NR509 ADVANCED PHYSICAL
ASSESSMENT EXAM TESTBANK
WITH 250 QUESTIONS AND
CORRECT ANSWERS.
Which of the following is a "red flag" regarding patients presenting with
headache?
A) Unilateral headache
B) Pain over the sinuses
C) Age over 50
D) Phonophobia and photophobia
C) Age over 50
A unilateral headache is often seen with migraines and may commonly be
accompanied by phonophobia and photophobia. Pain over the sinuses from
sinus congestion may also be unilateral and produce pain. Migraine and sinus
headaches are common and
generally benign. A new severe headache in someone over 50 can be
associated with more serious etiologies for headache.
A sudden, painless unilateral vision loss may be caused by which of the
following?
A) Retinal detachment
,B) Corneal ulcer
C) Acute glaucoma
D) Uveitis
A) Retinal detachment
Corneal ulcer, acute glaucoma, and uveitis are almost always accompanied
by pain. Retinal detachment is generally painless, as is chronic glaucoma.
Sudden, painful unilateral loss of vision may be caused by which of the
following
conditions?
A) Vitreous hemorrhage
B) Central retinal artery occlusion
C) Macular degeneration
D) Optic neuritis
D) Optic neuritis
In multiple sclerosis, sudden painful loss of vision may accompany optic
neuritis. The other conditions are usually painless.
Diplopia, which is present with one eye covered, can be caused by which of
the following
problems?
A) Weakness of CN III
,B) Weakness of CN IV
C) A lesion of the brainstem
D) An irregularity in the cornea or lens
D) An irregularity in the cornea or lens
Double vision in one eye alone points to a problem in "processing" the light
rays of an incoming image. The other causes of diplopia result in a
misalignment of the two eyes.
A patient complains of epistaxis. Which other cause should be considered?
A) Intracranial hemorrhage
B) Hematemesis
C) Intestinal hemorrhage
D) Hematoma of the nasal septum
B) Hematemesis
Although the source of epistaxis may seem obvious, other bleeding locations
should be on the differential. Hematemesis can mimic this and cause delay
in life-saving therapies if
not considered. Intracranial hemorrhage and septal hematoma are instances
of contained bleeding. Intestinal hemorrhage may cause hematemesis if
there is obstruction distal to the bleeding, but this is unlikely.
Glaucoma is the leading cause of blindness in African-Americans and the
second leading
, cause of blindness overall. What features would be noted on funduscopic
examination?
A) Increased cup-to-disc ratio
B) AV nicking
C) Cotton wool spots
D) Microaneurysms
A) Increased cup-to-disc ratio
It is important to screen for glaucoma on funduscopic examination. The cup
and disc are among the easiest features to find. AV nicking and cotton wool
spots are seen in
hypertension. Microaneurysms are seen in diabetes.
Very sensitive methods for detecting hearing loss include which of the
following?
A) The whisper test
B) The finger rub test
C) The tuning fork test
D) Audiometric testing
D) Audiometric testing
While it is important to screen for hearing complaints with methods available
to
you, it should be realized that some physical examination techniques are
limited.
ASSESSMENT EXAM TESTBANK
WITH 250 QUESTIONS AND
CORRECT ANSWERS.
Which of the following is a "red flag" regarding patients presenting with
headache?
A) Unilateral headache
B) Pain over the sinuses
C) Age over 50
D) Phonophobia and photophobia
C) Age over 50
A unilateral headache is often seen with migraines and may commonly be
accompanied by phonophobia and photophobia. Pain over the sinuses from
sinus congestion may also be unilateral and produce pain. Migraine and sinus
headaches are common and
generally benign. A new severe headache in someone over 50 can be
associated with more serious etiologies for headache.
A sudden, painless unilateral vision loss may be caused by which of the
following?
A) Retinal detachment
,B) Corneal ulcer
C) Acute glaucoma
D) Uveitis
A) Retinal detachment
Corneal ulcer, acute glaucoma, and uveitis are almost always accompanied
by pain. Retinal detachment is generally painless, as is chronic glaucoma.
Sudden, painful unilateral loss of vision may be caused by which of the
following
conditions?
A) Vitreous hemorrhage
B) Central retinal artery occlusion
C) Macular degeneration
D) Optic neuritis
D) Optic neuritis
In multiple sclerosis, sudden painful loss of vision may accompany optic
neuritis. The other conditions are usually painless.
Diplopia, which is present with one eye covered, can be caused by which of
the following
problems?
A) Weakness of CN III
,B) Weakness of CN IV
C) A lesion of the brainstem
D) An irregularity in the cornea or lens
D) An irregularity in the cornea or lens
Double vision in one eye alone points to a problem in "processing" the light
rays of an incoming image. The other causes of diplopia result in a
misalignment of the two eyes.
A patient complains of epistaxis. Which other cause should be considered?
A) Intracranial hemorrhage
B) Hematemesis
C) Intestinal hemorrhage
D) Hematoma of the nasal septum
B) Hematemesis
Although the source of epistaxis may seem obvious, other bleeding locations
should be on the differential. Hematemesis can mimic this and cause delay
in life-saving therapies if
not considered. Intracranial hemorrhage and septal hematoma are instances
of contained bleeding. Intestinal hemorrhage may cause hematemesis if
there is obstruction distal to the bleeding, but this is unlikely.
Glaucoma is the leading cause of blindness in African-Americans and the
second leading
, cause of blindness overall. What features would be noted on funduscopic
examination?
A) Increased cup-to-disc ratio
B) AV nicking
C) Cotton wool spots
D) Microaneurysms
A) Increased cup-to-disc ratio
It is important to screen for glaucoma on funduscopic examination. The cup
and disc are among the easiest features to find. AV nicking and cotton wool
spots are seen in
hypertension. Microaneurysms are seen in diabetes.
Very sensitive methods for detecting hearing loss include which of the
following?
A) The whisper test
B) The finger rub test
C) The tuning fork test
D) Audiometric testing
D) Audiometric testing
While it is important to screen for hearing complaints with methods available
to
you, it should be realized that some physical examination techniques are
limited.
