Advanced Health Assessment Exam 2025–2026
Accurate Real Exam 110 Questions and Verified
Correct Answers JUST RELEASED
Which of the following changes are expected in vision as part of the normal aging
process?
Cataracts
Glaucoma
Macular degeneration
Blurring of near vision - answer>>>Blurring of near vision
The lens loses its elasticity over time as part of the normal aging process, and the eye is
less able to accommodate and focus on near objects; therefore, the patient will be
expected to have blurring of near vision.
A 72-year-old retired truck driver comes to the clinic with his wife for evaluation of
hearing loss. He has noticed some decreased ability to hear what his wife and
grandchildren are saying to him. He admits to lip-reading more. He has a history of noise
exposure in his young adult years: He worked as a sound engineer at a local arena and
had to attend a lot of concerts. Based on this information, what is the most likely finding
regarding his hearing acuity?
Loss of acuity for middle-range sounds
Increase of acuity for low-range sounds
,Loss of acuity for high-range sounds
Increase of acuity for high-range sounds - answer>>>Loss of acuity for middle-range
sounds
Human speech is considered to be a middle-range sound. During the aging process there
is a loss of acuity, starting with high-pitched sounds but extending to the middle range
and then into the low range.
A 70-year-old retired auto mechanic comes to your office because his neighbor is
concerned about his memory. The patient himself admits to misplacing his keys more
often and forgets what he is supposed to buy from the grocery store and where he has
parked the car. He denies getting lost in familiar places. Upon further questioning, he
states that his wife of 40 years died 8 months ago; his three children live in three
different states; and he has limited his activities because the people he interacted with
were "his wife's friends, not his." He drinks a six-pack of beer daily; he does not smoke or
use illicit drugs. You perform a mini-mental state examination and obtain a total score of
24 out of 28. Based on this information, what is your most likely diagnosis?
Benign forgetfulness
Dementia
Meningitis
Depression - answer>>>Depression
The patient has symptoms of depression: His wife died, he has no real social support
system, and he has isolated himself from his usual activities. He also drinks a considerable
,amount of alcohol on a daily basis, which can further depress his mood. Depression can
masquerade as dementia in the elderly and must be considered in a patient with memory
loss.
Which of the following brief screening measures is useful in assessing memory?
Three-item recall
Serial 7s
Spelling "world" backward
Copying intersecting pentagrams - answer>>>Three-item recall
If the patient is unable to remember three items after 1 minute has passed, then this is a
positive screening test and indicates a need for further testing. This is part of the 10-
Minute Geriatric Screener.
It is summer and an 82-year-old woman is brought to you from her home after seeing her
primary care doctor 2 days ago. She was started on an antibiotic at that time. Today, she
comes to the emergency room not knowing where she is or what year it is. What could
be a likely cause of this?
Alzheimer's dementia
Stroke
Delirium
, Meningitis - answer>>>Delirium
These are not signs of normal aging and seem to be of acute onset. This makes
Alzheimer's less likely. Stroke and meningitis could cause these symptoms as well, but the
combination of the heat and a recent infection make delirium much more likely. Though
she was prescribed an antibiotic, she may not have improved because of bacterial
resistance or because of noncompliance due to cost, depression, or even an underlying
mild dementia. Dementia should not result in an acute mental status change, although
illness may cause a worsening of dementia.
Mrs. Buckley is a 75-year-old widow who wants you to look at her teeth because over the
past 2 weeks she has had right-sided jaw pain when eating. It does not occur otherwise.
She also has had a headache. Which of the following should be considered?
Palpation of her temples
Dental referral
Ultrasound of the gallbladder
Inquiry about anosmia - answer>>>Palpation of her temples
This story can be consistent with temporal arteritis, which can cause blindness in 15% of
those affected. Early recognition is crucial. Most of these patients will have tenderness
over one or both of the temporal arteries, and some have diminished temporal pulses as
well. Early treatment with corticosteroids is indicated. It can also be associated with
polymyalgia rheumatic, a condition which causes pain in the shoulder girdles and pelvis.
You are examining an elderly man and notice the following: decreased vibration sense in
the feet and ankles, diminished gag reflex, right patellar reflex less than the left, and
diminished abdominal reflexes. Which of these is abnormal?
