Clinical skills 1 Practice Questions
well answered to pass
Supine - ANS ✔✔Which position (supine, sitting, standing) would result in the highest blood
pressure reading?
A. Sitting
B.Standing
C. Supine
D. Reverse trendelenburg
D. all of the above - ANS ✔✔Why is it important to approach the patient from the right side
when the patient is in the supine position?
A. Jugular venous pressure more reliable
B. Palpating hand rests more comfortably on apical impulse
C. Right kidney is easier palpable than the left
D. all of the above
Auscultatory gap - ANS ✔✔A 67 year old female with a history of atherosclerosis is at her
primary care provider's office for her annual physical exam. Her blood pressure is measured to
be 160 mm Hg/96 mm Hg, but the provider auscultates a period of silence between 140 mm Hg
and 120 mm Hg. What is the term used to describe this silent interval between the systolic and
diastolic pressure?
A. Atrial fibrillation
B. Arrhythmia
,C. Auscultatory gap
D. Korotkoff silence
addictive tendencies - ANS ✔✔A 37 year old male comes to the Emergency Department
complaining of hematemesis and abdominal pain. During the physical examination, the PA notes
signs of jaundice and caput medusae. The provider decides to assess the patient for alcoholism
using the CAGE questionnaire. Which of the following terms are not included in the CAGE
acronym?
A. Cutting Down
B. Addictive tendencies
C. Guilty feelings
D. Eye openers
C. Denial and isolation, anger, bargaining, depression or sadness, acceptance - ANS
✔✔Unfortunately your patient who was sick with pancreatic cancer is passing away. As the
patient's provider you have to now relay this information to his/her family members. You try to
go through the five stages of grief with the family in hopes that it helps them try to cope with
what is to come. What are the five stages of grief as defined by Kubler-Ross?
A. Denial and isolation, anger, depression or sadness, bargaining, acceptance
B. Anger, denial and isolation, depression or sadness, bargaining, acceptance
C. Denial and isolation, anger, bargaining, depression or sadness, acceptance
D. Acceptance, anger, bargaining, depression or sadness, denial and isolation
Anorexia nervosa - ANS ✔✔Your 16 y/o patient comes in for their annual exam, you notice she
looks malnourished and she has lost an abnormal amount of weight since her last visit. You
proceed to ask questions regarding diet and exercise and she mentions she is afraid to gain
weight and says she doesn't feel the need to eat. She also has concerns about her recent
,irregular periods. As her primary care provider you start to think she may be suffering from
which of the following?
A. bulimia nervosa
B. anorexia nervosa
c. neither she is just a normal teenager
d. patient is maintain a more active lifestyle
B. ↑ systolic BP, ↑ diastolic BP - ANS ✔✔A 65 year old male comes into the clinic for his annual
checkup. He seems anxious and nervous as you are taking his blood pressure and mentions he
has white coat hypertension. Which of the following clinical signs do you expect to see when
you take his blood pressure?
A. ↑systolic BP, ↓ diastolic BP
B. ↑ systolic BP, ↑ diastolic BP
C. ↓ systolic BP, ↓ diastolic BP
D. ↓ systolic BP, ↑ diastolic BP
B. When was the first time you drank alcohol - ANS ✔✔A 35 year old male comes into the
Emergency Department in apparent distress and is slurring his words. Upon talking to a nurse,
you find out that he frequents this hospital and has a known history of alcohol abuse. In order
to find out if he in fact does have an Alcohol Use Disorder (AUD), you ask him a series of
screening questions. Which of the following questions will you NOT ask the patient during this
screening?
A. Do you feel annoyed when you are criticized when you drink?
B. When was the first time you drank alcohol?
C. Have you ever felt the need to cut down on your drinking?
D. Have you ever felt guilty when you are drinking?
, E. Have you ever felt the need to drink first thing in the morning when you open your eyes to
cure a hangover or steady your nerves?
Basal cell carcinoma - ANS ✔✔A 35 year old woman goes to her dermatologist due to a shiny
and translucent papule on her face. She noticed that it has slowly been growing over the past 3
months. After taking a biopsy of the area, it is found to be cancerous. What is the diagnosis?
A. Basal cell carcinoma
B. Squamous cell carcinoma
C. Vitiligo
D. Malignant melanoma
Pressure (decubitus) ulcer - ANS ✔✔A 70 year old bedridden male complains of pain on his
lower back and buttocks. Upon examination, his caretaker sees that he has begun to develop a
reddened area on his sacrum that fails to blanch with pressure and is warm to the touch. He is
experiencing the early stages of what condition?
A. Psoriasis
B. Contact dermatitis
C. Pressure (decubitus) ulcer
D. Shingles
dehydration - ANS ✔✔While completing the skin assessment, the PA student examines the 43
year old female's turgor and mobility. The PA student notices tenting during this assessment,
which indicates that she has decreased turgor. Which of the following could be associated with
decreased turgor of the skin?
