Galen - Health Assessment exam 3 Questions With Complete
Solutions
1+ pitting edema scale Correct Answers mild pitting, slight
indentation, no perceptible swelling of the leg
2+ pitting edema scale Correct Answers moderate pitting,
indentation subsides rapidly
3+ pitting edema scale Correct Answers deep pitting,
indentation remains for a short time, leg looks swollen
4+ pitting edema scale Correct Answers very deep pitting,
indentation lasts a long time, leg is grossly swollen and
distorted.
An ABI is moderate PAD at... Correct Answers .70 to .41
An ABI is severe PAD at... * Correct Answers .40 to .30;
anything less than .30 is ischemia with impending loss of tissue.
An ankle-brachial index (ABI) is mild PAD at... Correct
Answers .90 to .71
barrel chest Correct Answers a condition characterized by
increased anterior-posterior chest diameter caused by increased
functional residual capacity due to air trapping from small
airway collapse. A barrel chest is frequently seen in patients
with chronic obstructive diseases, such as chronic bronchitis and
emphysema.
,Can chest pain have other origins? Correct Answers YES.
Chest pain also many have pulmonary, musculoskeletal, or
gastrointestinal origin.
Can you see the apical impulse? If so, where at? Correct
Answers It depends, you may or may not be able to see the
apical impulse. When visible, it occupies the 4th or 5th
intercostal space, at or inside the midclavicular line.
characteristics of bronchial breath sound?* Correct Answers
pitch: high
amplitude: loud
Duration: inspiration<expiration
quality: harsh, hollow, tubular
normal location: trachea and larynx
characteristics of bronchovesicular breath sound?* Correct
Answers pitch: moderate
amplitude: moderate
duration: inspiration=expiration
quality: mixed
normal location: over major bronchi where fewer alveoli are
located.
characteristics of vesicular breath sound?* Correct Answers
Pitch: low
amplitude: soft
duration: inspiration>expiration
quality: rustling, like the sound of the wind in the trees
normal location: over peripheral lung fields where air flows
through smaller bronchioles and alveoli
,CHRONIC arterial symptoms (PAD) aggravating factors
Correct Answers activity (walking, stairs); elevation (rest pain
indicates severe involvement)
CHRONIC arterial symptoms (PAD) location Correct Answers
Deep muscle pain, usually in calf, but may be lower leg or
dorsum of foot
CHRONIC arterial symptoms (PAD) onset and duration Correct
Answers chronic pain, onset gradual after exertion
CHRONIC arterial symptoms (PAD) those at risk Correct
Answers older and middle age adults; African Americans have
twice the incidence as other racial/ethnic groups; smoking is
strongest risk, also hypertension, diabetes,
hypercholesterolemia, obesity, vascular disease
CHRONIC aterial symptoms (PAD) character Correct Answers
intermittent claudication, feels like "cramp" "numbness and
tingling" "feeling of cold"
CHRONIC venous symptoms aggravating factors Correct
Answers prolonged standing, sitting
CHRONIC venous symptoms associated symptoms Correct
Answers edema, varicosities, weeping ulcers at ankles
CHRONIC venous symptoms character Correct Answers
aching, tiredness, feeling of fullness
, CHRONIC venous symptoms location Correct Answers calf,
lower leg
CHRONIC venous symptoms onset and duration Correct
Answers chronic pain, increases at end of day
CHRONIC venous symptoms relieving factors Correct Answers
elevation, lying, walking
CHRONIC venous symptoms those at risk Correct Answers
Job with prolonged standing or sitting; obesity; multiple
pregnancies; prolonged bed rest; history of heart failure,
varicosities, or thrombophlebitis; veins crushed by trauma or
surgery
Clinical model for predicting probability of DVT scale?*
Correct Answers 1 to 2 = moderate probably
3 points or more = high probability of DVT
Combined hormone therapy increases risk for what? Correct
Answers for breast cancer; risk is greater with starting hormone
therapy AFTER menopause.
Does drinking increase breast cancer risk in women? If so, how
much? Correct Answers drinking alcohol increases breast
cancer risk in women by 7 to 10% for 1 drink per day, with a
20% higher risk for 2 or 3 drinks per day. Evidence shows
alcohol drinking before the 1st pregnancy may particularly
affect risk.
