BATES TEST BANK QUESTIONS & ANSWERS
Common or concerning symptoms to inquire about in
the General Survey and vital signs include all of the
following except:
Cough A) Changes in weight
B)Fatigue and weakness
C) Cough
D) Fever and chills
A 49-year-old truck driver comes to the emergency
room for shortness of breath and swelling in his
ankles. He is diagnosed with congestive heart failure
Small amplitude, weak and admitted to the hospital. You are the student
assigned to do the patient's complete history and
physical examination. When you palpate the pulse,
what do you expect to feel?
An 18-year-old college freshman presents to the clinic
for evaluation of gastroenteritis. You measure the
Large amplitude, forceful patient's temperature and it is 104 degrees Fahrenheit.
What type of pulse would you expect to feel during
his initial examination?
, A 25-year-old type 1 diabetic clerk presents to the
emergency room with shortness of breath and states
rapid and deep that his blood sugar was 605 at home. You diagnose
the patient with diabetic ketoacidosis. What is the
expected pattern of breathing?
You are seeing an older patient who has not had
medical care for many years. Her vital signs taken by
your office staff are: T 37.2, HR 78, BP 118/92, and RR
14, and she denies pain. You notice that she has some
hypertensive changes in her retinas and you find mild
proteinuria on a urine test in your office. You
expected the BP to be higher. She is not on any
It is caused by an
medications. What do you think is causing this BP
"auscultatory gap."
reading, which doesn't correlate with the other
findings?
A) It is caused by an "auscultatory gap."
B)It is caused by a cuff size error.
C) It is caused by the patient's emotional state.
D) It is caused by resolution of the process which
caused her retinopathy and kidney problems.
You are observing a patient with heart failure and
notice that there are pauses in his breathing. On
Cheyne-Stokes closer examination, you notice that after the pauses
respiration (seen with pt's the patient takes progressively deeper breaths and
that have HF) then progressively shallower breaths, which are
followed by another apneic spell. The patient is not in
any distress. You make the diagnosis of:
A 50-year-old body builder is upset by a letter of
denial from his life insurance company. He is very lean
but has gained 2 pounds over the past 6 months. You
measure his waist personally performed his health assessment and
found no problems whatsoever. He says he is
classified as "high risk" because of obesity. What
should you do next?
, Ms. Wright comes to your office, complaining of
palpitations. While checking her pulse you notice an
Regularly irregular irregular rhythm. When you listen to her heart, every
rhythm fourth beat sounds different. It sounds like a triplet
rather than the usual "lub dup." How would you
document your examination?
Which of the following is a "red flag" regarding
patients presenting with headache?
A) Unilateral headache
Age over 50
B)Pain over the sinuses
C) Age over 50
D) Phonophobia and photophobia
A patient complains of epistaxis. Which other cause
should be considered?
A) Intracranial hemorrhage
Hematemesis
B)Hematemesis
C) Intestinal hemorrhage
D) Hematoma of the nasal septum
You note that a patient has anisocoria on examination.
Pathologic causes of this include which of the
following?
Horner's syndrome A) Horner's syndrome
B)Benign anisocoria
C) Differing light intensities for each eye
D) Eye prosthesis
, A new mother is concerned that her child
occasionally "turns blue." On further questioning, she
mentions that this is at her hands and feet. She does
not remember the child's lips turning blue. She is
otherwise eating and growing well. What would you
Reassure her that this is do now?
normal A) Reassure her that this is normal
B)Obtain an echocardiogram to check for structural
heart disease and consult cardiology
C) Admit the child to the hospital for further
observation
D)Question the validity of her story
You are performing a thorough cardiac examination.
Which of the following chambers of the heart can you
assess by palpation?
Right ventricle A) Left atrium
B)Right atrium
C) Right ventricle
D) Sinus node
Closure of aortic, then What is responsible for the inspiratory splitting of S2?
pulmonic valves
A 25-year-old optical technician comes to your clinic
for evaluation of fatigue. As part of your physical
examination, you listen to her heart and hear a
mitral
murmur only at the cardiac apex. Which valve is most
likely to be involved, based on the location of the
murmur?
