BATES' PHYSICAL EXAM: CHAPTER 4
QUESTIONS WITH COMPLETE
SOLUTIONS 2026
What does a rapid change in weight suggest? (changes in...) - ANSWERSChanges in
body fluids, not changes in tissues. p.102
If weight gain or loss appears to be a problem, what should you ask about? 4 (CATS) -
ANSWERSThe amount of change, its timing, the setting in which it occurred, and any
associated symptoms. p.102
What are some symptoms of malnutrition? 5 - ANSWERSWeakness, easy fatigability,
cold intolerance, flaky dermatitis, ankle swelling. p.103
What does weakness often suggest, especially if localized in a neuroanatomical
pattern? - ANSWERSPossible neuropathy or myopathy p.103
Night sweats - ANSWERSWhen fever exaggerates the swing between a temperature's
daily rise and fall. p.103
How many U.S. adults maintain a healthy weight? Healthy BMI? - ANSWERSFewer
than half of U.S. adults maintain a healthy weight, with a Body Mass Index (BMI)
between 18.5 and 24.9. p. 108
Four steps to promote optimal weight and nutrition - ANSWERS1) Measure BMI and
waist circumference; identify risk of overweight and obesity and establish additional risk
factors for heart disease and obesity-related diseases.
2) Assess dietary intake
3) Assess the patient's motivation to change
4) Provide counseling about nutrition and exercise. p. 109
What are the classifications of overweight and obesity by BMI? 4, last 3 -
ANSWERSObesity Class BMI
Underweight <18.5
Normal 18.5-24.9
Overweight 25.0-29.9
Obesity I 30.0-34.9
II 35.0-39.9
III > 40
, Strategies to Promote Weight Loss 5 - ANSWERS1) The most effective diets combine
realistic diets combine weight loss goals with exercise and behavioral reinforcements.
2) Encourage patients to walk 30 to 60 minutes 5 or more days a week, or a total of at
least 150 minutes a week. Pedometers help match distance in steps with calories
burned.
3) The total calorie goal, usually 800 to 1,200 calories per a day, is more important than
type of diet.
4) Encourage behavioral habits that have been shown to assist weight loss such as
portion-controlled meals, meal planning, food diaries, and activity records.
5) Follow professional guidelines for pharmacologic therapies in patients at high weights
and morbidities who do not respond to conventional treatment. p.111
Bickley, Lynn S. (2012-03-28). Bates' Guide to Physical Examination and History Taking
(Kindle Locations 3993-3994). Lippincot (Wolters Kluwer Health). Kindle Edition.
How would you describe a patient's apparent state of health? 3 - ANSWERSAcutely or
chronically ill, frail, or fit and robust.
Bickley, Lynn S. (2012-03-28). Bates' Guide to Physical Examination and History Taking
(Kindle Locations 4007-4008). Lippincot (Wolters Kluwer Health). Kindle Edition.
What foods emphasize a nutrient-dense diet? - ANSWERSVegetables, fruits, whole
grains, fat-free or low-fat milk and milk products, seafood, lean meats and poultry, eggs,
beans and peas, and nuts and seeds. Water and unsweetened beverages should be
consumed instead of soda, energy drinks with sweeteners, or sports drinks. p.112
What is the Healthcare Provider looking for in the General Survey? 13 -
ANSWERSPatient's appearance, level of consciousness, signs of distress, skin color
and obvious lesions, dress, grooming and personal hygiene, facial expression, odors,
posture, gait, motor activity, height, and weight.
Bickley, Lynn S. (2012-03-28). Bates' Guide to Physical Examination and History Taking
(Kindle Location 3988). Lippincot (Wolters Kluwer Health). Kindle Edition.
What are 3 factors that contributes to the body's habitus? 9 - ANSWERSSocioeconomic
status, nutrition, genetic makeup, degree of fitness, mood state, early illnesses, gender,
geographic location, and age cohort.
Describe a patient's level of consciousness. - ANSWERSIs the patient awake, alert, and
responsive to you and others in the environment? If not, promptly assess the level of
consciousness.
Bickley, Lynn S. (2012-03-28). Bates' Guide to Physical Examination and History Taking
(Kindle Locations 4009-4012). Lippincot (Wolters Kluwer Health). Kindle Edition.
