NSG 6020 Midterm Exam Latest Already
Graded A+ Health Assessment South
University
1. For which of the following patients would a comprehensive health history be
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appropriate?
A) A new patient with the chief complaint of ―I sprained my ankle‖
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B) An established patient with the chief complaint of ―I have an upper respiratory
ni2 ni2 ni2 ni2 n2i ni2 ni2 ni2 ni22 ni2 ni22 n2i
infection‖
ni22
C) Anew patient with the chief complaint of ―I am here to establish care‖
ni2 ni22 ni2 ni2 ni2 n2i ni22 ni22 n2i2 ni22 ni2 ni22 n2i2
D) Anew patient with the chief complaint of ―I cut my hand‖
ni2 ni22 ni2 ni2 ni2 n2i ni2 ni2 n2i2 ni22 ni22
Ans: C
Feedback:
This patient is here to establish care, and because she is new to you, a comprehensive
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health history is appropriate.
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2. The components of the health history include all of the following except which one?
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A) Review of systems ni22 ni22
B) Thorax and lungs ni22 ni22
C) Present illness n2i2
D) Personal and social items ni22 ni22 ni22
Ans: B
Feedback:
The thorax and lungs are part of the physical examination, not part of the health
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history. The others answers are all part of a complete health history.
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3. Is the following information subjective or objective?
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Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with
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activity and relieved by rest.
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A) Subjective
B) Objective
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ni22 ni22
,Ans: A
Feedback:
This is information given by the patient about the circumstances of his chief
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complaint. It does not represent an objective observation by the examiner.
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4. Is the following information subjective or objective?
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Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
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A) Subjective
B) Objective
Ans: B
Feedback:
This is a measurement obtained by the examiner, so it is considered objective data.
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The patient is unlikely to be able to give this information to the examiner.
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5. The following information is recorded in the health history: ―The patient has had
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abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes
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and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by
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nausea and vomiting. It is located in the mid-epigastric area.‖
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Which of these categories does it belong to? ni22 ni22 ni22 ni22 ni22 ni22 ni22
A) Chief complaint ni22
B) Present illness ni22
C) Personal and social history ni22 ni22 ni22
D) Review of systems ni22 ni22
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the present
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illness. The interviewer has obtained the location, timing, severity, and
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associated manifestations of the pain. The interviewer will still need to obtain
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information concerning the quality of the pain, the setting in which it occurred,
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and the factors that aggravate and alleviate the pain. You will notice that it does
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include portions of the pertinent review of systems, but because it relates directly
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to the complaint, it is
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included in the history of present illness. ni22 ni22 ni22 ni22 ni22 ni22
6. The following information is recorded in the health history: ―The patient completed
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8th grade. He currently lives with his wife and two children. He works on old cars on
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the weekend. He works in a glass factory during the week.‖
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Which category does it belong to? ni22 ni22 ni22 ni22 ni22
A) Chief complaint ni22
B) Present illness ni22
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,C) Personal and social history ni22 ni22 ni22
D) Review of systems ni22 ni22
Ans: C
Feedback:
Personal and social history information includes educational level, family of
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origin, current household status, personal interests, employment, religious beliefs,
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military history, and lifestyle (including diet and exercise habits; use of alcohol,
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tobacco, and/ or drugs; and sexual preferences and history). All of this
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information is documented
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in this example.
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7. The following information is recorded in the health history: ―I feel really tired.‖
ni2 ni2 ni2 ni22 ni22 ni22 ni2 n2i2 ni22 n2i2 ni22 ni22
Which category does it belong to? ni22 ni22 ni22 ni22 ni22
A) Chief complaint ni22
B) Present illness ni22
C) Personal and social history ni22 ni22 ni22
D) Review of systems ni22 ni22
Ans: A
Feedback:
The chief complaint is an attempt to quote the patient's own words, as long as
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
they are suitable to print. It is brief, like a headline, and further details should be
ni22 ni22 n2i2 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
sought in the present illness section. The above information is a chief complaint.
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8. The following information is recorded in the health history: ―Patient denies chest pain,
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palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖
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Which category does it belong to? ni22 ni22 ni22 ni22 ni22
A) Chief complaint ni22
B) Present illness n2i2
C) Personal and social history ni22 ni22 ni22
D) Review of systems ni22 ni22
Ans: D
Feedback:
Review of systems documents the presence or absence of common symptoms related
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to each major body system. The absence of cardiac symptoms is listed in the
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above example.