Common or concerning symptoms to inquire about in
the General Survey and vital signs include all of the
following except:
Cough A) Changes in weight
B)Fatigue and weakness
C) Cough
D) Fever and chills
A 49-year-old truck driver comes to the emergency
room for shortness of breath and swelling in his
ankles. He is diagnosed with congestive heart failure
Small amplitude, weak and admitted to the hospital. You are the student
assigned to do the patient's complete history and
physical examination. When you palpate the pulse,
what do you expect to feel?
An 18-year-old college freshman presents to the clinic
for evaluation of gastroenteritis. You measure the
Large amplitude, forceful patient's temperature and it is 104 degrees Fahrenheit.
What type of pulse would you expect to feel during
his initial examination?
, A 25-year-old type 1 diabetic clerk presents to the
emergency room with shortness of breath and states
rapid and deep that his blood sugar was 605 at home. You diagnose
the patient with diabetic ketoacidosis. What is the
expected pattern of breathing?
You are seeing an older patient who has not had
medical care for many years. Her vital signs taken by
your office staff are: T 37.2, HR 78, BP 118/92, and RR
14, and she denies pain. You notice that she has some
hypertensive changes in her retinas and you find mild
proteinuria on a urine test in your office. You
expected the BP to be higher. She is not on any
It is caused by an
medications. What do you think is causing this BP
"auscultatory gap."
reading, which doesn't correlate with the other
findings?
A) It is caused by an "auscultatory gap."
B)It is caused by a cuff size error.
C) It is caused by the patient's emotional state.
D) It is caused by resolution of the process which
caused her retinopathy and kidney problems.
You are observing a patient with heart failure and
notice that there are pauses in his breathing. On
Cheyne-Stokes closer examination, you notice that after the pauses
respiration (seen with pt's the patient takes progressively deeper breaths and
that have HF) then progressively shallower breaths, which are
followed by another apneic spell. The patient is not in
any distress. You make the diagnosis of:
A 50-year-old body builder is upset by a letter of
denial from his life insurance company. He is very lean
but has gained 2 pounds over the past 6 months. You
measure his waist personally performed his health assessment and
found no problems whatsoever. He says he is
classified as "high risk" because of obesity. What
should you do next?
, Ms. Wright comes to your office, complaining of
palpitations. While checking her pulse you notice an
Regularly irregular irregular rhythm. When you listen to her heart, every
rhythm fourth beat sounds different. It sounds like a triplet
rather than the usual "lub dup." How would you
document your examination?
Which of the following is a "red flag" regarding
patients presenting with headache?
A) Unilateral headache
Age over 50
B)Pain over the sinuses
C) Age over 50
D) Phonophobia and photophobia
A patient complains of epistaxis. Which other cause
should be considered?
A) Intracranial hemorrhage
Hematemesis
B)Hematemesis
C) Intestinal hemorrhage
D) Hematoma of the nasal septum
You note that a patient has anisocoria on examination.
Pathologic causes of this include which of the
following?
Horner's syndrome A) Horner's syndrome
B)Benign anisocoria
C) Differing light intensities for each eye
D) Eye prosthesis
, A new mother is concerned that her child
occasionally "turns blue." On further questioning, she
mentions that this is at her hands and feet. She does
not remember the child's lips turning blue. She is
otherwise eating and growing well. What would you
Reassure her that this is do now?
normal A) Reassure her that this is normal
B)Obtain an echocardiogram to check for structural
heart disease and consult cardiology
C) Admit the child to the hospital for further
observation
D)Question the validity of her story
You are performing a thorough cardiac examination.
Which of the following chambers of the heart can you
assess by palpation?
Right ventricle A) Left atrium
B)Right atrium
C) Right ventricle
D) Sinus node
Closure of aortic, then What is responsible for the inspiratory splitting of S2?
pulmonic valves
A 25-year-old optical technician comes to your clinic
for evaluation of fatigue. As part of your physical
examination, you listen to her heart and hear a
mitral
murmur only at the cardiac apex. Which valve is most
likely to be involved, based on the location of the
murmur?
