Advanced Health Assessment Midterm
Review 2025 Update|Most Tested
Questions And Verified Solutions|
Assured Success !!!
1. A 19-year-old man comes to your clinic with a red, irritated right eye for
24-48 hours. He notes that when he woke up, his eyelids were "stuck
together". Physical exam findings: sclera is injected, vision is normal, and
EOM are intact, purulent discharge is noted. What is the most likely
diagnosis?
A. Chemical exposure
B. Bacterial Conjunctivitis
C. Erythema nodosa
D. Trauma - ANSWER B. Bacterial Conjunctivitis
2. An 18-year-old female presents to the ER with 1-day history of severe
sore throat, malaise, and headache. The patient reports no history of
cough or rhinitis. V.S.: T 101F, P98, R22, BP 124/60. On skin inspection, the
NP notices a fine sandpaper rash on the chest. The throat examination
reveals an inflamed uvula, pharynx, and tonsils with gray-white exudate
on the right tonsil. Neck examination reveals tender cervical
lymphadenopathy. The most likely diagnosis is:
A. Hand-foot-and-mouth disease
B. Acute herpetic pharyngitis
C. Group A beta-hemolytic streptococcal infection
D. Acute diphtherial infection - ANSWER C. Group A beta-
hemolytic streptococcal infection
3. The purpose of the health history is to:
A. Gather subjective data about the patient
B. Obtain a genetic history to determine susceptibility to disease
C. Gather past and current objective and subjective data about the patient
,D. Obtain a genealogic record of familial diseases - ANSWER A.
Gather subjective data about the patient
4. A 67-year-old man with a 40 pack-year smoking history complains of
shortness of breath for the past 6 months and swelling in his legs. He
often wakes up at night gasping for breath and feels most comfortable
sleeping on 3 pillows. He has no past medical history of COPD or CHF, but
he has diabetes and hypertension. What is the most likely diagnosis?
A. Congestive heart failure
B. Chronic obstructive pulmonary disease
C. Asthma
D. Lung cancer - ANSWER A. Congestive heart failure
5. A 50-year-old woman comes to your office with a history of 2 episodes
of coughing blood. The quantity is estimated to be 2 to 3 tablespoons of
bright blood on each occasion. She has mild shortness of breath, but she
feels comfortable at rest. She has never smoked, denies weight loss or
fever, and has no other medical problems. What would be the next step in
her management?
A. Referral to a pulmonologist for bronchoscopy
B. Return to your clinic in the next several weeks to monitor her symptoms
C. Chest x-ray with an admission to the hospital for additional testing
D. Complete vital signs and physical examination - ANSWER D.
Complete vital signs and physical examination
6. During the central nervous system exam, the NP evaluates the patient's
gait and determines the patient is unable to perform a heel-walk. The
differential diagnosis the NP is most concerned about is damage to the:
A. Corticospinal tract
B. Spinocerebellar tract
C. Spinothalamic tract
D. Dorsal column-medial lemniscus tract - ANSWER A.
Corticospinal tract
7. What is the best way to begin asking about the past medical history?
A. Have you had measles, mumps, rubella, chicken pox, scarlet fever, or
rheumatic fever?
, B. Did you get all your shots growing up?
C. Were you hospitalized as a child?
D. How was your health as a child? - ANSWER D. How was your
health as a child?
8. The NP is conducting an ophthalmoscopic examination. Which
statement by the NP to the preceptor indicates correct understanding
regarding ophthalmoscopic examination:
A. I will look for the yellow tint in the patient's pupil to examine the
fundus
B. I will look for the orange glow in the patient's pupil to examine the
fundus
C. I will look for the light reflex in the patient's pupil to examine the
fundus
D. I will look for the pink reflex in the patient's pupil to examine the
fundus - ANSWER B. I will look for the orange glow in the
patient's pupil to examine the fundus
9. You are evaluating a 20-year-old male with 1-day history of left ear
pain. On otoscopic exam, the tympanic membrane appears reddened,
bulging, and no observable landmarks. The most likely diagnosis is:
A. Cholesteatoma
B. Otitis media
C. Otitis externa
D. Cerumen impaction - ANSWER B. Otitis media
10. The NP is conducting a cardiovascular examination. The NP knows to
use the bell of the stethoscope to auscultate for all the following except:
A. Pericardial friction rub
B. S3 gallop
C. S4 gallop
D. Murmur of mitral stenosis - ANSWER A. Pericardial friction rub
11. When a patient gives an incomplete or one-word answer to a sensitive
question, the interviewer should:
A. Pause until the patient provides a more detailed answer
Review 2025 Update|Most Tested
Questions And Verified Solutions|
Assured Success !!!
