer Keep the ear dry + cortisporin drops (neomycin + steroid) .24 y/o female presents to your office with "blue fingers." She tells you that when she goes out in the cold her fingers rapidly change color and turn "red, white, and blue," bilaterally. They also burn. She has no other medical history and physical exam is normal. What is this? - ANSWER-Raynaud's Syndrome .3 y/o female presents to your office with an ear ache. Parents tell you she has been cranky and pulling at her ear in pain. On physical exam you see bulging and redness of the tympanic membrane. What is the treatment? - ANSWER-Otitis media - Amoxicillin Augmentin if this has happened before If PCN allergy - erythromycin .4 y/o male presents to your ER with "shortness of breath." Patient is leaning forward trying to breathe. He has inspiratory stridor, a muffled voice, and is drooling. What is it? What don't you want to do? - ANSWER-Epiglottitis Do not put anything in the mouth, could cause spasm and block the airway, this is a medical emergency .4 y/o male presents to your office with a rash above the lips and round the nose. Mom tells you it used to be a bunch of little "boils" but now it looks to you as if it crusted over like a honey-colored plaque. What is the likely diagnosis? What bacteria is likely the source? - ANSWER-Impetigo Staph aureus or group A strep .42 y/o female presents to your office for a well visit. She tells you that her sister was just diagnosed with a "thyroid problem" and she wants to know if she could have it to. What questions do you want to ask her to develop her history of present illness? - ANSWER-Neck swelling? Changes in hair, skin, nails? Changes in mood or emotional stability? Palpitations? Changes in mensuration? Changes in bowel habits? Changes in temperature preference? .46 y/o male presents to your office complaining of a headache. He says it comes and goes for a few weeks once every year. They feel like an "ice pick" stabbing him in the pack of his eye and last for about 15 minutes, sometimes waking him up from sleep. What is the diagnosis? What is the first line for treatment? - ANSWER-Cluster headache Oxygen therapy .50 y/o overweight female presents to your office complaining that her husband complains she snores very loud. She says in the morning she feels tired still and sometimes she wakes herself up in the middle of the night gasping. What is the probably diagnosis? How do you confirm it? What do you suggest for treatment? - ANSWER-Obstructive sleep apnea Confirm with polysomnogram (sleep study) Suggest weight loss, smoking cessation, CPAP, possibly uvelectomy .51 y/o male presents to you office for a new onset HTN follow up. His blood pressure is 132/74 on his medications. He tells you he feels great but he thinks he might be getting a cold because he can't stop coughing. What are you thinking? What do you want to do about it? - ANSWER-Possibly bradykinin cough from ACEi If it's really bothering him you can switch to an ARB .6 y/o male patient presents to your office with a bad high pitched intractable cough, along with nasal congestion, fever, and vomiting lasting for over a month. What is high on your differential? - ANSWER-Pertussis .A 7 y/o boy presents to your office having recently been treated for strep throat. He now has a fine sandpaper rash covering his entire body and a strawberry red tongue. What is this? - ANSWER-Scarlet fever .Aniscoria is unequal pupil size by how much? Is this normal? - ANSWER- 0.5 mm It can be normal .Arterial versus venous pressure ulcers? - ANSWER-Arterial = painful, minimal drainage, smooth, occur at pressure areas like toes, LATERAL ankle Venous = painless, irregular bleeding, occur at lower legs or MEDIAL ankle .Bulla - ANSWER-a large blister that is usually more than 0.5 cm in diameter .Capillary hemangioma - ANSWER- .Cherry angioma - ANSWER- .Compare your physical exam for a patient with pneumonia, pleural effusion, and pneumothorax. - ANSWER-Pneumonia = dull percussion increased fremitus bronchial breath sounds positive egophony