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9. The following information is best placed in which category?
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―The patient has had three cesarean sections.‖
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A) Adult illnesses ni22
B) Surgeries
C) Obstetrics/gynecology
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, D) Psychiatric
Ans: B
Feedback:
A cesarean section is a surgical procedure. Approximate dates or the age of the
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patient at the time of the surgery should also be recorded.
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10. The following information is best placed in which category?
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―The patient had a stent placed in the left anterior descending artery (LAD) in 1999.‖
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A) Adult illnesses ni22
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
The adult illnesses category is reserved for chronic illnesses, significant
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hospitalizations, significant injuries, and significant procedures. A stent is a major
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procedure but does not involve a surgeon.
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11. The following information is best placed in which category?
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―The patient was treated for an asthma exacerbation in the hospital last year; the
ni2 ni2 ni2 ni2 ni22 n2i ni22 n2i n2i2 n2i ni2 ni22 ni2
patient has never been intubated.‖ ni22 ni22 ni22 ni22
A) Adult illnesses ni22
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
This is information about a significant hospitalization and should be placed in the
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
adult illnesses section. If the patient is being seen for an asthma exacerbation,
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you may consider placing this information in the present illness section, because it
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 n2i2 ni22 ni22
relates
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to the chief complaint at that visit.
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1. Apatient presents for evaluation of a sharp, aching chest pain which increases with
ni2 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
breathing. Which anatomic area would you localize the symptom to? ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
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ni22 ni22
Graded A+ Health Assessment South
University
1. For which of the following patients would a comprehensive health history be
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
appropriate?
A) A new patient with the chief complaint of ―I sprained my ankle‖
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
B) An established patient with the chief complaint of ―I have an upper respiratory
ni2 ni2 ni2 ni2 n2i ni2 ni2 ni2 ni22 ni2 ni22 n2i
infection‖
ni22
C) Anew patient with the chief complaint of ―I am here to establish care‖
ni2 ni22 ni2 ni2 ni2 n2i ni22 ni22 n2i2 ni22 ni2 ni22 n2i2
D) Anew patient with the chief complaint of ―I cut my hand‖
ni2 ni22 ni2 ni2 ni2 n2i ni2 ni2 n2i2 ni22 ni22
Ans: C
Feedback:
This patient is here to establish care, and because she is new to you, a comprehensive
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
health history is appropriate.
ni22 ni22 ni22 ni22
2. The components of the health history include all of the following except which one?
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
A) Review of systems ni22 ni22
B) Thorax and lungs ni22 ni22
C) Present illness n2i2
D) Personal and social items ni22 ni22 ni22
Ans: B
Feedback:
The thorax and lungs are part of the physical examination, not part of the health
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
history. The others answers are all part of a complete health history.
ni22 n i 2 2 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
3. Is the following information subjective or objective?
ni22 ni22 ni22 ni22 ni22 ni22
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
activity and relieved by rest.
ni22 ni22 ni22 ni22 ni22
A) Subjective
B) Objective
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ni22 ni22
,Ans: A
Feedback:
This is information given by the patient about the circumstances of his chief
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complaint. It does not represent an objective observation by the examiner.
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4. Is the following information subjective or objective?
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Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
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A) Subjective
B) Objective
Ans: B
Feedback:
This is a measurement obtained by the examiner, so it is considered objective data.
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The patient is unlikely to be able to give this information to the examiner.