A. Hypothyroidism
B. Edema
C. Hyperthyroidism
D. Dehydration
well answered to pass
Supine - ANS ✔✔Which position (supine, sitting, standing) would result in the highest blood
pressure reading?
A. Sitting
B.Standing
C. Supine
D. Reverse trendelenburg
D. all of the above - ANS ✔✔Why is it important to approach the patient from the right side
when the patient is in the supine position?
A. Jugular venous pressure more reliable
B. Palpating hand rests more comfortably on apical impulse
C. Right kidney is easier palpable than the left
D. all of the above
Auscultatory gap - ANS ✔✔A 67 year old female with a history of atherosclerosis is at her
primary care provider's office for her annual physical exam. Her blood pressure is measured to
be 160 mm Hg/96 mm Hg, but the provider auscultates a period of silence between 140 mm Hg
and 120 mm Hg. What is the term used to describe this silent interval between the systolic and
diastolic pressure?
A. Atrial fibrillation
B. Arrhythmia
,C. Auscultatory gap
D. Korotkoff silence
addictive tendencies - ANS ✔✔A 37 year old male comes to the Emergency Department
complaining of hematemesis and abdominal pain. During the physical examination, the PA notes
signs of jaundice and caput medusae. The provider decides to assess the patient for alcoholism
using the CAGE questionnaire. Which of the following terms are not included in the CAGE
acronym?
A. Cutting Down
B. Addictive tendencies
C. Guilty feelings
D. Eye openers
C. Denial and isolation, anger, bargaining, depression or sadness, acceptance - ANS
✔✔Unfortunately your patient who was sick with pancreatic cancer is passing away. As the
patient's provider you have to now relay this information to his/her family members. You try to
go through the five stages of grief with the family in hopes that it helps them try to cope with
what is to come. What are the five stages of grief as defined by Kubler-Ross?
A. Denial and isolation, anger, depression or sadness, bargaining, acceptance
B. Anger, denial and isolation, depression or sadness, bargaining, acceptance
C. Denial and isolation, anger, bargaining, depression or sadness, acceptance
D. Acceptance, anger, bargaining, depression or sadness, denial and isolation
Anorexia nervosa - ANS ✔✔Your 16 y/o patient comes in for their annual exam, you notice she
looks malnourished and she has lost an abnormal amount of weight since her last visit. You
proceed to ask questions regarding diet and exercise and she mentions she is afraid to gain
weight and says she doesn't feel the need to eat. She also has concerns about her recent
,irregular periods. As her primary care provider you start to think she may be suffering from
which of the following?
A. bulimia nervosa
B. anorexia nervosa
c. neither she is just a normal teenager
d. patient is maintain a more active lifestyle
B. ↑ systolic BP, ↑ diastolic BP - ANS ✔✔A 65 year old male comes into the clinic for his annual
checkup. He seems anxious and nervous as you are taking his blood pressure and mentions he
has white coat hypertension. Which of the following clinical signs do you expect to see when
you take his blood pressure?
A. ↑systolic BP, ↓ diastolic BP
B. ↑ systolic BP, ↑ diastolic BP
C. ↓ systolic BP, ↓ diastolic BP
D. ↓ systolic BP, ↑ diastolic BP
B. When was the first time you drank alcohol - ANS ✔✔A 35 year old male comes into the
Emergency Department in apparent distress and is slurring his words. Upon talking to a nurse,
you find out that he frequents this hospital and has a known history of alcohol abuse. In order
to find out if he in fact does have an Alcohol Use Disorder (AUD), you ask him a series of
screening questions. Which of the following questions will you NOT ask the patient during this
screening?
A. Do you feel annoyed when you are criticized when you drink?
B. When was the first time you drank alcohol?
C. Have you ever felt the need to cut down on your drinking?
D. Have you ever felt guilty when you are drinking?
, E. Have you ever felt the need to drink first thing in the morning when you open your eyes to
cure a hangover or steady your nerves?
Basal cell carcinoma - ANS ✔✔A 35 year old woman goes to her dermatologist due to a shiny
and translucent papule on her face. She noticed that it has slowly been growing over the past 3
months. After taking a biopsy of the area, it is found to be cancerous. What is the diagnosis?
A. Basal cell carcinoma
B. Squamous cell carcinoma
C. Vitiligo
D. Malignant melanoma
Pressure (decubitus) ulcer - ANS ✔✔A 70 year old bedridden male complains of pain on his
lower back and buttocks. Upon examination, his caretaker sees that he has begun to develop a
reddened area on his sacrum that fails to blanch with pressure and is warm to the touch. He is
experiencing the early stages of what condition?
A. Psoriasis
B. Contact dermatitis
C. Pressure (decubitus) ulcer
D. Shingles
dehydration - ANS ✔✔While completing the skin assessment, the PA student examines the 43
year old female's turgor and mobility. The PA student notices tenting during this assessment,
which indicates that she has decreased turgor. Which of the following could be associated with
decreased turgor of the skin?
A. Hypothyroidism
B. Edema
C. Hyperthyroidism
D. Dehydration
