Yield Questions, Health History, Physical Assessment,
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A 37-year-old nurse comes for evaluation of colicky right upper quadrant
abdominal pain. The pain is associated with nausea and vomiting and occurs 1
to 2 hours after eating greasy foods. Which one of the following physical
examination descriptions would be most consistent with the diagnosis of
cholecystitis?
A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly
or masses.
B) Abdomen is soft and tender to palpation in the right lower quadrant, without
rebound or guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant with
inspiration, to the point of stopping inspiration, and there is no rebound or
guarding.
D) Abdomen is soft and tender to palpation in the mid-epigastric area, without
rebound or guarding.
Correct Answer: C) tender to palpation in RUQ
1. For which of the following patients would a comprehensive health history be
appropriate?
A) A new patient with the chief complaint of "I sprained my ankle"
B) An established patient with the chief complaint of "I have an upper
respiratory infection"
C) A new patient with the chief complaint of "I am here to establish care"
D) A new patient with the chief complaint of "I cut my hand"
,Correct Answer: c) a new patient with the CC of "I am here to establish care"
the patient is new to the provider so a comprehensive health history is needed
2. The following information is recorded in the health history: "The patient
completed 8th grade. He currently lives with his wife and two children. He works
on old cars on the weekend. He works in a glass factory during the week."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Correct Answer: C) personal and social history
3. The components of the health history include all of the following except which
one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Correct Answer: B) thorax and lungs
these are part of the physical examination
4. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse
with activity and relieved by rest.
A) Subjective
B) Objective
Correct Answer: A) subjective
this is information given by the patient
5. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
,A) Subjective
B) Objective
Correct Answer: B) objective
this is information obtained by the examiner
6. The following information is recorded in the health history: "The patient has
had abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes
and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by
nausea and vomiting. It is located in the mid-epigastric area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Correct Answer: B) Present illness
HPI
7. The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Correct Answer: A) chief complaint
pt's own words
8. The following information is recorded in the health history: "Patient denies
chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Correct Answer: D) review of systems
, 9. The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Correct Answer: B) surgeries
10. The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in
1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Correct Answer: A) adult illnesses
a stent is a major procedure but does not involve a surgeon
11. The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year;
the patient has never been intubated."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Correct Answer: A) adult illnesses
A patient presents for evaluation of a sharp, aching chest pain which increases
with breathing. Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
Correct Answer: A) musculoskeletal
A patient comes to the emergency room for evaluation of shortness of breath. To
which anatomic region would you assign the symptom?
A) Reproductive
B) Urinary