Advanced Health Assessment Test 3 Practice
Questions / Advanced Health Assessment
Exam 3 Review Questions & Answers
a 46 year old former salesman present to the ER, complaining of black stools for
the past few weeks. his past medical history is significant for cirrhosis. he has
gained weight recently, especially around his abdomen. he has smoked two packs
of cigarettes a day for 30 years and has drunk approximately 10 alcoholic
beverages a day for 25 years. he has used IV heroin and smoked crack in the past.
he denies any recent use. he is currently unemployed and has never been
married. on examination you find a man appearing older than his stated age. his
skin has a yellowish tint and he is thin, with a prominent abdomen. you note
multiple "spider angiomas" at the base of his neck. otherwise, his heart and lung
examinations are normal. on inspection he has dilated veins around his umbilicus.
increased bowel sounds are heard during auscultation. palpation reveals diffuse
tenderness that is more severe in the epigastric area. his - ---
✔✔✔ANSWER----C. esophageal varices
,a 21 year old receptionist comes to your clinic, complaining of frequent diarrhea.
she states that the stools are very loose and there is some cramping beforehand.
she states this has occurred on and off since she was in high school. she denies
any nausea, vomiting or blood in her stool. occasionally she has periods of
constipation but that is rate. she thinks the diarrhea is much worse when she is
nervous. her past medical history is not significant. she is single and a junior in
college majoring in accounting. she smokes when she drinks alcohol but denies
using any illegal drugs. both of her parents are healthy. her entire physical
examination is unremarkable. what is most likely the etiology of her diarrhea?
A. secretory infections
B. inflammatory infections
C. irritable bowel syndrome
D. malabsorption syndrome - ---✔✔✔ANSWER----C. irritable bowel
syndrome
irritable bowel syndrome will cause loose bwoel movements with cramps but no
systemic symptoms of fever, weight loss or malaise
a 42 year old florist comes to your office, complaining of chronic constipation for
the last 6 months. she has had no nausea, vomiting, or diarrhea and no abdominal
pain or cramping. she denies any recent illnesses or injuries. she denies any
changes to her diet or exercise program. she is on no new medications. during the
review of systems you note that she has felt fatigued, had some weight gain, has
irregular periods, and has cold intolerance. her past medical history is significant
for one vaginal delivery and two cesarean sections. she is married, has three
children, and owns a flower shop. she denies tobacco, alcohol, or drug use. her
mother has type 2 diabetes and her father has coronary artery disease. there is no
family history of cancers. on examination she appears her stated age. her vital
, signs are normal. her head, eyes, ears, nose, throat, and neck examinations are
normal. her cardiac, lung and abdomina - ---✔✔✔ANSWER----
a 22 year old law student comes to your office, complaining of severe abdominal
pain radiating to his back. he states it began last night after hours of heavy
drinking. he has had abdominal pain and vomiting in the past after drinking but
never as bad as this. he cannot keep any food or water down, and these
symptoms have been going on for almost 12 hours. he has had no recent illnesses
or injuries. his past medical history is unremarkable, he denies smoking or using
illegal drugs but admits to drinking 6 to 10 beers per weekend night. he admits
that last night he drank something like 14 drinks. on examination table and
holding his abdomen with his arms. his blood pressure is 90/60 and his pulse is
120. he is afebrile. his abdominal examination reveals normal bowel sounds, but
he is very tender in the left upper quadrant and epigastric area. he has no
Murphys sign or tenderness in the right lower quadrant the remaind - ---
✔✔✔ANSWER----D. acute pancreatitis
a 76 year old retired farmer comes to your office complaining of abdominal pain,
constipation and a low grade fever for about 3 days. he denies any nausea,
vomiting, or diarrhea. the only unusual thing he remembers eating is two bags of
popcorn at the movies with his grandson, 3days before his symptoms began. he
denies any other recent illnesses. his past medical history is significant for
coronary artery disease and high blood pressure. he has been married for over 50
years. he denies any tobacco, alcohol or drug use. his mother died of colon cancer
and his father had a stroke. on examination he appears his stated age and is in no
acute distress. his temperature is 100.9 degrees and his other vital signs are
unremarkable. his head, cardiac, and pulmonary examinations are normal. he has
normal bowel sounds and is tender over the left lower quadrant. he has no
Questions / Advanced Health Assessment
Exam 3 Review Questions & Answers
a 46 year old former salesman present to the ER, complaining of black stools for
the past few weeks. his past medical history is significant for cirrhosis. he has
gained weight recently, especially around his abdomen. he has smoked two packs
of cigarettes a day for 30 years and has drunk approximately 10 alcoholic
beverages a day for 25 years. he has used IV heroin and smoked crack in the past.
