Maryville University Advanced Health
Assessment Exam 3 Questions And
Answers
Risk factors for suicidal ideations -
correct answer ✅-Social isolation (living alone, divorced,
widowed)
-Mental health disorder (depression)
-Terminal health condition
-Family hx
-Personal losses or challenges (unemployment, legal problems)
-Plan for suicide or previous attempt
-Alcohol or substance abuse
-Access to firearms or other self harm
Depression -
correct answer ✅Sudden or insidious, longer than 2 weeks, no
impaired consciousness, impaired concentration/memory/thought
processes, insomnia or too much sleep, fatigue, anxiety, slowed
speech, homeless, loss of interest of pleasure, associated with grief
or stressful life event
Abdominal pain HPI questions -
correct answer ✅-Onset: when, sudden vs gradual
-Location: of onset, change? radiates, superficial or deep
,Maryville University Advanced Health
Assessment Exam 3 Questions And
Answers
-Duration: persistent, recurrent, intermittent
-Character: dull, sharp, burning, gnawing, stabbing, cramping,
aching, colicky, also stool/urine characteristics
-Aggravating factors: medications?
-Relieving factors: medications, home remedies
-Temporal factors: related to menses, intercourse, urination,
defecation, inspiration, change in body position, food/alcohol,
stress, time of day, trauma?
-Associated symptoms: vomiting, diarrhea, constipation, flatus,
belching, jaundice, abdominal girth, weight loss or gain
Abdominal: inspection: Contour -
correct answer ✅-Normal: flat, rounded, or scaphoid, umbilicus
centrally located, symmetric
-Abnormal: distention, bulges, umbilicus inflammation/bulging,
masses, hernias, diastasis recti
Abdominal: Inspection: Movement -
correct answer ✅-Normal: Smooth, even movement with
respiration
-Abnormal: limited motion on respiration (peritonitis), peristalsis
(obstruction), marked pulsations (aortic aneurysm)
,Maryville University Advanced Health
Assessment Exam 3 Questions And
Answers
Abdominal: Palpation -
correct answer ✅-Normal: smooth, soft, without resistance or
tenderness, spleen, kidneys, and healthy gallbladder are not
palpable, liver palpable at costal margin (firm, smooth, even,
nontender)
-Abnormal: Palpable tender gallbladder = cholecystits, common bile
duct obstruction = nontender enlarged gallbladder, any masses,
guarding, pain, bulges, nodules, granulation
Palpation of the kidney -
correct answer ✅Right kidney is more often felt than the left. One
hand on flank, one hand on costal margin. As patient inhales
deeply, lift the flank and palpate deeply
Conditions for chronic abdominal pain -
correct answer ✅IBS, lactose intolerance, diverticular disease,
constipation, uterine fibroids, hernia, GERD, peptic ulcer, gastritis
Aarons sign -
correct answer ✅palpation of McBurneys causes heart or stomach
pain = appendicitis
, Maryville University Advanced Health
Assessment Exam 3 Questions And
Answers
Ballance sign -
correct answer ✅dullness to percussion of flank that disappears
w/ change of position= peritoneal irritation
Blumberg sign -
correct answer ✅Rebound tenderness = appendicitis, peritoneal
irritation
Dance sign -
correct answer ✅absence of BS in RLQ = intussusception
Grey Turner sign -
correct answer ✅Ecchymosis of flanks = hemoperitoneum,
pancreatitis
Kehr sign -
correct answer ✅Abdominal pain radiating to left shoulder =
spleen rupture, renal caliculi, ectopic pregnancy
Markle sign -
correct answer ✅raises on toes and comes down on heels (jarring
body) causing abdominal pain = peritoneal irritation, appendicitis
Assessment Exam 3 Questions And
Answers
Risk factors for suicidal ideations -
correct answer ✅-Social isolation (living alone, divorced,
widowed)
-Mental health disorder (depression)
-Terminal health condition
-Family hx
-Personal losses or challenges (unemployment, legal problems)
-Plan for suicide or previous attempt
-Alcohol or substance abuse
-Access to firearms or other self harm
Depression -
correct answer ✅Sudden or insidious, longer than 2 weeks, no
impaired consciousness, impaired concentration/memory/thought
processes, insomnia or too much sleep, fatigue, anxiety, slowed
speech, homeless, loss of interest of pleasure, associated with grief
or stressful life event
Abdominal pain HPI questions -
correct answer ✅-Onset: when, sudden vs gradual
-Location: of onset, change? radiates, superficial or deep
,Maryville University Advanced Health
Assessment Exam 3 Questions And
Answers
-Duration: persistent, recurrent, intermittent
-Character: dull, sharp, burning, gnawing, stabbing, cramping,
aching, colicky, also stool/urine characteristics
-Aggravating factors: medications?
-Relieving factors: medications, home remedies
-Temporal factors: related to menses, intercourse, urination,
defecation, inspiration, change in body position, food/alcohol,
stress, time of day, trauma?
-Associated symptoms: vomiting, diarrhea, constipation, flatus,
belching, jaundice, abdominal girth, weight loss or gain
Abdominal: inspection: Contour -
correct answer ✅-Normal: flat, rounded, or scaphoid, umbilicus
centrally located, symmetric
-Abnormal: distention, bulges, umbilicus inflammation/bulging,
masses, hernias, diastasis recti
Abdominal: Inspection: Movement -
correct answer ✅-Normal: Smooth, even movement with
respiration
-Abnormal: limited motion on respiration (peritonitis), peristalsis
(obstruction), marked pulsations (aortic aneurysm)
,Maryville University Advanced Health
Assessment Exam 3 Questions And
Answers
Abdominal: Palpation -
correct answer ✅-Normal: smooth, soft, without resistance or
tenderness, spleen, kidneys, and healthy gallbladder are not
palpable, liver palpable at costal margin (firm, smooth, even,
nontender)
-Abnormal: Palpable tender gallbladder = cholecystits, common bile
duct obstruction = nontender enlarged gallbladder, any masses,
guarding, pain, bulges, nodules, granulation
Palpation of the kidney -
correct answer ✅Right kidney is more often felt than the left. One
hand on flank, one hand on costal margin. As patient inhales
deeply, lift the flank and palpate deeply
Conditions for chronic abdominal pain -
correct answer ✅IBS, lactose intolerance, diverticular disease,
constipation, uterine fibroids, hernia, GERD, peptic ulcer, gastritis
Aarons sign -
correct answer ✅palpation of McBurneys causes heart or stomach
pain = appendicitis
, Maryville University Advanced Health
Assessment Exam 3 Questions And
Answers
Ballance sign -
correct answer ✅dullness to percussion of flank that disappears
w/ change of position= peritoneal irritation
Blumberg sign -
correct answer ✅Rebound tenderness = appendicitis, peritoneal
irritation
Dance sign -
correct answer ✅absence of BS in RLQ = intussusception
Grey Turner sign -
correct answer ✅Ecchymosis of flanks = hemoperitoneum,
pancreatitis
Kehr sign -
correct answer ✅Abdominal pain radiating to left shoulder =
spleen rupture, renal caliculi, ectopic pregnancy
Markle sign -
correct answer ✅raises on toes and comes down on heels (jarring
body) causing abdominal pain = peritoneal irritation, appendicitis
