Advanced Physical Assessment FINAL Questions and Answers 2025

Advanced Physical Assessment FINAL
Questions and Answers 2025
ForAwhichAoneAofAtheApatientsAwouldAaAcomprehensiveAhealthAhistoryAbeAappropriate?A-
ACORRECTAANSWERSA-AAnewApatientAwithAtheACCAofA"ImAhereAtoAestablishAcare"

TheAcomponentsAofAaAhealthAhistoryAincludeAallAofAtheAfollowingAexceptAwhichAone?A-
ACORRECTAANSWERSA-

A.AROS
B.AThoraxAandAlungs
C.APresentAIllness
D.APersonalAandAsocialAitems
AnswerAisABAthoraxAandAlungs
IsAtheAfollowingAinfoAsubjectiveAorAobjective?AMr.AMAhasASOBAthatAhasApersistedAforAtheApa
stA10Adays;AitAisAworseAwithAactivityAandArelievedAbyArestA-ACORRECTAANSWERSA-
Subjective
IsAtheAfollowingAinfoAsubjectiveAorAobjective?AMr.AMAhasAaARRAofA32AandAaApulseArateAofA12
0A-ACORRECTAANSWERSA-objective
HealthAhistoryAincludes-
A"patientAhasAhadAandApainAforA1Aweek.APainAlastsAforA30minAatAaAtime;AitAcomesAandAgoes.

ASeverityAisA7-9,AaccompaniedAbyAN&V,AlocatedAinAmid-

epigastricAarea"AwhichAcategoryAdoesAitAbelongAto?A-ACORRECTAANSWERSA-
PresentAIllness
ThisAinfoAisAinAtheAhealthAhistory:A"patientAcompletedA8thAgrade.ACurrentlyAlivesAwithAhisAwi
feAandAtwoAchildren.AWorksAonAcarsAonAtheAweekend.AWorksAinAaAglassAfactoryAduringAtheA
week."AWhichAcategoryAdoesAitAbelongAto?A-ACORRECTAANSWERSA-
PersonalAandAsocialAhistory
TheAfollowingAinfoAisArecordedAinAtheAhealthAhistory:A"IAfeelAreallyAtired."AwhichAcategoryAdo
esAitAbelongAto?A-ACORRECTAANSWERSA-ChiefAcomplaint
RecordedAinAhealthAhistory:A"patientAdeniesAchestApain,Apalpitation,Aorthopnea,AandAparox
ysmalAnocturnalAdyspnea."AwhichAcategory?A-ACORRECTAANSWERSA-ROS
TheAfollowingAinfoAisAbestAplacedAinAwhichAcategory?A"TheApatientAhadAaAstentAplacedAinAth
eALADAinA99."A-ACORRECTAANSWERSA-AdultAillnesses
TheAfollowingAinfoAisAbestAplacedAinAwhichAcategory?A"TheApatientAwasAtreatedAforAanAasth
maAexacerbationAinAtheAhospitalAlastAyear;AtheApatientAhasAneverAbeenAintubated."A-
ACORRECTAANSWERSA-AdultAillnesses

19AyrAoldAcollegeAstudentATodd...broughtAinAbyAhisAmomAforAoddAbehavior....HeAtellsAyouAh
eAhasAseenAaAblackAvanAandAcomputerAtechAworkersAareAstealingAhisAworkAthroughAspecia
lAgammaAwaves.A"SeeAIAtoldAyou...he'sAcrazy.AWhatAdoAIAdoAaboutAit?"AWhileAarrangingAforA
aApsychiatryAconsult,AwhatApsychoticAdisorderAdoAyouAthinkAToddAhas?A-
ACORRECTAANSWERSA-Schizophrenia

24AyrAoldAsecretary,AcomplainingAofAdifficultyAsleeping,AsevereAnightmares,AandAirritability.A
6AmonthsAagoAsheAwasAheldAatAgunpoint...OnAexam,AyouAfindAaAnervousAwomanAappearin