Solutions
1+ pitting edema scale Correct Answers mild pitting, slight
indentation, no perceptible swelling of the leg
2+ pitting edema scale Correct Answers moderate pitting,
indentation subsides rapidly
3+ pitting edema scale Correct Answers deep pitting,
indentation remains for a short time, leg looks swollen
4+ pitting edema scale Correct Answers very deep pitting,
indentation lasts a long time, leg is grossly swollen and
distorted.
An ABI is moderate PAD at... Correct Answers .70 to .41
An ABI is severe PAD at... * Correct Answers .40 to .30;
anything less than .30 is ischemia with impending loss of tissue.
An ankle-brachial index (ABI) is mild PAD at... Correct
Answers .90 to .71
barrel chest Correct Answers a condition characterized by
increased anterior-posterior chest diameter caused by increased
functional residual capacity due to air trapping from small
airway collapse. A barrel chest is frequently seen in patients
with chronic obstructive diseases, such as chronic bronchitis and
emphysema.
,Can chest pain have other origins? Correct Answers YES.
Chest pain also many have pulmonary, musculoskeletal, or
gastrointestinal origin.
Can you see the apical impulse? If so, where at? Correct
Answers It depends, you may or may not be able to see the
apical impulse. When visible, it occupies the 4th or 5th
intercostal space, at or inside the midclavicular line.
characteristics of bronchial breath sound?* Correct Answers
pitch: high
amplitude: loud
Duration: inspiration<expiration
quality: harsh, hollow, tubular
normal location: trachea and larynx
characteristics of bronchovesicular breath sound?* Correct
Answers pitch: moderate
amplitude: moderate
duration: inspiration=expiration
quality: mixed
normal location: over major bronchi where fewer alveoli are
located.
characteristics of vesicular breath sound?* Correct Answers
Pitch: low
amplitude: soft
duration: inspiration>expiration
quality: rustling, like the sound of the wind in the trees
normal location: over peripheral lung fields where air flows
through smaller bronchioles and alveoli
,CHRONIC arterial symptoms (PAD) aggravating factors
Correct Answers activity (walking, stairs); elevation (rest pain
indicates severe involvement)
CHRONIC arterial symptoms (PAD) location Correct Answers
Deep muscle pain, usually in calf, but may be lower leg or
dorsum of foot
CHRONIC arterial symptoms (PAD) onset and duration Correct
Answers chronic pain, onset gradual after exertion
CHRONIC arterial symptoms (PAD) those at risk Correct
Answers older and middle age adults; African Americans have
twice the incidence as other racial/ethnic groups; smoking is
strongest risk, also hypertension, diabetes,
hypercholesterolemia, obesity, vascular disease
CHRONIC aterial symptoms (PAD) character Correct Answers
intermittent claudication, feels like "cramp" "numbness and
tingling" "feeling of cold"
CHRONIC venous symptoms aggravating factors Correct
Answers prolonged standing, sitting
CHRONIC venous symptoms associated symptoms Correct
Answers edema, varicosities, weeping ulcers at ankles
CHRONIC venous symptoms character Correct Answers
aching, tiredness, feeling of fullness
, CHRONIC venous symptoms location Correct Answers calf,
lower leg
CHRONIC venous symptoms onset and duration Correct
Answers chronic pain, increases at end of day
CHRONIC venous symptoms relieving factors Correct Answers
elevation, lying, walking
CHRONIC venous symptoms those at risk Correct Answers
Job with prolonged standing or sitting; obesity; multiple
pregnancies; prolonged bed rest; history of heart failure,
varicosities, or thrombophlebitis; veins crushed by trauma or
surgery
Clinical model for predicting probability of DVT scale?*
Correct Answers 1 to 2 = moderate probably
3 points or more = high probability of DVT
Combined hormone therapy increases risk for what? Correct
Answers for breast cancer; risk is greater with starting hormone
therapy AFTER menopause.
Does drinking increase breast cancer risk in women? If so, how
much? Correct Answers drinking alcohol increases breast
cancer risk in women by 7 to 10% for 1 drink per day, with a
20% higher risk for 2 or 3 drinks per day. Evidence shows
alcohol drinking before the 1st pregnancy may particularly
affect risk.
