Advanced Health Assessment Quiz 2
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Ron R presents with dependent edema. You assess he has a >1 inch
indentation up to mid-tibia bilaterally. You document this as: -
ANSWER +4 edema
When auscultating a patient's abdomen, the NP hears a systolic bruit in
the epigastric area. It occurs at a fixed interval, most likely source of this
bruit is: - ANSWER abdominal aorta
During a routine physical exam of a 44 yo woman you note she has an
inverted left nipple. You decide to investigate because: - ANSWER
The inversion may be a recent change
A 30 yo F is in the office c/o palpiations 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
- ANSWER Mitral valve prolapse (MVP)
All of the following tests require the patient's voice to perform correctly
except: - ANSWER -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? - ANSWER CHF
James Jones 55 yo M smoker presents with thick sputum producing cough.
Exam: +tactile fremitus, resonant percussion, and normal voice
transmission. You suspect: - ANSWER bronchitis
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? - ANSWER Tell her to recheck 1
week after her menses
, All of the following symptoms associated with chest pain are likely to
represent CAD except? - ANSWER pain 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? - ANSWER Mitral 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 - ANSWER inverted
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? -
ANSWER Aortic stenosis
Which of the following statements in NOT typical of the murmur it is
describing? - ANSWER Grade 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? -
ANSWER Grade 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? - ANSWER Right sided heart
failure
What technique should be used to best auscultate the 2nd heart sounds? -
ANSWER Diaphragm of the stethoscope at 2nd intercostal space at the
base of the heart
You hear a split s2 on auscultation of a 25 yo client. What is your best
action? - ANSWER Tell them to hold their breath and repeat
The clinet has been told he has a heart murmur. He asks you what this
means. You explain - ANSWER It is the rushing sound blood
makes moving through narrow places. Some are harmless and others
indicate problems
Where would you expect to hear best an abnormal sound with mitral valve
insufficiency? - ANSWER 5th ICS at MCL
when auscultating the heart sounds of a 72 yo client with history of HTN.
NP notes an S4. This finding could indicate - ANSWER An
increased resistance to ventricular filling
2025 Update|Most Tested Questions And
Verified Solutions|Assured Success !!!
Ron R presents with dependent edema. You assess he has a >1 inch
indentation up to mid-tibia bilaterally. You document this as: -
ANSWER +4 edema
When auscultating a patient's abdomen, the NP hears a systolic bruit in
the epigastric area. It occurs at a fixed interval, most likely source of this
bruit is: - ANSWER abdominal aorta
During a routine physical exam of a 44 yo woman you note she has an
inverted left nipple. You decide to investigate because: - ANSWER
The inversion may be a recent change
A 30 yo F is in the office c/o palpiations 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
- ANSWER Mitral valve prolapse (MVP)
All of the following tests require the patient's voice to perform correctly
except: - ANSWER -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? - ANSWER CHF
James Jones 55 yo M smoker presents with thick sputum producing cough.
Exam: +tactile fremitus, resonant percussion, and normal voice
transmission. You suspect: - ANSWER bronchitis
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? - ANSWER Tell her to recheck 1
week after her menses
, All of the following symptoms associated with chest pain are likely to
represent CAD except? - ANSWER pain 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? - ANSWER Mitral 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 - ANSWER inverted
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? -
ANSWER Aortic stenosis
Which of the following statements in NOT typical of the murmur it is
describing? - ANSWER Grade 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? -
ANSWER Grade 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? - ANSWER Right sided heart
failure
What technique should be used to best auscultate the 2nd heart sounds? -
ANSWER Diaphragm of the stethoscope at 2nd intercostal space at the
base of the heart
You hear a split s2 on auscultation of a 25 yo client. What is your best
action? - ANSWER Tell them to hold their breath and repeat
The clinet has been told he has a heart murmur. He asks you what this
means. You explain - ANSWER It is the rushing sound blood
makes moving through narrow places. Some are harmless and others
indicate problems
Where would you expect to hear best an abnormal sound with mitral valve
insufficiency? - ANSWER 5th ICS at MCL
when auscultating the heart sounds of a 72 yo client with history of HTN.
NP notes an S4. This finding could indicate - ANSWER An
increased resistance to ventricular filling