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
5. The following information is recorded in the health history: ―The patient has had
ni22 n2i2 n2i2 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
nausea and vomiting. It is located in the mid-epigastric area.‖
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
Which of these categories does it belong to? ni22 ni22 ni22 ni22 ni22 ni22 ni22
A) Chief complaint ni22
B) Present illness ni22
C) Personal and social history ni22 ni22 ni22
D) Review of systems ni22 ni22
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the present
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
illness. The interviewer has obtained the location, timing, severity, and
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
associated manifestations of the pain. The interviewer will still need to obtain
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
information concerning the quality of the pain, the setting in which it occurred,
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
and the factors that aggravate and alleviate the pain. You will notice that it does
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 n i 2 2 ni22 ni22 ni22 ni22 ni22
include portions of the pertinent review of systems, but because it relates directly
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
to the complaint, it is
ni22 ni22 ni22 ni22 ni22
included in the history of present illness. ni22 ni22 ni22 ni22 ni22 ni22
6. The following information is recorded in the health history: ―The patient completed
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
8th grade. He currently lives with his wife and two children. He works on old cars on
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
the weekend. He works in a glass factory during the week.‖
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
Which category does it belong to? ni22 ni22 ni22 ni22 ni22
A) Chief complaint ni22
B) Present illness ni22
Page ni22 ni22 ni22 n i 2 2 2 | 218ni22 ni22
,C) Personal and social history ni22 ni22 ni22
D) Review of systems ni22 ni22
Ans: C
Feedback:
Personal and social history information includes educational level, family of
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
origin, current household status, personal interests, employment, religious beliefs,
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
military history, and lifestyle (including diet and exercise habits; use of alcohol,
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
tobacco, and/ or drugs; and sexual preferences and history). All of this
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
information is documented
ni22 ni22 ni22
in this example.
ni22 ni22
7. The following information is recorded in the health history: ―I feel really tired.‖
ni2 ni2 ni2 ni22 ni22 ni22 ni2 n2i2 ni22 n2i2 ni22 ni22
Which category does it belong to? ni22 ni22 ni22 ni22 ni22
A) Chief complaint ni22
B) Present illness ni22
C) Personal and social history ni22 ni22 ni22
D) Review of systems ni22 ni22
Ans: A
Feedback:
The chief complaint is an attempt to quote the patient's own words, as long as
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
they are suitable to print. It is brief, like a headline, and further details should be
ni22 ni22 n2i2 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
sought in the present illness section. The above information is a chief complaint.
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
8. The following information is recorded in the health history: ―Patient denies chest pain,
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖
ni22 ni22 ni22 ni22 ni22 ni22
Which category does it belong to? ni22 ni22 ni22 ni22 ni22
A) Chief complaint ni22
B) Present illness n2i2
C) Personal and social history ni22 ni22 ni22
D) Review of systems ni22 ni22
Ans: D
Feedback:
Review of systems documents the presence or absence of common symptoms related
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
to each major body system. The absence of cardiac symptoms is listed in the
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
above example.
ni22 ni22
9. The following information is best placed in which category?
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
―The patient has had three cesarean sections.‖
ni22 ni22 ni22 ni22 ni22 ni22
A) Adult illnesses ni22
B) Surgeries
C) Obstetrics/gynecology
Page ni22 ni22 ni22 n i 2 2 3 | 218 ni22 ni22
, D) Psychiatric
Ans: B
Feedback:
A cesarean section is a surgical procedure. Approximate dates or the age of the
ni2 ni2 ni22 ni22 ni22 ni22 ni2 ni22 ni22 ni22 ni22 ni22 ni22
patient at the time of the surgery should also be recorded.
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
10. The following information is best placed in which category?
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
―The patient had a stent placed in the left anterior descending artery (LAD) in 1999.‖
ni2 ni2 ni2 ni22 ni2 ni22 ni2 ni2 ni22 ni22 ni22 ni2 ni22 ni22
A) Adult illnesses ni22
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
The adult illnesses category is reserved for chronic illnesses, significant
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
hospitalizations, significant injuries, and significant procedures. A stent is a major
ni22 ni2 ni2 ni2 ni22 ni22 n2i ni22 ni22 ni22 ni22
procedure but does not involve a surgeon.
ni22 ni22 ni22 ni22 ni22 ni22 ni22
11. The following information is best placed in which category?
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
―The patient was treated for an asthma exacerbation in the hospital last year; the
ni2 ni2 ni2 ni2 ni22 n2i ni22 n2i n2i2 n2i ni2 ni22 ni2
patient has never been intubated.‖ ni22 ni22 ni22 ni22
A) Adult illnesses ni22
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
This is information about a significant hospitalization and should be placed in the
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
adult illnesses section. If the patient is being seen for an asthma exacerbation,
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
you may consider placing this information in the present illness section, because it
ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 n2i2 ni22 ni22
relates
ni22
to the chief complaint at that visit.
ni22 ni22 ni22 ni22 ni22 ni22
1. Apatient presents for evaluation of a sharp, aching chest pain which increases with
ni2 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
breathing. Which anatomic area would you localize the symptom to? ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22 ni22
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
Page ni22 ni22 ni22 n i 2 2 4 | 218
ni22 ni22
