ADVANCED HEALTH ASSESSMENT FINAL EXAM 2024. 250 ACTUAL
EXAM QUESTIONS WITH 100% CORRECT ANSWERS. ALREADY
GRADED A+
1. What are the parts of the large intestine?:
Cecum Asending colon
Transverse colon
Descending colon (sigmoid, rectum, anal)
2. In what part of the digestive system are fats and proteins broken down?: The
stomach - uses HCL and enzymes
3. What lines the surface of the small intestine to help absorb nutrients?: Villi
4. What are the parts of the small intestine?: duodenum, jejunum, ileum
5. What are the parts of the stomach?: The fundus, antrum and the body
6. What is peristalsis?: The sequential autonomic muscular contractions that
move nutrients along the digestive tract
7. What part of the digestive system is responsible absorbing water, lubricat- ing
contents, and putrefaction?: Large intestine
8. What is putrefaction?: Changes produced by action of bacteria and microorgan-
isms to decompose undigested food, unabsorbed animo acids, cell debris, and
dead bacteria
9. What is the function of the gallbladder?: Concentrates and stores bile
10. What abdominal organ has both exocrine and endocrine functions? What are the
functions?: Exocrine - produces digestive enzymes
Endocrine - produces insulin
11. What is the function of the spleen?: Filter blood and help fight infections
12. What abdominal organ(s) is located in the retroperitoneum?: Kidneys
13. What part of the social history do you always want to make sure you ask about
when assessing and abdominal complaint?: Alcohol use/abuse
,14. When you are palpating your patient's abdomen where do you want to look for
clues to the severity of their pain?: Their face
15. What is pyrosis?: Heartburn
16. What type of disease is IBS, generally?: Functional
17. 45 y/o female presents to your office complaining of achey, burning epi- gastric
pain, especially after she eats. Your cardiac workup is negative. What is high on your
differential? What lifestyle modifications do you suggest?: -
GERD
Stay sitting up after eating
Wait a few hours after eating to go to sleep
Avoid spicy foods, chocolate, caffeine, acidic foods, etc
18. Your patient comes in with loss of appetite for the last few weeks. What chronic
medical disease do you want to keep on your differential?: Malignancy
19. Proton pump inhibitors can increase the risk of what infectious disease?-
: C. dif
20. When you are working up a patient with a chief complaint of nausea what do you
want to ask them?: Pregnant?
When nauseous?
Have you taken
anything? Vomiting?
Relationship to food?
Bowel changes?
Taking medications?
PMS?
21. What does projectile vomiting in an adult make you think?: Increased in-
tracranial pressure
22. You are seeing a patient in your office and he tells you he has been having long,
skinny stools. What are you worried about?: Intestinal obstruction
Malignancy?
23. What does fatty stool indicate?: Malabsorption
, 24. What do clay colored stools indicate?: Hepatobiliary obstruction
25. What common medications can cause constipation?: 5-HT3 receptor antag-
onists (Ondansetron); Antacids; Anticholinergics; Antidepressants; Antihistamines;
Anticonvulsants; CCB; Clonidine; Calcium supplements; Diuretics; Iron supple-
ments; Levodopa; Narcotics; NSAIDs; Psychotropics; Sympathomimetics
26. What are you worried about in older, younger, and immunocompromised patients
with diarrhea?: Dehydration --> electrolyte imbalances
27. What is dysuria?: Painful or difficult urination
28. What do you want to warn your patient of before starting him on a laxa- tive?:
Can develop a dependency due to decreased intestinal tone
29. Your patient tells you he has been having dark tarry stools. What medica- tion do
you want to ask about?: Iron supplement
30. What is familial mediterranean fever?: Inherited condition characterized by
recurrent episodes of painful inflammation in the abdomen, chest, or joints
31. When you are prepping your patient for an abdominal exam what do you want to
tell them to do?: Empty their bladder
32. When you are performing an abdominal exam where do you want to stand in
relation to your patient?: On the patient's right side
ac,
epigastric,
33. What are the nine regions of the abdomen?: Righthypogastric
hypochondri left
hypochondriac, right lumbar, umbilical, left lumbar, right inguinal,
left inguinal
34. What hypothetical lines divide up the nine regions of the abdomen?: Two
horizontal lines - across edge of costal margin and edge of iliac crest
Two vertical lines - run bilaterally form midclavicular lines to middle of
Poupart ligament (inguinal ligament)
35. Which kidney is lower and why?: The right kidney is lower in the abdominal
cavity because of the amount of space the liver occupies.
