Clinical skills 1 Practice Exam Questions and
Correct Answer
1. Supine correct answer: Which position (supine, sitting, standing) would result in the highest blood
pressure reading?
A. Sittin
g
B.Standin
g
C. Supine
D. Reverse trendelenburg
2. D. all of the above correct answer: 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
3. Auscultatory gap correct answer: A 67 year old female with a history of atherosclerosis is
at her primary care provider's oflce 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. Korotkott silence
4. addictive tendencies correct answer: A 37 year old male comes to the Emergency
Department complaining of hemateme- sis 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
,5. C. Denial and isolation, anger, bargaining, depression or sadness,
acceptance-
correct answer: 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
6. Anorexia nervosa correct answer: 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 suttering 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
7. B. ‘systolic BP, ‘diastolic BP correct answer: 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
8. B. When was the first time you drank alcohol correct answer: 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?
Correct Answer
1. Supine correct answer: Which position (supine, sitting, standing) would result in the highest blood
pressure reading?
A. Sittin
g
B.Standin
g
C. Supine
D. Reverse trendelenburg
2. D. all of the above correct answer: 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
3. Auscultatory gap correct answer: A 67 year old female with a history of atherosclerosis is
at her primary care provider's oflce 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. Korotkott silence
4. addictive tendencies correct answer: A 37 year old male comes to the Emergency
Department complaining of hemateme- sis 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
,5. C. Denial and isolation, anger, bargaining, depression or sadness,
acceptance-
correct answer: 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
6. Anorexia nervosa correct answer: 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 suttering 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
7. B. ‘systolic BP, ‘diastolic BP correct answer: 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
8. B. When was the first time you drank alcohol correct answer: 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?
