ADVANCED HEALTH ASSESSMENT MIDTERM EXAM
2024 NEWEST EXAM 2 VERSIONS (VERSION A AND B)
COMPLETE 250 QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALE /ALREADY GRADED A+
what is included in subjective information? - ANSWER: CC, HPI, PMH, SH, FH, ROS
objective data includes: - ANSWER: Heard, felt, seen, or smelled. Obtained by
observation or physical examination
ROS includes - ANSWER: Patient reported-not physical component
-constitutional (weight loss, fever, etc.)
-skin
-HEENT (head, ears, nose, throat)
-cardiovascular
-respiratory
-gastrointestinal
-genitourinary
-hematologic
-immunologic/ allergic
-musculoskeletal
-neurologic
-endocrine
-psychiatric
OLD CART pneumonic stands for - ANSWER: Onset
Location
Duration
Characteristics
Aggravating factors
Relieving factors
Treatment
Duke Activity Status Index - ANSWER: measure's patient's functional capacity. Rough
estimate of peak oxygen uptake. <15=transplant candidate,
>20=none to mild impairment
Mini Mental State Exam - ANSWER: Concentrates only on cognitive functioning, not
on mood or thought processes
Standard set of 11 questions, requires only 5 to 10 minutes to administer
Useful for both initial and serial measurement, so worsening or improvement of
cognition over time and with treatment can be assessed
Good screening tool to detect dementia and delirium and to differentiate these from
psychiatric mental illness
,Normal mental status average 27; scores between 24 and 30 indicate no cognitive
impairment
MMSE score of 20 or less - ANSWER: dementia, delirium, schizophrenia or an
affective disorder
Montreal Cognitive Assessment (MoCA) - ANSWER: screening for mild cognitive
dysfunction; assesses different cognitive domains like attention, visuconstructional,
memory, etc. and scored up to 30 points
>26 = normal
Can weed of problems with people who score normally on MMSE.
mild cognitive impairment (MCI) is a risk factor for - ANSWER: dementia
Primary prevention - ANSWER: Efforts to prevent an injury or illness from ever
occurring.
ex. immunizations
secondary prevention - ANSWER: Detecting and treating asymptomatic risk factors.
ex. health fair screening for HTN or testicular cancer
Cranial Nerve 1: Olfactory - ANSWER: sensory, smell
Cranial Nerve 2 - ANSWER: Optic
Cranial Nerve 3 - ANSWER: oculomotor nerve
Cranial Nerve 4 - ANSWER: Trochlear (eye movement)
Cranial Nerve 5 - ANSWER: trigeminal nerve-face sensation
facial symmetriy is controlled by which cranial nerve - ANSWER: 7
the neck is innervated by cranial nerve - ANSWER: XI=11
Eye movement is controlled by which cranial nerves - ANSWER: CN V (sensation)
o CN VII (motor) - corneal reflex
Fitzpatrick sign is associated with - ANSWER: dermatofibromas
nystagmus - ANSWER: Involuntary rapid eye movements
cranial nerve 8 dysfunction
lead screening occurs initially at - ANSWER: 9-12 months
, tertiary prevention - ANSWER: actions taken to contain damage once a disease or
disability has progressed beyond its early stages.
concurrent care - ANSWER: the provision of similar services to the same patient by
more than one physician on the same day
US Preventive Services Task Force - ANSWER: Mission is to enhance quality,
appropriateness and effectiveness of health services
•Assuring decision makers have access to evidence for most efficient
screening/diagnostic & therapeutic choices
•Translates evidence into recommendations and clinical guidelines
Pediatric Screening - ANSWER: Weight, Height, BMI, Developmental
stage•Hearing/Vision•Immunizations•Snoring•Related to enlarged tonsils or
obesity.AAP says affects 1.2 to 5.7 percent of American children•Anemia once
between ages 9-12 months•Blood Pressure at every routine visit 3 years of age•Lead
Initial screening between ages 9-12 months•Cholesterol between 2 & 17 if +FH
leading causes of death in 15-24 year olds - ANSWER: 1.Accident
2.Homicide
3.Suicide
4.Malignancy
5.Heart disease
Council: tobacco usesunscreen useETOH usesexual activityseat belt use
bicycle/motorcycle ATV helmetsdiet exerciseETOH & driving, swimming, boatinggun
use/possessionScreen:vaccination statussubstance
abusedomesticviolencedepressionsuicidal/homicidal ideationPhysical:Ht/Wt/
BP/BMISTI/Pap @ 21HIV @ risk
Leading cause of death in 25-44 y.o. - ANSWER: 1.Accident
2.Malignancy
3.Heart disease
4.Suicide
5.Homicide
6.HIV
Readdress smoking status at every visit-Obtain detailed FHconcerning malignancies
and begin screening-assess all cardiac risk factors including DM & HLD-assess for
chronic ETOH abuse, risk factors for hepatitis and other liver disease-consider
individual breast screening w/mammography at age 40
leading causes of death in 45-64 y.o. - ANSWER: 1.Malignancy
2.Heart disease
3.Accident
4.Diabetes
5.Cardiovascular disease
6.Chronic respiratory disease
7.Chronic liver disease, cirrhosis
2024 NEWEST EXAM 2 VERSIONS (VERSION A AND B)
COMPLETE 250 QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALE /ALREADY GRADED A+
what is included in subjective information? - ANSWER: CC, HPI, PMH, SH, FH, ROS
objective data includes: - ANSWER: Heard, felt, seen, or smelled. Obtained by
observation or physical examination
ROS includes - ANSWER: Patient reported-not physical component
-constitutional (weight loss, fever, etc.)
-skin
-HEENT (head, ears, nose, throat)
-cardiovascular
-respiratory
-gastrointestinal
-genitourinary
-hematologic
-immunologic/ allergic
-musculoskeletal
-neurologic
-endocrine
-psychiatric
OLD CART pneumonic stands for - ANSWER: Onset
Location
Duration
Characteristics
Aggravating factors
Relieving factors
Treatment
Duke Activity Status Index - ANSWER: measure's patient's functional capacity. Rough
estimate of peak oxygen uptake. <15=transplant candidate,
>20=none to mild impairment
Mini Mental State Exam - ANSWER: Concentrates only on cognitive functioning, not
on mood or thought processes
Standard set of 11 questions, requires only 5 to 10 minutes to administer
Useful for both initial and serial measurement, so worsening or improvement of
cognition over time and with treatment can be assessed
Good screening tool to detect dementia and delirium and to differentiate these from
psychiatric mental illness
,Normal mental status average 27; scores between 24 and 30 indicate no cognitive
impairment
MMSE score of 20 or less - ANSWER: dementia, delirium, schizophrenia or an
affective disorder
Montreal Cognitive Assessment (MoCA) - ANSWER: screening for mild cognitive
dysfunction; assesses different cognitive domains like attention, visuconstructional,
memory, etc. and scored up to 30 points
>26 = normal
Can weed of problems with people who score normally on MMSE.
mild cognitive impairment (MCI) is a risk factor for - ANSWER: dementia
Primary prevention - ANSWER: Efforts to prevent an injury or illness from ever
occurring.
ex. immunizations
secondary prevention - ANSWER: Detecting and treating asymptomatic risk factors.
ex. health fair screening for HTN or testicular cancer
Cranial Nerve 1: Olfactory - ANSWER: sensory, smell
Cranial Nerve 2 - ANSWER: Optic
Cranial Nerve 3 - ANSWER: oculomotor nerve
Cranial Nerve 4 - ANSWER: Trochlear (eye movement)
Cranial Nerve 5 - ANSWER: trigeminal nerve-face sensation
facial symmetriy is controlled by which cranial nerve - ANSWER: 7
the neck is innervated by cranial nerve - ANSWER: XI=11
Eye movement is controlled by which cranial nerves - ANSWER: CN V (sensation)
o CN VII (motor) - corneal reflex
Fitzpatrick sign is associated with - ANSWER: dermatofibromas
nystagmus - ANSWER: Involuntary rapid eye movements
cranial nerve 8 dysfunction
lead screening occurs initially at - ANSWER: 9-12 months
, tertiary prevention - ANSWER: actions taken to contain damage once a disease or
disability has progressed beyond its early stages.
concurrent care - ANSWER: the provision of similar services to the same patient by
more than one physician on the same day
US Preventive Services Task Force - ANSWER: Mission is to enhance quality,
appropriateness and effectiveness of health services
•Assuring decision makers have access to evidence for most efficient
screening/diagnostic & therapeutic choices
•Translates evidence into recommendations and clinical guidelines
Pediatric Screening - ANSWER: Weight, Height, BMI, Developmental
stage•Hearing/Vision•Immunizations•Snoring•Related to enlarged tonsils or
obesity.AAP says affects 1.2 to 5.7 percent of American children•Anemia once
between ages 9-12 months•Blood Pressure at every routine visit 3 years of age•Lead
Initial screening between ages 9-12 months•Cholesterol between 2 & 17 if +FH
leading causes of death in 15-24 year olds - ANSWER: 1.Accident
2.Homicide
3.Suicide
4.Malignancy
5.Heart disease
Council: tobacco usesunscreen useETOH usesexual activityseat belt use
bicycle/motorcycle ATV helmetsdiet exerciseETOH & driving, swimming, boatinggun
use/possessionScreen:vaccination statussubstance
abusedomesticviolencedepressionsuicidal/homicidal ideationPhysical:Ht/Wt/
BP/BMISTI/Pap @ 21HIV @ risk
Leading cause of death in 25-44 y.o. - ANSWER: 1.Accident
2.Malignancy
3.Heart disease
4.Suicide
5.Homicide
6.HIV
Readdress smoking status at every visit-Obtain detailed FHconcerning malignancies
and begin screening-assess all cardiac risk factors including DM & HLD-assess for
chronic ETOH abuse, risk factors for hepatitis and other liver disease-consider
individual breast screening w/mammography at age 40
leading causes of death in 45-64 y.o. - ANSWER: 1.Malignancy
2.Heart disease
3.Accident
4.Diabetes
5.Cardiovascular disease
6.Chronic respiratory disease
7.Chronic liver disease, cirrhosis