,gAherAstatedAage.APhysicalAexamAisAunremarkable.AYouArecommendAmedicationAandAcou
nseling.AWhatAanxietyAdisorderAdoAyouAthinkAsheAhas?A-ACORRECTAANSWERSA-PTSD
75-
yearAoldAhomemakerAbringsAherA76AyrAoldAhusbandAtoAtheAclinic.AhadAaAstrokeA4AmonthsAa
go..."IAwillAchangeAtheAKool-
aidAoutAofAtheAsinkAmyselfAwithAtheAludrip."ASheAsaysAthatAtheseAsayingsAareAbecomingAfru
strating.AWhatAtypeAosAaphasiaAdoesAheAhave?A-ACORRECTAANSWERSA-
Wernike'sAaphasia
32-
yrAoldAcomplainingAofAoverwhelmingAsadness.ALastA2AmonthsAsheAhasAhadAcryingAepisode
s,AdifficultyAsleeping,AandAproblemsAwithAovereating.AOnAexaminationAyouAseeAaAwomanAa
ppearingAherAstatedAageAwhoAseemsAquiteAsad.AHerAfacialAexpressionAdoesAnotAchangeAw
hileAyouAtalkAtoAherAandAsheAmakesAlittleAeyeAcontact.ASheAspeaksAsoAsoftlyAyouAcannotAal
waysAunderstandAher.AHerAthoughAprocessesAandAcontentAseemAunremarkable.AWhatAtyp
eAofAdisorderAdoAyouAthinkAsheAhas?A-ACORRECTAANSWERSA-MajorAdepressiveAepisode
27Ayr-
oldAwomanAbroughtAtoAofficeAbyAherAmother.AMotherAsaysAdaughterAhasAschizophrenicAforA
lastA8Ayears...PatientAhasAbeenAmicrowavingAlettersAfromAmailman.APtAagreesAthatAsheAdo
esAthisAbutAonlyAbcAtheAmailmanAflippingAthroughAtheAenvelopesAandAsheAknowsAhe'sAputti
ngAanthraxAonAtheAletters.AWhichAbusAdescribesAtheApatient'sAabnormalityAofAperception?A-
ACORRECTAANSWERSA-Illusion

22-
yrAoldAbroughtAtoAofficeAbyAhisAfatherAtoAdiscussAmentalAhealthAdisorder.AschizophreniaAwa
sAdiagnosedA6AmonthsAago...SonAhasAbeenAhearingAthingsAthatAdon'tAexist.AYouAaskAtheAy
oungAmanAwhatAisAgoingAonAandAheAtellsAyouAthatAhisAfatherAisAjustAjealousAbcAhisAsisterAtal
ksAonlyAtoAhim.A"Son,AyourAsisterAdiedA2AyearsAago."ASonAthinksAsheAstillAtalksAtoAhim.AWhic
hAbestAdescribesAtheApatient'sAabnormalityAofAperception?A-ACORRECTAANSWERSA-
Hallucination
26AyrAoldAviolinist,AcomplainsAofAanxiety.AduringAperformancesAonlyAstartsAtoAsweat,Ashake
,AandAhyperventilate.AItAhasAgottenAsoAbadAheAhasAthoughtAaboutAgivingAupAhisAfirstAchairAst
atusAsoAheAdoesn'tAhaveAtoAplayAtheAsoloAduringAoneAofAtheAmovements.ATheseAsymptoms
Adon'tAhappenAduringArehearsalsAorAwhenAheAisApracticing.AWhatAtypeAofAanxietyAdisorderA

bestAdescribesAhisAsit?A-ACORRECTAANSWERSA-socialAphobia
23Ayr-
oldAticketAagentAisAbroughtAinAbyAherAhusbandAbcAheAisAconcernedAwithAherArecentAbehavio
r.AStoppedAshowering,AupAallAnightAcleaning,ArackingAupAcreditAcards,AsheAstatesAsheAisAve
ryAhappyAandAfulfilled.ASpeaksAquicklyAandAchangesAtheAsubjectAoften.AOnAexamAsheAisAve
ryAloudAandAoutspoken.APEAisAunremarkable.AWhichAmoodAdisorderAdoesAsheAmostAlikelyA
have?A-ACORRECTAANSWERSA-ManicAepisode
72-
yrAoldAAA,AafterAweaknessAinAhisARAarmAandAleg...MRIAshowedAsmallAstroke...everyoneAisA
stillAhavingAtroubleAcommunicatingAwithAhim.AYouAaskAtheAptAhowAheAthinksAheAisAdoing.A"
well,Afine,Adoing,Aokay."AOtherAthanAhisAweakARAarmAandAlegAhisAPEAisAunremarkable.AWh
atAdisorderAofAspeechAdoesAheAhave?A-ACORRECTAANSWERSA-Broca'sAaphasia
35-
yrAoldAstockbroker,AcomplainingAofAfeelingAtiredAandAirritable.AAlsoAsaysAsheAfeelsAlikeAnoth

,ingAeverAgoesAherAwayAandAthatAnothingAgoodAeverAhappens.AWhenAyouAaskAherAhowAlong
AsheAhasAfeltAthisAwayAsheAlaughsAandAsays,A"sinceAwhenAhaveAIAnot?"ASheArelatesAthatAsh

eAhasAfeltApessimisticAaboutAlifeAinAgeneralAsinceAsheAwasAinAHighAschool.AMotherAhasAdep
ression...WhatAmentalAhealthAdisorderAbestAdescribesAherAsymptoms?A-
ACORRECTAANSWERSA-DysthymicAdisorder

