NSG 500 Advanced Health Assessment -
Quiz 2 Questions and Answers
1. During a routine physical exam of a 44 yo woman you note she
has an inverted left nipple. You decide to investigate because
ANS The inversion may be a recent change
2. A 30 yo F is in the office c/o palpitations and some
lightheadedness for the past ?, random episodes, no detectable
pattern. NP notes a mid systolic click with a late systolic murmur
heard best in the apical area. You suspect
ANS Mitral valve prolapse (MVP)
3. All of the following tests require the patient's voice to perform
correctly except
ANS -egophany
-tactile fremitus
-whispered pectoriloquy
auscultation
4. 59 yo M with history of COPD presents with worsening dyspnea.
Patient is afebrile, breath sounds are decreased bilaterally, noted to
have JVD and pitting edema of lower extremities. What is the most
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12
, likely cause of his dyspnea?
ANS CHF
5. James Jones 55 yo M smoker presents with thick sputum
producing cough. Exam; +tactile fremitus, resonant percussion, and
normal voice transmission. You suspect
ANS
bronchitis
6. During the breast exam of a 30 year old nulliparous female. The NP
palpates several rubbery areas of the breast tissue. They are slightly
tender to palpation and present in both breasts. Expecting menses in 5
days. Which intervention is best?
ANS Tell her to recheck 1 week after her menses
7. All of the following symptoms associated with chest pain are likely
to repre- sent CAD except?
ANS pain with inspiration
8. 60 yo landscaper presents to your office to establish care,
history of CHF controlled with medications. Denies cp, edema. Early
diastolic ? with opening snap . You suspect?
ANS Mitral stenosis
9. A patient states that she has had a rash on her breast for about 2
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12
Quiz 2 Questions and Answers
1. During a routine physical exam of a 44 yo woman you note she
has an inverted left nipple. You decide to investigate because
ANS The inversion may be a recent change
2. A 30 yo F is in the office c/o palpitations and some
lightheadedness for the past ?, random episodes, no detectable
pattern. NP notes a mid systolic click with a late systolic murmur
heard best in the apical area. You suspect
ANS Mitral valve prolapse (MVP)
3. All of the following tests require the patient's voice to perform
correctly except
ANS -egophany
-tactile fremitus
-whispered pectoriloquy
auscultation
4. 59 yo M with history of COPD presents with worsening dyspnea.
Patient is afebrile, breath sounds are decreased bilaterally, noted to
have JVD and pitting edema of lower extremities. What is the most
1/
12
, likely cause of his dyspnea?
ANS CHF
5. James Jones 55 yo M smoker presents with thick sputum
producing cough. Exam; +tactile fremitus, resonant percussion, and
normal voice transmission. You suspect
ANS
bronchitis
6. During the breast exam of a 30 year old nulliparous female. The NP
palpates several rubbery areas of the breast tissue. They are slightly
tender to palpation and present in both breasts. Expecting menses in 5
days. Which intervention is best?
ANS Tell her to recheck 1 week after her menses
7. All of the following symptoms associated with chest pain are likely
to repre- sent CAD except?
ANS pain with inspiration
8. 60 yo landscaper presents to your office to establish care,
history of CHF controlled with medications. Denies cp, edema. Early
diastolic ? with opening snap . You suspect?
ANS Mitral stenosis
9. A patient states that she has had a rash on her breast for about 2
2/
12
