NR 509 / NR509 Advanced Physical Assessment
Midterm Exam Study Guide
Questions with Verified Answers - Chamberlain
Consist of 250+ multiple choices Questions with Answers
1. A 62-year-old teacher presents to the clinic for evaluation of the
followingsymptoms: fever, headache, sinus congestion, sore throat, green
nasal dis- charge, and cough. This cluster of symptoms is best explained by:
A) One disease process
B) More than one disease process
ANS: A) One disease process
This cluster of symptoms is most consistent with sinusitis. The chance that all
,of these symptoms are caused by multiple synchronous conditions in the same
patientis much less than the possibility of having one problem which
accounts for all of them.
2. Steve has just seen a 5-year-old girl who wheezes when exposed to
cats.The patient's family history is positive for asthma. You think the child
most likely has asthma. What have you just accomplished?
A) You have tested your hypothesis.
B) You have developed a plan.
C) You have established a working diagnosis.
D) You have created a hypothesis.
ANS: D) You have created a hypothesis.
As you go through a history and examination, you will start to generate ideas
to explain the patient's symptoms. It is best to keep an open mind and make
,as manyhypotheses
as you can, to avoid missing a possibility. A common mistake is to latch onto
oneidea too early.
3. Ms. Washington is a 67-year-old who had a heart attack last month.
Nowshe complains of shortness of breath and not being able to sleep in a
flat position (orthopnea). On examination you note increased jugular
venous pressure, an S3 gallop, crackles low in the lung fields, and swollen
ankles (edema). This is an example of a:
, A) Pathophysiologic problem
B) Psychopathologic problem
ANS: A) Pathophysiologic problem
This is an example of a pathophysiologic problem because Ms. Washington's
symptoms are consistent with a pathophysiologic process. The heart attack
reducedthe ability of her heart to handle her volume status and subsequently
produced themany features of congestive heart failure.
4. On the way to see your next patient, you glance at the calendar and
makea mental note to
buy a Mother's Day card. Your patient is Ms. Hernandez, a 76-year-old
widowwho lost her
husband in May, two years ago. She comes in today with a headaches,
abdom-inal pain, and
general malaise. This happened once before, about a year ago, according
toyour detailed office
Midterm Exam Study Guide
Questions with Verified Answers - Chamberlain
Consist of 250+ multiple choices Questions with Answers
1. A 62-year-old teacher presents to the clinic for evaluation of the
followingsymptoms: fever, headache, sinus congestion, sore throat, green
nasal dis- charge, and cough. This cluster of symptoms is best explained by:
A) One disease process
B) More than one disease process
ANS: A) One disease process
This cluster of symptoms is most consistent with sinusitis. The chance that all
,of these symptoms are caused by multiple synchronous conditions in the same
patientis much less than the possibility of having one problem which
accounts for all of them.
2. Steve has just seen a 5-year-old girl who wheezes when exposed to
cats.The patient's family history is positive for asthma. You think the child
most likely has asthma. What have you just accomplished?
A) You have tested your hypothesis.
B) You have developed a plan.
C) You have established a working diagnosis.
D) You have created a hypothesis.
ANS: D) You have created a hypothesis.
As you go through a history and examination, you will start to generate ideas
to explain the patient's symptoms. It is best to keep an open mind and make
,as manyhypotheses
as you can, to avoid missing a possibility. A common mistake is to latch onto
oneidea too early.
3. Ms. Washington is a 67-year-old who had a heart attack last month.
Nowshe complains of shortness of breath and not being able to sleep in a
flat position (orthopnea). On examination you note increased jugular
venous pressure, an S3 gallop, crackles low in the lung fields, and swollen
ankles (edema). This is an example of a:
, A) Pathophysiologic problem
B) Psychopathologic problem
ANS: A) Pathophysiologic problem
This is an example of a pathophysiologic problem because Ms. Washington's
symptoms are consistent with a pathophysiologic process. The heart attack
reducedthe ability of her heart to handle her volume status and subsequently
produced themany features of congestive heart failure.
4. On the way to see your next patient, you glance at the calendar and
makea mental note to
buy a Mother's Day card. Your patient is Ms. Hernandez, a 76-year-old
widowwho lost her
husband in May, two years ago. She comes in today with a headaches,
abdom-inal pain, and
general malaise. This happened once before, about a year ago, according
toyour detailed office
