- Study guides, Class notes & Summaries

What should you do before beginning the physical exam? - Answer 1. Reflect on your approach 2. Adjust environment 3. Check equipment 4. Make patient comfortable 5. Observe standard and universal precautions 6. Choose the sequence, scope, and positioning of exam How do you reflect on your approach? - Answer greet patient -identify yourself as a student -be calm and organized -be thorough without wasting time -systematic but flexible and gentle, but be ok with causing disco...

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10 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

1. A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-blonde hair. She has a family history of melanoma. She has many freckles scattered across her skin. From this description, which of the following is not a risk factor for melanoma in this patient? A) Age B) Hair color C) Actinic lentigines D) Heavy sun exposure - Answer A) Age 2. You are...

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5 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

Sensitivity - Answer Number of people who test positive. A test with a high sensitivity will rule _______ (in/out)? - Answer IN Specificity - Answer Number of people who test negative. A test with a high specificity will rule _____(in/out)? - Answer OUT If 100 patients known to have a colon cancer were tested, and 43 tested positive, what percentage would be the sensitivity of the test? - Answer 43% Do we rule out a disease with high sensitivity or hi...

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22 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

1. Which of the following changes are expected in vision as part of the normal aging process? A) Cataracts B) Glaucoma C) Macular degeneration D) Blurring of near vision - Answer blurring of near vision A 72-year-old retired truck driver comes to the clinic with his wife for evaluation of hearing loss. He has noticed some decreased ability to hear what his wife and grandchildren are saying to him. He admits to lip-reading more. He has a history of noise exposure in his young adult y...

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7 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

During an examination, the nurse can assess mental status by which activity? a. Examining the patients electroencephalogram b. Observing the patient as he or she performs an intelligence quotient (IQ) test c. Observing the patient and inferring health or dysfunction d. Examining the patient’s response to a specific set of questions - Answer ANS: C Mental status cannot be directly scrutinized like the characteristics of skin or heart sounds. Its functioning is inferred through ...

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12 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

A patient reports chest pain/discomfort and uses a clenched fist over their sternum to indicate this; what does this suggest is the underlying cause? - Answer Angina pectoris A patient reports chest pain/discomfort and uses a finger to point to a tender spot on the chest wall; what does this suggest is the underlying cause? - Answer Musculoskeletal pain A patient reports chest pain/discomfort and uses a hand moving from the neck to the epigastrium; what does this suggest is the...

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12 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

You are assessing a patient with joint pain and are trying to decide whether it is inflammatory or noninflammatory in nature. Which one of the following symptoms is consistent with an inflammatory process? A) Tenderness B) Cool temperature C) Ecchymosis D) Nodules - Answer A) Tenderness You are assessing a patient with diffuse joint pains and want to make sure that only the joints are the problem, and that the pain is not related to other diseases. Which of the following is a syst...

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7 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

A 42-year-old waitress presents to your office for evaluation of shortness of breath. She has had a fever as high as 103F and has had a cough productive of green sputum. On physical examination, you hear crackles in her lungs. A chest radiograph reveals a consolidation in the lower left lobe. You diagnose her with a lobar pneumonia. When you percuss this patient's left lower thorax, you would expect the sound to be: -Dull -Resonant -Flat -Hype resonant - Answer Dull In a patient ...

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6 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

A 34-year-old male with a history of complex social and medical needs (including current substance abuse) presents to a primary care teaching clinic. The patient has experienced a number of adversarial relationships with prior clinicians, including voluntarily leaving two practices within the previous year and being asked to leave care at a third clinic due to misbehavior. The attending physician desires to utilize the approaches to this patient that are most likely lead to comprehensive care an...

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17 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

tenderness - Answer You are assessing a patient with joint pain and are trying to decide whether it is inflammatory or noninflammatory in nature. Which one of the following symptoms is consistent with an inflammatory process? A) Tenderness B) Cool temperature C) Ecchymosis D) Nodules lupus - Answer You are assessing a patient with diffuse joint pains and want to make sure that only the joints are the problem, and that the pain is not related to other diseases. Which of the fol...

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40 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS