Test Bank for Advanced Assessment 4th
Edition Interpreting Findings and
Formulating Differential Diagnoses By Mary
Jo Goolsby; Laurie Grubbs | 9780803668942
| | Chapter 1-22 | All Chapters with Answers
and Rationales
,Question 1
,A 52-year-old male presents with complaints of chest pain that
worsens with exertion and improves with rest. The most likely
diagnosis is:
A. Gastroesophageal reflux disease
B. Stable angina
C. Pericarditis
D. Pulmonary embolism
Answer: B. Stable angina
Rationale: Stable angina typically presents as exertional chest pain
relieved by rest due to myocardial oxygen demand exceeding supply.
Question 2
A patient presents with sudden onset unilateral facial droop and
inability to close one eye. The most likely diagnosis is:
A. Stroke
B. Bell’s palsy
C. Trigeminal neuralgia
D. Cluster headache
Answer: B. Bell’s palsy
Rationale: Bell’s palsy causes acute unilateral facial paralysis
involving both upper and lower face.
Question 3
A patient with hyperthyroidism would most likely present with:
A. Bradycardia
B. Weight gain
C. Heat intolerance
D. Dry skin
, Answer: C. Heat intolerance
Rationale: Hyperthyroidism increases metabolic rate, causing heat
intolerance, weight loss, and tachycardia.
Question 4
Which heart sound is associated with heart failure?
A. S1
B. S2
C. S3
D. S4
Answer: C. S3
Rationale: An S3 gallop indicates increased ventricular filling pressure
and is commonly associated with heart failure.
Question 5
A 45-year-old patient reports epigastric pain relieved by eating. The
likely diagnosis is:
A. Gastric ulcer
B. Duodenal ulcer
C. Pancreatitis
D. Cholecystitis
Answer: B. Duodenal ulcer
Rationale: Duodenal ulcer pain improves with meals, unlike gastric
ulcer pain which worsens.
Question 6
A patient presents with fever, productive cough, and dullness to
percussion over the lung base. The likely diagnosis is:
Edition Interpreting Findings and
Formulating Differential Diagnoses By Mary
Jo Goolsby; Laurie Grubbs | 9780803668942
| | Chapter 1-22 | All Chapters with Answers
and Rationales
,Question 1
,A 52-year-old male presents with complaints of chest pain that
worsens with exertion and improves with rest. The most likely
diagnosis is:
A. Gastroesophageal reflux disease
B. Stable angina
C. Pericarditis
D. Pulmonary embolism
Answer: B. Stable angina
Rationale: Stable angina typically presents as exertional chest pain
relieved by rest due to myocardial oxygen demand exceeding supply.
Question 2
A patient presents with sudden onset unilateral facial droop and
inability to close one eye. The most likely diagnosis is:
A. Stroke
B. Bell’s palsy
C. Trigeminal neuralgia
D. Cluster headache
Answer: B. Bell’s palsy
Rationale: Bell’s palsy causes acute unilateral facial paralysis
involving both upper and lower face.
Question 3
A patient with hyperthyroidism would most likely present with:
A. Bradycardia
B. Weight gain
C. Heat intolerance
D. Dry skin
, Answer: C. Heat intolerance
Rationale: Hyperthyroidism increases metabolic rate, causing heat
intolerance, weight loss, and tachycardia.
Question 4
Which heart sound is associated with heart failure?
A. S1
B. S2
C. S3
D. S4
Answer: C. S3
Rationale: An S3 gallop indicates increased ventricular filling pressure
and is commonly associated with heart failure.
Question 5
A 45-year-old patient reports epigastric pain relieved by eating. The
likely diagnosis is:
A. Gastric ulcer
B. Duodenal ulcer
C. Pancreatitis
D. Cholecystitis
Answer: B. Duodenal ulcer
Rationale: Duodenal ulcer pain improves with meals, unlike gastric
ulcer pain which worsens.
Question 6
A patient presents with fever, productive cough, and dullness to
percussion over the lung base. The likely diagnosis is:
