ADVANCED HEALTH ASSESSMENT
MIDTERM EXAM REVIEW QUIZ CORRECTLY
ANSWERS AND 100% VERIFIED.
A 52-year-old secretary comes to your office, complaining about
accidentally leaking urine when she coughs or sneezes. She says this has
been going on for about a year now. She relates that she has not had a period
for 2 years. She denies any recent illness or injuries. Her past medical
history is significant for four spontaneous vaginal deliveries. She is married
and has four children. She denies alcohol, tobacco, or drug use. During her
pelvic examination you note some atrophic vaginal tissue, but the
remainder of her pelvic, abdominal, and rectal examinations are
unremarkable.
Which type of urinary incontinence does she have?
stress
urge
overflow
neurologic
Verified Answer -stress
What is the most common origination of melena:
esophagus
stomach
Duodenum
,all of the above
Verified Answer -all of the above
You are assessing a patient who reports a history of a positive Helicobacter
Pylori test. You interpret this finding as an infection associated with:
GERD
irritable bowel syndrome
duodenal or stomach ulcer
esophageal dysphagia
Verified Answer -duodenal or stomach ulcer
A careful history of a client with a chief complaint of diarrhea reveals that
this adult has recurrent abdominal pain and diarrhea that alternates with
constipation. The symptoms have been present >6 months and the client
also reports change in stool frequency and appearance. This most likely
represents:
drug-induced diarrhea
inflammatory bowel disease
,giardiasis
irritable bowel syndrome
Verified Answer -irritable bowel syndrome
An elderly client presents with fever, leukocytosis and cramps. Upon
physical exam you find lower left quadrant tenderness. The most likely
diagnosis is:
appendicitis
diverticulitis
irritable bowel syndrome
pancreatitis
Verified Answer -diverticulitis
Mr. Patel is a 64-year-old man who was told by another care provider that his
liver is enlarged. Although he is a life-long smoker, he has never used drugs
, or alcohol and has no knowledge of liver disease. Indeed, on examination, a
liver edge is palpable 4 centimeters below the costal arch. Which of the
following would you do next?
order a liver ultrasound
order a hepatitis panel
determine liver span by percussion
oder a stat GI referral
Verified Answer -determine liver span by percussion
A 27-year-old policewoman comes to your clinic, complaining of severe left-
sided back pain radiating down into her groin. It began in the middle of the
night and woke her up suddenly. It hurts in her bladder to urinate but she has
no burning on the outside. She has had no frequency or urgency with
urination but she has seen blood in her urine. She has had nausea with the
pain but no vomiting or fever. She denies any other recent illness or injuries.
Her past medical history is unremarkable. She denies tobacco or drug use
and drinks alcohol rarely. Her mother has high blood pressure and her father
is healthy. On examination she looks her stated age and is in obvious pain.
She is lying on her left side trying to remain very still. Her cardiac,
MIDTERM EXAM REVIEW QUIZ CORRECTLY
ANSWERS AND 100% VERIFIED.
A 52-year-old secretary comes to your office, complaining about
accidentally leaking urine when she coughs or sneezes. She says this has
been going on for about a year now. She relates that she has not had a period
for 2 years. She denies any recent illness or injuries. Her past medical
history is significant for four spontaneous vaginal deliveries. She is married
and has four children. She denies alcohol, tobacco, or drug use. During her
pelvic examination you note some atrophic vaginal tissue, but the
remainder of her pelvic, abdominal, and rectal examinations are
unremarkable.
Which type of urinary incontinence does she have?
stress
urge
overflow
neurologic
Verified Answer -stress
What is the most common origination of melena:
esophagus
stomach
Duodenum
,all of the above
Verified Answer -all of the above
You are assessing a patient who reports a history of a positive Helicobacter
Pylori test. You interpret this finding as an infection associated with:
GERD
irritable bowel syndrome
duodenal or stomach ulcer
esophageal dysphagia
Verified Answer -duodenal or stomach ulcer
A careful history of a client with a chief complaint of diarrhea reveals that
this adult has recurrent abdominal pain and diarrhea that alternates with
constipation. The symptoms have been present >6 months and the client
also reports change in stool frequency and appearance. This most likely
represents:
drug-induced diarrhea
inflammatory bowel disease
,giardiasis
irritable bowel syndrome
Verified Answer -irritable bowel syndrome
An elderly client presents with fever, leukocytosis and cramps. Upon
physical exam you find lower left quadrant tenderness. The most likely
diagnosis is:
appendicitis
diverticulitis
irritable bowel syndrome
pancreatitis
Verified Answer -diverticulitis
Mr. Patel is a 64-year-old man who was told by another care provider that his
liver is enlarged. Although he is a life-long smoker, he has never used drugs
, or alcohol and has no knowledge of liver disease. Indeed, on examination, a
liver edge is palpable 4 centimeters below the costal arch. Which of the
following would you do next?
order a liver ultrasound
order a hepatitis panel
determine liver span by percussion
oder a stat GI referral
Verified Answer -determine liver span by percussion
A 27-year-old policewoman comes to your clinic, complaining of severe left-
sided back pain radiating down into her groin. It began in the middle of the
night and woke her up suddenly. It hurts in her bladder to urinate but she has
no burning on the outside. She has had no frequency or urgency with
urination but she has seen blood in her urine. She has had nausea with the
pain but no vomiting or fever. She denies any other recent illness or injuries.
Her past medical history is unremarkable. She denies tobacco or drug use
and drinks alcohol rarely. Her mother has high blood pressure and her father
is healthy. On examination she looks her stated age and is in obvious pain.
She is lying on her left side trying to remain very still. Her cardiac,
