N502 Midterm Exam Questions With
Correct Answers
What is primary prevention? - ANSWER Activities to improve overall wellbeing
and provide disease protection.
What is secondary prevention? - ANSWER Identifying and detecting diseases
before symptoms appear.
What is tertiary prevention? - ANSWER Improving quality of life for people with
diseases by limiting complications and disabilities, reducing severity and
progression, and providing rehabilitation.
HIV Testing Law - ANSWER in NYS HIV testing must be offered to all persons
between the
ages of 13 and 64 receiving hospital or primary care
services with limited exceptions noted in the law. The offering must be made to
inpatients, persons seeking
services in emergency departments, persons receiving
primary care as an outpatient at a clinic or from a physician,
physician assistant, nurse practitioner or midwife.
Intimate Partner & Domestic Violence Screening - ANSWER US Preventative
Services Task Force recommends routine screening of all women of
childbearing age and referral for
those who screen positive.
1. Are you in a relationship where you have been hit or
threatened?
2. Has anyone ever treated you badly or made you do things you don't want to
do?
3. Is there anyone you are afraid of?
4. Have you ever been kicked, hit, punched, or hurt by someone you know?
A 53-year-old caterer comes to the clinic for a routine examination. She has type
2 diabetes mellitus, which is well controlled on medication. Her history from her
last visit reveals that she smoked one pack of cigarettes a day at that time. The 5
As Model is a useful approach to take with trying to help patients to quit
smoking. What is the 5 As Model?
A. Arrange, aggravating factors, action, attitude, able
B. Affable, associated manifestations, ask, admonish, available
,C. Agitate, assist, alleviating factors, able, action
D. Admonish, action, available, assess, alleviating factors
E. Ask, advise, assess, assist, arrange - ANSWER E
The CAGE questionnaire is a short screening examination administered in the
office to evaluate for which of the following?
A. Risk for illicit substance abuse
B. Major depressive disorder
C. Likelihood that the patient complaints are "psychosomatic"
D. Bipolar disorder
E. Alcohol misuse - ANSWER E
A physician assistant (PA) has had a long day and has seen many patients. The
last patient of the day is an 80-year-old woman brought to the office by her 35-
year-old granddaughter. This is the patient's first visit to the office. As part of the
patient's past history, the PA obtains information about childhood illnesses and
adult illnesses and then moves on to inquire about the family history. Which
important area of the past history has she omitted?
A. Social history
B. Chief complaint
C. Medications
D. Allergies
E. Immunizations - ANSWER E
A 19-year-old student of art history presents to clinic after a syncopal (fainting)
episode at school. He is notably thin; on a thorough review of his medical
history, he admits that he eats only minimally to maintain a very low body weight
that he feels is ideal. He is embarrassed that his issues were discussed by peers
after this episode, especially because he believes that this is a problem that is
only faced by girls and women. Concerning the two most common eating
disorders (anorexia nervosa and bulimia nervosa), which of the following
statements is true?
Persons with eating disorders are generally easily identified by their
appearance.
A. The prognosis is similar regardless of whether individuals are diagnosed and
treated in the early or late stage of these disorders.
B. Both of these eating disorders are associated with a body mass index (BMI) of
<17.5.
C. Both of these eating disorders are associated with a r - ANSWER C
A first-semester physician assistant student reports to his supervisor that he
has trouble determining the diastolic blood pressure. On manual blood
pressure, which of the following provides the best estimate of the true diastolic
blood pressure?
A. The average reading between the onset of the auscultatory gap and the
resumption of Korotkoff sounds.
, B. The recommencement of Korotkoff sounds following the lower point of the
auscultatory gap.