SusanneAisAaA27AyrAoldAwhoAhasAhadAHAs,AmuscleAaches,AandAfatigueAforAtheAlastA2Amont
hs.AthoroughAhistory,Aexam,AandAlabAworkupAareAnegative.AWhatAwouldAbeAyourAnextAactio
n?A-ACORRECTAANSWERSA-ToAscreenAforAdepression
YouAaskAaApatientAtoAdrawAaAclock.AHeAfillsAinAallAtheAnumbersAonAtheARAhalfAofAtheAcircle.A
WhatAdoAyouAsuspect?A-ACORRECTAANSWERSA-Hemianopsia
AAyoungAwomanAcomesAtoAyouAwithAaAcutAonAfingerAfromAaAcanAsheAwasAopening.ASheAisA
pacingAaboutAtheAroom,AcryingAloudly,A"MyAcareerAasAaApianistAisAfinished!"AwhichApersona
lityAtypeAexhibitsAtheseAfeatures?A-ACORRECTAANSWERSA-Histrionic
AdamAisAaAsuccessfulA15AyrAoldAstudentAandAathlete.AmotherAbringsAhimAinAbcAheAnoAlonge
rAstudies,AworksAout,AorAseesAhisAfriends.AItsAbeenAaAmonthAandAaAhalf,AyouAspeakAtoAhimAi
nAtheAroomAandAheAstatesA"wouldAbeAbetterAifAheAwereAnotAhere."AWhatAwouldAyouAdoAnext
?A-ACORRECTAANSWERSA-AssessAhisAsuicideArisk
29-
yrAoldAwomanAjumpingAfromAtopicAtoAtopicAsoArapidlyAthatAyouAhaveAtroubleAfollowingAher.A
YouAareAableAtoAfindAsomeAconnectionsAbetweenAideas,AbutAitsAdifficult.AWhichAwordAdescr
ibesAthisAthoughtAprocess?A-ACORRECTAANSWERSA-FlightAofAideas
InAobtainingAaAhealthAhistory,AyouAnoteAtheApatientAusesAtheAwordA"largely"Arepeatedly,AtoAt
heApointAofAbeingAaAdistractionAtoAyourAtask.AWhichAwordAbestAdescribesAthisAspeechApatte
rn?A-ACORRECTAANSWERSA-Perseveration
YouAareAperformingAaAthoroughAcardiacAexamination.AWhichAofAtheAfollowingAchambersAof
AtheAheartAcanAyouAassessAbyApalpation?A-ACORRECTAANSWERSA-RAventricle

whatAisAresponsibleAforAtheAinspiratoryAsplittingAofAS2?A-ACORRECTAANSWERSA-
ClosureAorAaortic,AthenApulmonicAvalves
AA25-
yrAoldAopticalAtechAcomesAtoAclinicAforAfatigue.AYouAlistenAandAhearAaAmurmurAonlyAatAtheAc
ardiacAapex.AWhichAvalveAisAmostAlikelyAtoAbeAinvolved,AbasedAonAlocationAofAmurmur?A-
ACORRECTAANSWERSA-MitralAvalve

aA58-
yrAoldAteacherApresentsAtoAyourAclinicAwithAaAcomplaintAofAbreathlessnessAwithAactivity.AW
hichAisAappropriateAtoAaskAaboutAinAtheAcardiovascularAROS?A-ACORRECTAANSWERSA-
orthopnea
YouAareAscreeningApeopleAatAtheAmallAasApartAofAaAhealthAfair.ASomeoneAhasABPA132/85,A
howAwouldAyouAcategorizeAthis?A-ACORRECTAANSWERSA-Prehypertension
YouAareAperformingAcholesterolAscreens.AOneApersonAhasAcholesterolAofA225.ASheAisAcon
cernedAwithAherAriskAforAdevelopingAheartAdisease.AWhichAofAtheAfollowingAfactorsAisAusedA
toAestimateAtheA10-yrAriskAofAdevelopingACAD?A-ACORRECTAANSWERSA-Gender
YouAareAevaluatingAaA40-
yrAoldAbankerAforACADAriskAfactors,AhxAofAHTN,AwellAcontrolledAonAmeds.AHeAdoesAnotAsmo
ke,AdoesA45AminAofAaerobicAexerciseA5AxAweekly...calculatingAhisA10-
yrACADArisk...whichAofAtheAfollowingAconditionsAisAconsideredAtoAbeAaACADAriskAequivalent
?A-ACORRECTAANSWERSA-PeripheralAarterialAdisease