1. A 19-year-old man comes to your clinic with a red, irritated right eye for
24-48 hours. He notes that when he woke up, his eyelids were "stuck
together". Physical exam findings: sclera is injected, vision is normal, and
EOM are intact, purulent discharge is noted. What is the most likely
diagnosis?
A. Chemical exposure
B. Bacterial Conjunctivitis
C. Erythema nodosa
D. Trauma - ANSWER B. Bacterial Conjunctivitis
2. An 18-year-old female presents to the ER with 1-day history of severe
sore throat, malaise, and headache. The patient reports no history of
cough or rhinitis. V.S.: T 101F, P98, R22, BP 124/60. On skin inspection, the
NP notices a fine sandpaper rash on the chest. The throat examination
reveals an inflamed uvula, pharynx, and tonsils with gray-white exudate
on the right tonsil. Neck examination reveals tender cervical
lymphadenopathy. The most likely diagnosis is:
A. Hand-foot-and-mouth disease
B. Acute herpetic pharyngitis
C. Group A beta-hemolytic streptococcal infection
D. Acute diphtherial infection - ANSWER C. Group A beta-
hemolytic streptococcal infection
3. The purpose of the health history is to:
A. Gather subjective data about the patient
B. Obtain a genetic history to determine susceptibility to disease
C. Gather past and current objective and subjective data about the patient
,D. Obtain a genealogic record of familial diseases - ANSWER A.
Gather subjective data about the patient
4. A 67-year-old man with a 40 pack-year smoking history complains of
shortness of breath for the past 6 months and swelling in his legs. He
often wakes up at night gasping for breath and feels most comfortable
sleeping on 3 pillows. He has no past medical history of COPD or CHF, but
he has diabetes and hypertension. What is the most likely diagnosis?
A. Congestive heart failure
B. Chronic obstructive pulmonary disease
C. Asthma
D. Lung cancer - ANSWER A. Congestive heart failure
5. A 50-year-old woman comes to your office with a history of 2 episodes
of coughing blood. The quantity is estimated to be 2 to 3 tablespoons of
bright blood on each occasion. She has mild shortness of breath, but she
feels comfortable at rest. She has never smoked, denies weight loss or
fever, and has no other medical problems. What would be the next step in
her management?
A. Referral to a pulmonologist for bronchoscopy
B. Return to your clinic in the next several weeks to monitor her symptoms
C. Chest x-ray with an admission to the hospital for additional testing
D. Complete vital signs and physical examination - ANSWER D.
Complete vital signs and physical examination
6. During the central nervous system exam, the NP evaluates the patient's
gait and determines the patient is unable to perform a heel-walk. The
differential diagnosis the NP is most concerned about is damage to the:
A. Corticospinal tract
B. Spinocerebellar tract
C. Spinothalamic tract
D. Dorsal column-medial lemniscus tract - ANSWER A.
Corticospinal tract
7. What is the best way to begin asking about the past medical history?
A. Have you had measles, mumps, rubella, chicken pox, scarlet fever, or
rheumatic fever?
, B. Did you get all your shots growing up?
C. Were you hospitalized as a child?
D. How was your health as a child? - ANSWER D. How was your
health as a child?
8. The NP is conducting an ophthalmoscopic examination. Which
statement by the NP to the preceptor indicates correct understanding
regarding ophthalmoscopic examination:
A. I will look for the yellow tint in the patient's pupil to examine the
fundus
B. I will look for the orange glow in the patient's pupil to examine the
fundus
C. I will look for the light reflex in the patient's pupil to examine the
fundus
D. I will look for the pink reflex in the patient's pupil to examine the
fundus - ANSWER B. I will look for the orange glow in the
patient's pupil to examine the fundus
9. You are evaluating a 20-year-old male with 1-day history of left ear
pain. On otoscopic exam, the tympanic membrane appears reddened,
bulging, and no observable landmarks. The most likely diagnosis is:
A. Cholesteatoma
B. Otitis media
C. Otitis externa
D. Cerumen impaction - ANSWER B. Otitis media
10. The NP is conducting a cardiovascular examination. The NP knows to
use the bell of the stethoscope to auscultate for all the following except:
A. Pericardial friction rub
B. S3 gallop
C. S4 gallop
D. Murmur of mitral stenosis - ANSWER A. Pericardial friction rub
11. When a patient gives an incomplete or one-word answer to a sensitive
question, the interviewer should:
A. Pause until the patient provides a more detailed answer