QUESTIONS WITH COMPLETE
SOLUTIONS 2026
What does a rapid change in weight suggest? (changes in...) - ANSWERSChanges in
body fluids, not changes in tissues. p.102
If weight gain or loss appears to be a problem, what should you ask about? 4 (CATS) -
ANSWERSThe amount of change, its timing, the setting in which it occurred, and any
associated symptoms. p.102
What are some symptoms of malnutrition? 5 - ANSWERSWeakness, easy fatigability,
cold intolerance, flaky dermatitis, ankle swelling. p.103
What does weakness often suggest, especially if localized in a neuroanatomical
pattern? - ANSWERSPossible neuropathy or myopathy p.103
Night sweats - ANSWERSWhen fever exaggerates the swing between a temperature's
daily rise and fall. p.103
How many U.S. adults maintain a healthy weight? Healthy BMI? - ANSWERSFewer
than half of U.S. adults maintain a healthy weight, with a Body Mass Index (BMI)
between 18.5 and 24.9. p. 108
Four steps to promote optimal weight and nutrition - ANSWERS1) Measure BMI and
waist circumference; identify risk of overweight and obesity and establish additional risk
factors for heart disease and obesity-related diseases.
2) Assess dietary intake
3) Assess the patient's motivation to change
4) Provide counseling about nutrition and exercise. p. 109
What are the classifications of overweight and obesity by BMI? 4, last 3 -
ANSWERSObesity Class BMI
Underweight <18.5
Normal 18.5-24.9
Overweight 25.0-29.9
Obesity I 30.0-34.9
II 35.0-39.9
III > 40
, Strategies to Promote Weight Loss 5 - ANSWERS1) The most effective diets combine
realistic diets combine weight loss goals with exercise and behavioral reinforcements.
2) Encourage patients to walk 30 to 60 minutes 5 or more days a week, or a total of at
least 150 minutes a week. Pedometers help match distance in steps with calories
burned.
3) The total calorie goal, usually 800 to 1,200 calories per a day, is more important than
type of diet.
4) Encourage behavioral habits that have been shown to assist weight loss such as
portion-controlled meals, meal planning, food diaries, and activity records.
5) Follow professional guidelines for pharmacologic therapies in patients at high weights
and morbidities who do not respond to conventional treatment. p.111
Bickley, Lynn S. (2012-03-28). Bates' Guide to Physical Examination and History Taking
(Kindle Locations 3993-3994). Lippincot (Wolters Kluwer Health). Kindle Edition.
How would you describe a patient's apparent state of health? 3 - ANSWERSAcutely or
chronically ill, frail, or fit and robust.
Bickley, Lynn S. (2012-03-28). Bates' Guide to Physical Examination and History Taking
(Kindle Locations 4007-4008). Lippincot (Wolters Kluwer Health). Kindle Edition.
What foods emphasize a nutrient-dense diet? - ANSWERSVegetables, fruits, whole
grains, fat-free or low-fat milk and milk products, seafood, lean meats and poultry, eggs,
beans and peas, and nuts and seeds. Water and unsweetened beverages should be
consumed instead of soda, energy drinks with sweeteners, or sports drinks. p.112
What is the Healthcare Provider looking for in the General Survey? 13 -
ANSWERSPatient's appearance, level of consciousness, signs of distress, skin color
and obvious lesions, dress, grooming and personal hygiene, facial expression, odors,
posture, gait, motor activity, height, and weight.
Bickley, Lynn S. (2012-03-28). Bates' Guide to Physical Examination and History Taking
(Kindle Location 3988). Lippincot (Wolters Kluwer Health). Kindle Edition.
What are 3 factors that contributes to the body's habitus? 9 - ANSWERSSocioeconomic
status, nutrition, genetic makeup, degree of fitness, mood state, early illnesses, gender,
geographic location, and age cohort.
Describe a patient's level of consciousness. - ANSWERSIs the patient awake, alert, and
responsive to you and others in the environment? If not, promptly assess the level of
consciousness.
Bickley, Lynn S. (2012-03-28). Bates' Guide to Physical Examination and History Taking
(Kindle Locations 4009-4012). Lippincot (Wolters Kluwer Health). Kindle Edition.
