DNP 605 ADVANCED HEALTH ASSESSMENT FINAL
EXAM 2024 ASU VERIFIED STUDY GUIDE QUESTIONS
GRADED A+ (200 QUESTIONS)
In hypothyroidism what do you usually see in regards to HSN - ANSWER: Dry brittle
nails and coarse hair
What is the strongest risk factor for developing nonmelanoma skin cancer? -
ANSWER: UV rays
If 2 features of ABCDE are present what should be done - ANSWER: biopsy
What is solar elastosis - ANSWER: Yellow thickened skin with bumps, wrinkles, or
furrowing
Terry nails - ANSWER: Seen in liver disease Nail plate turns white with a ground-glass
appearance, a distal band of reddish brown, and obliteration of the lunula
What is tinea capitis? - ANSWER: ringworm of the scalp
Mostly seen in children
How many inches / month does a child's hair grow - ANSWER: 1cm/month
Congenital nevi are not commonly found in children t/f - ANSWER: false, they are
very common.
What are the most commonly pigmented nevi - ANSWER: mongolian spots, cafe au
lait spots
Vascular malformations are NOT present at birth t/f - ANSWER: false, they are
present at birth BUT HEMANGIOMAS are not present at birth and emerge by 1 mo of
age.
Pemberton's sign - ANSWER: facial flushing (facial plethora), distended head and
neck superficial veins, inspiratory stridor, increased JVP upon raising both arms
above head. Positive in SVC syndrome (associated with small cell lung
carcinoma/mediating mass )
Hard or fixed nodes suggest what - ANSWER: malignancy
Nodules > -- cm, frim , and fixed to adjacent tissues are concerning for malignancy -
ANSWER: 2cm
Myxedema is associated with - ANSWER: Hypothyroidism
, open angle glaucoma - ANSWER: the most common form of glaucoma, where the
trabecular meshwork gradually becomes blocked, causing a buildup of pressure -
GRADUAL
- peripheral loss
normal spatial relationship between iris and cornea is preserved and iris is fully lit
Macular degeneration - ANSWER: Loss of central vision
What are contraindications for mydriaic drops (dilation) - ANSWER: pregnancy,
breast feeding, suspicion of narrow angle glaucoma, coma, head injury
What does absence of red eye reflex indicate - ANSWER: fake eye, retinoblastoma,
retinal detachment, cataracts
Optic disc should look like --- - ANSWER: pink and yellow with defined edges, 1.5mm
(optic disc.
What is bullous myringitis - ANSWER: A bullous/vesicular inflammation of the
tympanic membrane that may occur in association with acute otitis media.
URGENT may require surgery
What is the anterior posterior diameter to lateral chest diameter: - ANSWER: 0.7-
0.75. Increases with age and in COPD >0.9 (Barrel chest wall appearance)
When do you have decreased tactile fremitus ? - ANSWER: COPD, Pleural effusion,
Pneumothorax
How big should the PMI be? - ANSWER: <2.5 cm if > 2.5 evidence of LV hypertrophy
Dextrocardia - ANSWER: heart displaced to the right
What is pulsus alternans? - ANSWER: alternating weak and strong pulses
What is paradoxical pulses ? - ANSWER: Greater than normal drop in BP during
inspiration. Usually there should not be a difference greater than 3-4 mmhg
Found in pericardial tamponade
What is PAD? - ANSWER: Peripheral artery disease is caused by arteriosclerosis, or
"hardening of the arteries." This problem occurs when fatty material (plaque) builds
up on the walls of your arteries and makes them narrower. The walls of the arteries
also become stiffer and cannot widen (dilate) to allow greater blood flow when
needed.
Symptoms of PAD - ANSWER: - Pain or swelling in legs or arm
- Pain relieved by rest after 10 min (intermittent claudication)
EXAM 2024 ASU VERIFIED STUDY GUIDE QUESTIONS
GRADED A+ (200 QUESTIONS)
In hypothyroidism what do you usually see in regards to HSN - ANSWER: Dry brittle
nails and coarse hair
What is the strongest risk factor for developing nonmelanoma skin cancer? -
ANSWER: UV rays
If 2 features of ABCDE are present what should be done - ANSWER: biopsy
What is solar elastosis - ANSWER: Yellow thickened skin with bumps, wrinkles, or
furrowing
Terry nails - ANSWER: Seen in liver disease Nail plate turns white with a ground-glass
appearance, a distal band of reddish brown, and obliteration of the lunula
What is tinea capitis? - ANSWER: ringworm of the scalp
Mostly seen in children
How many inches / month does a child's hair grow - ANSWER: 1cm/month
Congenital nevi are not commonly found in children t/f - ANSWER: false, they are
very common.
What are the most commonly pigmented nevi - ANSWER: mongolian spots, cafe au
lait spots
Vascular malformations are NOT present at birth t/f - ANSWER: false, they are
present at birth BUT HEMANGIOMAS are not present at birth and emerge by 1 mo of
age.
Pemberton's sign - ANSWER: facial flushing (facial plethora), distended head and
neck superficial veins, inspiratory stridor, increased JVP upon raising both arms
above head. Positive in SVC syndrome (associated with small cell lung
carcinoma/mediating mass )
Hard or fixed nodes suggest what - ANSWER: malignancy
Nodules > -- cm, frim , and fixed to adjacent tissues are concerning for malignancy -
ANSWER: 2cm
Myxedema is associated with - ANSWER: Hypothyroidism
, open angle glaucoma - ANSWER: the most common form of glaucoma, where the
trabecular meshwork gradually becomes blocked, causing a buildup of pressure -
GRADUAL
- peripheral loss
normal spatial relationship between iris and cornea is preserved and iris is fully lit
Macular degeneration - ANSWER: Loss of central vision
What are contraindications for mydriaic drops (dilation) - ANSWER: pregnancy,
breast feeding, suspicion of narrow angle glaucoma, coma, head injury
What does absence of red eye reflex indicate - ANSWER: fake eye, retinoblastoma,
retinal detachment, cataracts
Optic disc should look like --- - ANSWER: pink and yellow with defined edges, 1.5mm
(optic disc.
What is bullous myringitis - ANSWER: A bullous/vesicular inflammation of the
tympanic membrane that may occur in association with acute otitis media.
URGENT may require surgery
What is the anterior posterior diameter to lateral chest diameter: - ANSWER: 0.7-
0.75. Increases with age and in COPD >0.9 (Barrel chest wall appearance)
When do you have decreased tactile fremitus ? - ANSWER: COPD, Pleural effusion,
Pneumothorax
How big should the PMI be? - ANSWER: <2.5 cm if > 2.5 evidence of LV hypertrophy
Dextrocardia - ANSWER: heart displaced to the right
What is pulsus alternans? - ANSWER: alternating weak and strong pulses
What is paradoxical pulses ? - ANSWER: Greater than normal drop in BP during
inspiration. Usually there should not be a difference greater than 3-4 mmhg
Found in pericardial tamponade
What is PAD? - ANSWER: Peripheral artery disease is caused by arteriosclerosis, or
"hardening of the arteries." This problem occurs when fatty material (plaque) builds
up on the walls of your arteries and makes them narrower. The walls of the arteries
also become stiffer and cannot widen (dilate) to allow greater blood flow when
needed.
Symptoms of PAD - ANSWER: - Pain or swelling in legs or arm
- Pain relieved by rest after 10 min (intermittent claudication)