C. The average between the highest and lowest points of the auscultatory gap.
D. The disappearance of Korotkoff sounds following initial muffling.
E. The point at which Korotkoff sounds first muffle after systolic blood pressure
is discerned. - ANSWER D
A 72-year-old retiree presents to the cardiology clinic with palpitations after
several months of symptoms. An electrocardiogram (ECG) shows a
tachyarrhythmia, which the cardiologist diagnoses as atrial fibrillation. In
measuring the blood pressure of a patient with chronic atrial fibrillation, which
of the following statements is true?
A. Single automated measurement in the office setting provides a reliable value
for the true blood pressure.
B. The precise blood pressure is measured by taking the average of three
pressures in both arms over a span of 20 minutes.
C. Because atrial fibrillation is an uncommon arrhythmia, blood pressure
management of these patients does not have widespread significance in office
or ambulatory practice.
D. Ambulatory monitoring over 2-24 hours is recommended because this rhythm
produces variable and inconsistent blood pressures.
E. Measuring blood pressure in patients with atrial fibri - ANSWER D
A 68-year-old retired college professor presents for routine physical
examination. After the patient has been reading a novel in the waiting room for
~20 minutes, the technician records his blood pressure in both arms using an
automated device. The technician notes a 20-mm Hg difference in systolic blood
pressure between the right and left arms; he repeats the readings 10 minutes
later and records the same asymmetrical systolic blood pressure. Which of the
following is true regarding this physical finding?
A. The difference is likely secondary to white coat hypertension and should be
followed up with three subsequent monthly readings to confirm.
B. This finding is clearly abnormal and requires immediate evaluation for
possible cardiovascular emergency.
C. The patient should undergo ambulatory blood pressure monitoring in both
arms for 24 hours to confirm conflicting measurements in the office.
D. The patient should c - ANSWER B
Weight change may indicate the presence of important underlying pathology
requiring further investigation. Which of the following best describes a
significant weight change that requires further evaluation?
A. A 26-year-old female with a baseline body mass index (BMI) of 25 who loses
5% of her body weight with 6 months of diet and exercise modification
B. A 31-year-old male with a baseline body mass index (BMI) of 20 who loses 3 lb
after a prolonged bout of infectious gastroenteritis
Correct Answers
What is primary prevention? - ANSWER Activities to improve overall wellbeing
and provide disease protection.
What is secondary prevention? - ANSWER Identifying and detecting diseases
before symptoms appear.
What is tertiary prevention? - ANSWER Improving quality of life for people with
diseases by limiting complications and disabilities, reducing severity and
progression, and providing rehabilitation.
HIV Testing Law - ANSWER in NYS HIV testing must be offered to all persons
between the
ages of 13 and 64 receiving hospital or primary care
services with limited exceptions noted in the law. The offering must be made to
inpatients, persons seeking
services in emergency departments, persons receiving
primary care as an outpatient at a clinic or from a physician,
physician assistant, nurse practitioner or midwife.
Intimate Partner & Domestic Violence Screening - ANSWER US Preventative
Services Task Force recommends routine screening of all women of
childbearing age and referral for
those who screen positive.
1. Are you in a relationship where you have been hit or
threatened?
2. Has anyone ever treated you badly or made you do things you don't want to
do?
3. Is there anyone you are afraid of?
4. Have you ever been kicked, hit, punched, or hurt by someone you know?
A 53-year-old caterer comes to the clinic for a routine examination. She has type
2 diabetes mellitus, which is well controlled on medication. Her history from her
last visit reveals that she smoked one pack of cigarettes a day at that time. The 5
As Model is a useful approach to take with trying to help patients to quit
smoking. What is the 5 As Model?
A. Arrange, aggravating factors, action, attitude, able
B. Affable, associated manifestations, ask, admonish, available
,C. Agitate, assist, alleviating factors, able, action
D. Admonish, action, available, assess, alleviating factors
E. Ask, advise, assess, assist, arrange - ANSWER E
The CAGE questionnaire is a short screening examination administered in the
office to evaluate for which of the following?
