Advanced Health Assessment Midterm Review
/ Advanced Health Assessment MIDTERM
Exam Review Questions & Answers
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
/ Advanced Health Assessment MIDTERM
Exam Review Questions & Answers
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