, YouAareAconductingAaAworkshopAonAtheAmeasurementAofAjugularAvenousApulsation....whic
hAoneAofAtheAfollowingAcharacteristicsAisAtypicalAofAtheAcarotidApulse?A-
ACORRECTAANSWERSA-Palpable

68-
yrAoldAmechanicAinAERAforASOB,AconcernedAaboutAJVP...itAisAelevated...whichAoneAofAthes
eAconditionsAisAaApotentialAcauseAofAelevatedAJVPA-ACORRECTAANSWERSA-
ConstrictiveApericarditis
PalpatingAtheAapicalAimpulseAandAfindAthatAtheAamplitudeAisAdiffuseAandAincreased....whatA
couldAbeAaApotentialAcauseAofAanAincreaseAinAamplitudeAofAtheAimpulse?A-
ACORRECTAANSWERSA-AorticAstenosis,AwithApressureAoverloadAofAtheALV

YouAareAperformingAaAcardiacAexamAonAaApatientAwithASOBAandApalpitations...youAhaveAhi
mAturnAontoAhisALAsideAinAtheALeftAlateralAdecubitusAposition...whichAvalvularAdefectsAisAbe
stAheardAinAthisAposition?A-ACORRECTAANSWERSA-Mitral
YouAareAconcernedAthatAaAptAhasAanAaorticAregurgitationAmurmur,AwhichAisAtheAbestApositi
onAtoAaccentuateAtheAmurmur?A-ACORRECTAANSWERSA-upright,AbutAleaningAforward
AA68-
yrAoldAretiredAwaiterAcomesAtoAyourAclinicAforAevalAofAfatigue...cardiacAexamAshowsApulseAr
ateAlessAthanA60...whichAcouldAcauseAthis?A-ACORRECTAANSWERSA-SecondAdegreeAA-
VAblock
WhereAisAtheApointAofAmaximalAimpulseA(PMI)AnormallyAlocated??A-
ACORRECTAANSWERSA-InAtheAleftA5thAintercostalAspace,A7-9cmAlateralAtoAtheAsternum

WhichAofAtheAfollowingAoccursAatAtheAstartAofAdiastole?A-ACORRECTAANSWERSA-
closureAofAtheAaorticAvalve
WhichAisAtrueAofAaAthirdAheartAsoundAS3?A-ACORRECTAANSWERSA-
ItAisAcausedAbyArapidAdecelerationAofAbloodAagainstAtheAventricularAwall
WhichAisAtrueAofAsplittingAofAtheAsecondAheartAsound?A-ACORRECTAANSWERSA-
ItAisAbestAheardAoverAtheApulmonicAareaAwithAtheAbellAofAtheAstethoscope
WhichAofAtheAfollowingAisAtrueAofAJVPAmeasurement?A-ACORRECTAANSWERSA-
TheAverticalAheightAofAtheAbloodAcolumnAinAcentimeters,AplusA5cm,AisAtheAJVP
WhichAofAtheAfollowingAregardingAjugularAvenousApulsationsAisAaAsystolicAphenomenon?A-
ACORRECTAANSWERSA-TheAXAdescent

HowAmuchAdoesAcardiovascularAriskAincreaseAforAeachAincrementAofA20mmAHgAsystolicAa
ndA10mmAHgAdiastolicAinABP?A-ACORRECTAANSWERSA-100%
InAhealthyAadultsAoverA20,AhowAoftenAshouldABP,AbodyAmassAindex,AwaistAcircumference,A
andApulseAbeAassessedAaccordingAtoAtheAAHAAguidelines?A-ACORRECTAANSWERSA-
everyA2Ayears
WhichAofAtheAfollowingAisAaAclinicalAidentifierAofAmetabolicAsyndrome?A-
ACORRECTAANSWERSA-BPAofA134/88AforAaAmale

Mrs.AAdamsAwouldAlikeAtoAbeginAanAexerciseAprogramA...obtainAaAHRA60%AorAgreaterAofAh
erAmaximumAHR.ASheAisA52,AwhatAHRAshouldAsheAachieve?A-ACORRECTAANSWERSA-
100
InAmeasuringAtheAJVP,AwhichAofAtheAfollowingAisAimportant?A-ACORRECTAANSWERSA-
MeasureAtheAhighestAvisibleApressure,AusuallyAatAendAexpiration
YouAfindAaAboundingAcarotidApulseAonAaA62-
yrAoldApt.AWhichAmurmurAshouldAyouAsearchAout?A-ACORRECTAANSWERSA-
AorticAinsufficiency