A. Risk for illicit substance abuse
B. Major depressive disorder
C. Likelihood that the patient complaints are "psychosomatic"
D. Bipolar disorder
E. Alcohol misuse - ANSWER E
A physician assistant (PA) has had a long day and has seen many patients. The
last patient of the day is an 80-year-old woman brought to the office by her 35-
year-old granddaughter. This is the patient's first visit to the office. As part of the
patient's past history, the PA obtains information about childhood illnesses and
adult illnesses and then moves on to inquire about the family history. Which
important area of the past history has she omitted?
A. Social history
B. Chief complaint
C. Medications
D. Allergies
E. Immunizations - ANSWER E
A 19-year-old student of art history presents to clinic after a syncopal (fainting)
episode at school. He is notably thin; on a thorough review of his medical
history, he admits that he eats only minimally to maintain a very low body weight
that he feels is ideal. He is embarrassed that his issues were discussed by peers
after this episode, especially because he believes that this is a problem that is
only faced by girls and women. Concerning the two most common eating
disorders (anorexia nervosa and bulimia nervosa), which of the following
statements is true?
Persons with eating disorders are generally easily identified by their
appearance.
A. The prognosis is similar regardless of whether individuals are diagnosed and
treated in the early or late stage of these disorders.
B. Both of these eating disorders are associated with a body mass index (BMI) of
<17.5.
C. Both of these eating disorders are associated with a r - ANSWER C
A first-semester physician assistant student reports to his supervisor that he
has trouble determining the diastolic blood pressure. On manual blood
pressure, which of the following provides the best estimate of the true diastolic
blood pressure?
A. The average reading between the onset of the auscultatory gap and the
resumption of Korotkoff sounds.
, B. The recommencement of Korotkoff sounds following the lower point of the
auscultatory gap.
C. The average between the highest and lowest points of the auscultatory gap.
D. The disappearance of Korotkoff sounds following initial muffling.
E. The point at which Korotkoff sounds first muffle after systolic blood pressure
is discerned. - ANSWER D
A 72-year-old retiree presents to the cardiology clinic with palpitations after
several months of symptoms. An electrocardiogram (ECG) shows a
tachyarrhythmia, which the cardiologist diagnoses as atrial fibrillation. In
measuring the blood pressure of a patient with chronic atrial fibrillation, which
of the following statements is true?
A. Single automated measurement in the office setting provides a reliable value
for the true blood pressure.
B. The precise blood pressure is measured by taking the average of three
pressures in both arms over a span of 20 minutes.
C. Because atrial fibrillation is an uncommon arrhythmia, blood pressure
management of these patients does not have widespread significance in office
or ambulatory practice.
D. Ambulatory monitoring over 2-24 hours is recommended because this rhythm
produces variable and inconsistent blood pressures.
E. Measuring blood pressure in patients with atrial fibri - ANSWER D
A 68-year-old retired college professor presents for routine physical
examination. After the patient has been reading a novel in the waiting room for
~20 minutes, the technician records his blood pressure in both arms using an
automated device. The technician notes a 20-mm Hg difference in systolic blood
pressure between the right and left arms; he repeats the readings 10 minutes
later and records the same asymmetrical systolic blood pressure. Which of the
following is true regarding this physical finding?
A. The difference is likely secondary to white coat hypertension and should be
followed up with three subsequent monthly readings to confirm.
B. This finding is clearly abnormal and requires immediate evaluation for
possible cardiovascular emergency.
C. The patient should undergo ambulatory blood pressure monitoring in both
arms for 24 hours to confirm conflicting measurements in the office.
D. The patient should c - ANSWER B
Weight change may indicate the presence of important underlying pathology
requiring further investigation. Which of the following best describes a
significant weight change that requires further evaluation?
A. A 26-year-old female with a baseline body mass index (BMI) of 25 who loses
5% of her body weight with 6 months of diet and exercise modification
B. A 31-year-old male with a baseline body mass index (BMI) of 20 who loses 3 lb
after a prolonged bout of infectious gastroenteritis
