Advanced Health Assessment - Quiz 2
(exam questions and answers latest
edtion)
During |a |routine |physical |exam |of |a |44 |yo |woman |you |note |she |has |an |inverted |left |nipple. |
You |decide |to |investigate |because: |- |ANSThe |inversion |may |be |a |recent |change
A |30 |yo |F |is |in |the |office |c/o |palpitations |and |some |lightheadedness |for |the |past |?, |random |
episodes, |no |detectable |pattern. |NP |notes |a |mid |systolic |click |with |a |late |systolic |murmur |
heard |best |in |the |apical |area. |You |suspect |- |ANSMitral |valve |prolapse |(MVP)
All |of |the |following |tests |require |the |patient's |voice |to |perform |correctly |except: |- |ANS-
egophany
-tactile |fremitus
-whispered |pectoriloquy
auscultation
59 |yo |M |with |history |of |COPD |presents |with |worsening |dyspnea. |Patient |is |afebrile, |breath |
sounds |are |decreased |bilaterally, |noted |to |have |JVD |and |pitting |edema |of |lower |extremities. |
What |is |the |most |likely |cause |of |his |dyspnea? |- |ANSCHF
James |Jones |55 |yo |M |smoker |presents |with |thick |sputum |producing |cough. |Exam: |+tactile |
fremitus, |resonant |percussion, |and |normal |voice |transmission. |You |suspect: |- |ANSbronchitis
, During |the |breast |exam |of |a |30 |year |old |nulliparous |female. |The |NP |palpates |several |rubbery |
areas |of |the |breast |tissue. |They |are |slightly |tender |to |palpation |and |present |in |both |breasts. |
Expecting |menses |in |5 |days. |Which |intervention |is |best? |- |ANSTell |her |to |recheck |1 |week |after |
her |menses
All |of |the |following |symptoms |associated |with |chest |pain |are |likely |to |represent |CAD |except? |-
|ANSpain |with |inspiration
60 |yo |landscaper |presents |to |your |office |to |establish |care, |history |of |CHF |controlled |with |
medications. |Denies |cp, |edema. |Early |diastolic |? |with |opening |snap |___. |You |suspect? |- |
ANSMitral |stenosis
A |patient |states |that |she |has |had |a |rash |on |her |breast |for |about |2 |weeks. |In |order |to |
determine |if |it |is |pagets |disease |you |would |expect |to |have |all |of |the |following |on |physical |
exam |EXCEPT |- |ANSinverted |nipple
You |notice |a |medium-pitched |harsh |systolic |murmur |during |a |routine |exam |or |R |upper |border |
of |the |sternum. |Which |of |the |following |is |most |likely? |- |ANSAortic |stenosis
Which |of |the |following |statements |in |NOT |typical |of |the |murmur |it |is |describing? |- |ANSGrade |
II/Grade |VI |murmur |is |associated |with |a |thrill?
A |58 |yo |dentist |presents |for |routine |check |up. |He |has |been |healthy. |Non |smoker, |does |not |
drink |alcohol. |You |hear |a |moderately |loud |murmur, |no |palpable |thrill. |What |is |the |appropriate
|grade |for |this |murmur? |- |ANSGrade |3
57 |yo |college |professor |is |hospitalized |for |SOB. |As |you |examine |her |in |ER, |JVP |of |45 |degrees |8 |
cm |above |the |clavicle. |finding |is |most |consistent |with |which |of |the |following |diagnoses? |- |
ANSRight |sided |heart |failure
(exam questions and answers latest
edtion)
During |a |routine |physical |exam |of |a |44 |yo |woman |you |note |she |has |an |inverted |left |nipple. |
You |decide |to |investigate |because: |- |ANSThe |inversion |may |be |a |recent |change
A |30 |yo |F |is |in |the |office |c/o |palpitations |and |some |lightheadedness |for |the |past |?, |random |
episodes, |no |detectable |pattern. |NP |notes |a |mid |systolic |click |with |a |late |systolic |murmur |
heard |best |in |the |apical |area. |You |suspect |- |ANSMitral |valve |prolapse |(MVP)
All |of |the |following |tests |require |the |patient's |voice |to |perform |correctly |except: |- |ANS-
egophany
-tactile |fremitus
-whispered |pectoriloquy
auscultation
59 |yo |M |with |history |of |COPD |presents |with |worsening |dyspnea. |Patient |is |afebrile, |breath |
sounds |are |decreased |bilaterally, |noted |to |have |JVD |and |pitting |edema |of |lower |extremities. |
What |is |the |most |likely |cause |of |his |dyspnea? |- |ANSCHF
James |Jones |55 |yo |M |smoker |presents |with |thick |sputum |producing |cough. |Exam: |+tactile |
fremitus, |resonant |percussion, |and |normal |voice |transmission. |You |suspect: |- |ANSbronchitis
, During |the |breast |exam |of |a |30 |year |old |nulliparous |female. |The |NP |palpates |several |rubbery |
areas |of |the |breast |tissue. |They |are |slightly |tender |to |palpation |and |present |in |both |breasts. |
Expecting |menses |in |5 |days. |Which |intervention |is |best? |- |ANSTell |her |to |recheck |1 |week |after |
her |menses
All |of |the |following |symptoms |associated |with |chest |pain |are |likely |to |represent |CAD |except? |-
|ANSpain |with |inspiration
60 |yo |landscaper |presents |to |your |office |to |establish |care, |history |of |CHF |controlled |with |
medications. |Denies |cp, |edema. |Early |diastolic |? |with |opening |snap |___. |You |suspect? |- |
ANSMitral |stenosis
A |patient |states |that |she |has |had |a |rash |on |her |breast |for |about |2 |weeks. |In |order |to |
determine |if |it |is |pagets |disease |you |would |expect |to |have |all |of |the |following |on |physical |
exam |EXCEPT |- |ANSinverted |nipple
You |notice |a |medium-pitched |harsh |systolic |murmur |during |a |routine |exam |or |R |upper |border |
of |the |sternum. |Which |of |the |following |is |most |likely? |- |ANSAortic |stenosis
Which |of |the |following |statements |in |NOT |typical |of |the |murmur |it |is |describing? |- |ANSGrade |
II/Grade |VI |murmur |is |associated |with |a |thrill?
A |58 |yo |dentist |presents |for |routine |check |up. |He |has |been |healthy. |Non |smoker, |does |not |
drink |alcohol. |You |hear |a |moderately |loud |murmur, |no |palpable |thrill. |What |is |the |appropriate
|grade |for |this |murmur? |- |ANSGrade |3
57 |yo |college |professor |is |hospitalized |for |SOB. |As |you |examine |her |in |ER, |JVP |of |45 |degrees |8 |
cm |above |the |clavicle. |finding |is |most |consistent |with |which |of |the |following |diagnoses? |- |
ANSRight |sided |heart |failure
