Actual Complete Real Exam Questions And Correct Answers
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A 49-year-old truck driver comes to the emergency room for
shortness of breath and swelling in his ankles. He is diagnosed
with congestive heart failure and admitted to the hospital. You
are the student assigned to do the patient's complete history
and physical examination. When you palpate the pulse, what do
you expect to feel? A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal - ANSWER-B) small amplitude, weak
CHF has decreased stroke volume
An 18-year-old college freshman presents to the clinic for
evaluation of gastroenteritis. You measure the patient's
temperature and it is 104 degrees Fahrenheit. What type of
pulse would you expect to feel during his initial examination?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal - ANSWER-A) large amplitude, forceful
fever results in increased stroke volume
,A 25-year-old type 1 diabetic clerk presents to the emergency
room with shortness of breath and states that his blood sugar
was 605 at home. You diagnose the patient with diabetic
ketoacidosis. What is the expected pattern of breathing?
A) Normal
B) Rapid and shallow
C) Rapid and deep
D) Slow - ANSWER-C) rapid and deep
A 37-year-old nurse comes for evaluation of colicky right upper
quadrant abdominal pain. The pain is associated with nausea
and vomiting and occurs 1 to 2 hours after eating greasy foods.
Which one of the following physical examination descriptions
would be most consistent with the diagnosis of cholecystitis?
A) Abdomen is soft, nontender, and nondistended, without
hepatosplenomegaly or masses.
B) Abdomen is soft and tender to palpation in the right lower
quadrant, without rebound or guarding.
C) Abdomen is soft and tender to palpation in the right upper
quadrant with inspiration, to the point of stopping inspiration,
and there is no rebound or guarding.
D) Abdomen is soft and tender to palpation in the mid-
epigastric area, without rebound or guarding. - ANSWER-C)
tender to palpation in RUQ
A 55-year-old data entry operator comes to the clinic to
establish care. She has
the following symptoms: headache, neck pain, sinus
congestion, sore throat,
,ringing in ears, sharp brief chest pains at rest, burning
abdominal pain with spicy foods, constipation, urinary
frequency that is worse with coughing and sneezing, and
swelling in legs. This cluster of symptoms is explained by:
A) One disease process
B) More than one disease process - ANSWER-B) more than one
disease process
A 62-year-old teacher presents to the clinic for evaluation of the
following symptoms: fever, headache, sinus congestion, sore
throat, green nasal discharge, and cough. This cluster of
symptoms is best explained by:
A) One disease process
B) More than one disease process - ANSWER-A) one disease
process
Steve has just seen a 5-year-old girl who wheezes when
exposed to cats. The patient's family history is positive for
asthma. You think the child most likely has asthma. What have
you just accomplished? A) You have tested your hypothesis.
B) You have developed a plan.
C) You have established a working diagnosis.
D) You have created a hypothesis. - ANSWER-D) created a
hypothesis
its too early to establish a working diagnosis
Ms. Washington is a 67-year-old who had a heart attack last
month. Now she
, complains of shortness of breath and not being able to sleep
in a flat position
(orthopnea). On examination you note increased jugular
venous pressure, an
S3 gallop, crackles low in the lung fields, and swollen ankles
(edema). This is
an example
of a:
A) Pathophysiologic
problem
B) Psychopathologic problem - ANSWER-A)
pathophysiologic problem
On the way to see your next patient, you glance at the calendar
and make a mental note to buy a Mother's Day card. Your
patient is Ms. Hernandez, a 76year-old widow who lost her
husband in May, two years ago. She comes in today with a
headaches, abdominal pain, and general malaise. This
happened once before, about a year ago, according to your
detailed office notes. You have done a thorough evaluation but
are unable to arrive at a consistent picture to tie these
symptoms together. This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - ANSWER-B) psychopathologic
problem
Mr. Larson is a 42-year-old widowed father of two children,
ages 4 and 11. He works in a sales office to support his
family. Recently he has injured his back and you are thinking