Accurate Real Exam 110 Questions and Verified
Correct Answers JUST RELEASED
Which of the following changes are expected in vision as part of the normal aging
process?
Cataracts
Glaucoma
Macular degeneration
Blurring of near vision - answer>>>Blurring of near vision
The lens loses its elasticity over time as part of the normal aging process, and the eye is
less able to accommodate and focus on near objects; therefore, the patient will be
expected to have blurring of near vision.
A 72-year-old retired truck driver comes to the clinic with his wife for evaluation of
hearing loss. He has noticed some decreased ability to hear what his wife and
grandchildren are saying to him. He admits to lip-reading more. He has a history of noise
exposure in his young adult years: He worked as a sound engineer at a local arena and
had to attend a lot of concerts. Based on this information, what is the most likely finding
regarding his hearing acuity?
Loss of acuity for middle-range sounds
Increase of acuity for low-range sounds
,Loss of acuity for high-range sounds
Increase of acuity for high-range sounds - answer>>>Loss of acuity for middle-range
sounds
Human speech is considered to be a middle-range sound. During the aging process there
is a loss of acuity, starting with high-pitched sounds but extending to the middle range
and then into the low range.
A 70-year-old retired auto mechanic comes to your office because his neighbor is
concerned about his memory. The patient himself admits to misplacing his keys more
often and forgets what he is supposed to buy from the grocery store and where he has
parked the car. He denies getting lost in familiar places. Upon further questioning, he
states that his wife of 40 years died 8 months ago; his three children live in three
different states; and he has limited his activities because the people he interacted with
were "his wife's friends, not his." He drinks a six-pack of beer daily; he does not smoke or
use illicit drugs. You perform a mini-mental state examination and obtain a total score of
24 out of 28. Based on this information, what is your most likely diagnosis?
Benign forgetfulness
Dementia
Meningitis
Depression - answer>>>Depression
The patient has symptoms of depression: His wife died, he has no real social support
system, and he has isolated himself from his usual activities. He also drinks a considerable
,amount of alcohol on a daily basis, which can further depress his mood. Depression can
masquerade as dementia in the elderly and must be considered in a patient with memory
loss.
Which of the following brief screening measures is useful in assessing memory?
Three-item recall
Serial 7s
Spelling "world" backward
Copying intersecting pentagrams - answer>>>Three-item recall
If the patient is unable to remember three items after 1 minute has passed, then this is a
positive screening test and indicates a need for further testing. This is part of the 10-
Minute Geriatric Screener.
It is summer and an 82-year-old woman is brought to you from her home after seeing her
primary care doctor 2 days ago. She was started on an antibiotic at that time. Today, she
comes to the emergency room not knowing where she is or what year it is. What could
be a likely cause of this?
Alzheimer's dementia
Stroke
Delirium
, Meningitis - answer>>>Delirium
These are not signs of normal aging and seem to be of acute onset. This makes
Alzheimer's less likely. Stroke and meningitis could cause these symptoms as well, but the
combination of the heat and a recent infection make delirium much more likely. Though
she was prescribed an antibiotic, she may not have improved because of bacterial
resistance or because of noncompliance due to cost, depression, or even an underlying
mild dementia. Dementia should not result in an acute mental status change, although
illness may cause a worsening of dementia.
Mrs. Buckley is a 75-year-old widow who wants you to look at her teeth because over the
past 2 weeks she has had right-sided jaw pain when eating. It does not occur otherwise.
She also has had a headache. Which of the following should be considered?
Palpation of her temples
Dental referral
Ultrasound of the gallbladder
Inquiry about anosmia - answer>>>Palpation of her temples
This story can be consistent with temporal arteritis, which can cause blindness in 15% of
those affected. Early recognition is crucial. Most of these patients will have tenderness
over one or both of the temporal arteries, and some have diminished temporal pulses as
well. Early treatment with corticosteroids is indicated. It can also be associated with
polymyalgia rheumatic, a condition which causes pain in the shoulder girdles and pelvis.
You are examining an elderly man and notice the following: decreased vibration sense in
the feet and ankles, diminished gag reflex, right patellar reflex less than the left, and
diminished abdominal reflexes. Which of these is abnormal?