36. You are performing an abdominal exam as part of a well visit. What are you
inspecting for?: Contour of abdomen + peristalsis
EXAM QUESTIONS WITH 100% CORRECT ANSWERS. ALREADY
GRADED A+
1. What are the parts of the large intestine?:
Cecum Asending colon
Transverse colon
Descending colon (sigmoid, rectum, anal)
2. In what part of the digestive system are fats and proteins broken down?: The
stomach - uses HCL and enzymes
3. What lines the surface of the small intestine to help absorb nutrients?: Villi
4. What are the parts of the small intestine?: duodenum, jejunum, ileum
5. What are the parts of the stomach?: The fundus, antrum and the body
6. What is peristalsis?: The sequential autonomic muscular contractions that
move nutrients along the digestive tract
7. What part of the digestive system is responsible absorbing water, lubricat- ing
contents, and putrefaction?: Large intestine
8. What is putrefaction?: Changes produced by action of bacteria and microorgan-
isms to decompose undigested food, unabsorbed animo acids, cell debris, and
dead bacteria
9. What is the function of the gallbladder?: Concentrates and stores bile
10. What abdominal organ has both exocrine and endocrine functions? What are the
functions?: Exocrine - produces digestive enzymes
Endocrine - produces insulin
11. What is the function of the spleen?: Filter blood and help fight infections
12. What abdominal organ(s) is located in the retroperitoneum?: Kidneys
13. What part of the social history do you always want to make sure you ask about
when assessing and abdominal complaint?: Alcohol use/abuse
,14. When you are palpating your patient's abdomen where do you want to look for
clues to the severity of their pain?: Their face
15. What is pyrosis?: Heartburn
16. What type of disease is IBS, generally?: Functional
17. 45 y/o female presents to your office complaining of achey, burning epi- gastric
pain, especially after she eats. Your cardiac workup is negative. What is high on your
differential? What lifestyle modifications do you suggest?: -
GERD
Stay sitting up after eating
Wait a few hours after eating to go to sleep
Avoid spicy foods, chocolate, caffeine, acidic foods, etc
18. Your patient comes in with loss of appetite for the last few weeks. What chronic
medical disease do you want to keep on your differential?: Malignancy
19. Proton pump inhibitors can increase the risk of what infectious disease?-
: C. dif
20. When you are working up a patient with a chief complaint of nausea what do you
want to ask them?: Pregnant?
When nauseous?
Have you taken
anything? Vomiting?
Relationship to food?
Bowel changes?
Taking medications?
PMS?
21. What does projectile vomiting in an adult make you think?: Increased in-
tracranial pressure
22. You are seeing a patient in your office and he tells you he has been having long,
skinny stools. What are you worried about?: Intestinal obstruction
Malignancy?
23. What does fatty stool indicate?: Malabsorption
, 24. What do clay colored stools indicate?: Hepatobiliary obstruction
25. What common medications can cause constipation?: 5-HT3 receptor antag-
onists (Ondansetron); Antacids; Anticholinergics; Antidepressants; Antihistamines;
Anticonvulsants; CCB; Clonidine; Calcium supplements; Diuretics; Iron supple-
ments; Levodopa; Narcotics; NSAIDs; Psychotropics; Sympathomimetics
26. What are you worried about in older, younger, and immunocompromised patients
with diarrhea?: Dehydration --> electrolyte imbalances
27. What is dysuria?: Painful or difficult urination
28. What do you want to warn your patient of before starting him on a laxa- tive?:
Can develop a dependency due to decreased intestinal tone
29. Your patient tells you he has been having dark tarry stools. What medica- tion do
you want to ask about?: Iron supplement
30. What is familial mediterranean fever?: Inherited condition characterized by
recurrent episodes of painful inflammation in the abdomen, chest, or joints
31. When you are prepping your patient for an abdominal exam what do you want to
tell them to do?: Empty their bladder
32. When you are performing an abdominal exam where do you want to stand in
relation to your patient?: On the patient's right side
ac,
epigastric,
33. What are the nine regions of the abdomen?: Righthypogastric
hypochondri left
hypochondriac, right lumbar, umbilical, left lumbar, right inguinal,
left inguinal
34. What hypothetical lines divide up the nine regions of the abdomen?: Two
horizontal lines - across edge of costal margin and edge of iliac crest
Two vertical lines - run bilaterally form midclavicular lines to middle of
Poupart ligament (inguinal ligament)
35. Which kidney is lower and why?: The right kidney is lower in the abdominal
cavity because of the amount of space the liver occupies.
36. You are performing an abdominal exam as part of a well visit. What are you
inspecting for?: Contour of abdomen + peristalsis