he denies any recent use. he is currently unemployed and has never been
married. on examination you find a man appearing older than his stated age. his
skin has a yellowish tint and he is thin, with a prominent abdomen. you note
multiple "spider angiomas" at the base of his neck. otherwise, his heart and lung
examinations are normal. on inspection he has dilated veins around his umbilicus.
increased bowel sounds are heard during auscultation. palpation reveals diffuse
tenderness that is more severe in the epigastric area. his - ---
✔✔✔ANSWER----C. esophageal varices
,a 21 year old receptionist comes to your clinic, complaining of frequent diarrhea.
she states that the stools are very loose and there is some cramping beforehand.
she states this has occurred on and off since she was in high school. she denies
any nausea, vomiting or blood in her stool. occasionally she has periods of
constipation but that is rate. she thinks the diarrhea is much worse when she is
nervous. her past medical history is not significant. she is single and a junior in
college majoring in accounting. she smokes when she drinks alcohol but denies
using any illegal drugs. both of her parents are healthy. her entire physical
examination is unremarkable. what is most likely the etiology of her diarrhea?
A. secretory infections
B. inflammatory infections
C. irritable bowel syndrome
D. malabsorption syndrome - ---✔✔✔ANSWER----C. irritable bowel
syndrome
irritable bowel syndrome will cause loose bwoel movements with cramps but no
systemic symptoms of fever, weight loss or malaise
a 42 year old florist comes to your office, complaining of chronic constipation for
the last 6 months. she has had no nausea, vomiting, or diarrhea and no abdominal
pain or cramping. she denies any recent illnesses or injuries. she denies any
changes to her diet or exercise program. she is on no new medications. during the
review of systems you note that she has felt fatigued, had some weight gain, has
irregular periods, and has cold intolerance. her past medical history is significant
for one vaginal delivery and two cesarean sections. she is married, has three
children, and owns a flower shop. she denies tobacco, alcohol, or drug use. her
mother has type 2 diabetes and her father has coronary artery disease. there is no
family history of cancers. on examination she appears her stated age. her vital
, signs are normal. her head, eyes, ears, nose, throat, and neck examinations are
normal. her cardiac, lung and abdomina - ---✔✔✔ANSWER----
a 22 year old law student comes to your office, complaining of severe abdominal
pain radiating to his back. he states it began last night after hours of heavy
drinking. he has had abdominal pain and vomiting in the past after drinking but
never as bad as this. he cannot keep any food or water down, and these
symptoms have been going on for almost 12 hours. he has had no recent illnesses
or injuries. his past medical history is unremarkable, he denies smoking or using
illegal drugs but admits to drinking 6 to 10 beers per weekend night. he admits
that last night he drank something like 14 drinks. on examination table and
holding his abdomen with his arms. his blood pressure is 90/60 and his pulse is
120. he is afebrile. his abdominal examination reveals normal bowel sounds, but
he is very tender in the left upper quadrant and epigastric area. he has no
Murphys sign or tenderness in the right lower quadrant the remaind - ---
✔✔✔ANSWER----D. acute pancreatitis
a 76 year old retired farmer comes to your office complaining of abdominal pain,
constipation and a low grade fever for about 3 days. he denies any nausea,
vomiting, or diarrhea. the only unusual thing he remembers eating is two bags of
popcorn at the movies with his grandson, 3days before his symptoms began. he
denies any other recent illnesses. his past medical history is significant for
coronary artery disease and high blood pressure. he has been married for over 50
years. he denies any tobacco, alcohol or drug use. his mother died of colon cancer
and his father had a stroke. on examination he appears his stated age and is in no
acute distress. his temperature is 100.9 degrees and his other vital signs are
unremarkable. his head, cardiac, and pulmonary examinations are normal. he has
normal bowel sounds and is tender over the left lower quadrant. he has no
