TEST BANK FOR BATES’ GUIDE TO PHYSICAL
EXAMINATION AND HISTORY TAKING 13TH EDITION
BICKLEY TEST BANK & RATIONALS ALL CHAPTERS( 1-
27)| A+ ULTIMATE GUIDE 2023
Flat or impoverished affect occurs in: - ANSWER: depression, Parkinson's disease, or
Alzheimer's disease
What may suggest frailty in an older individual? - ANSWER: undernutrition, slowed
motor performance, loss of muscle mass or weakness
What would kyphosis or abnormal gait do to your balance? - ANSWER: Impair
balance and increase risk of falls
What does isolated systolic hypertension (SBP>140) after age 50 triple the risk for? -
ANSWER: coronary heart disease in men and increases risk of stroke
A peripheral pulse of _______ is a risk factor for cardiovascular and renal disease and
stroke. - ANSWER: greater than or equal to 60
At what time of day is orthostatic hypotension worse? - ANSWER: in the morning
upon waking
What are the symptoms of orthostatic hypotension? - ANSWER: lightheadedness,
weakness, unsteadiness, visual blurring and syncope
What are some causes of orthostatic hypotension? - ANSWER: medications,
autonomic disorders, diabetes, prolonged bed rest, volume depletion, amyloidosis
and cardiovascular disorders
What respiratory rate would indicate a lower respiratory infection? - ANSWER:
greater than or equal to 25 breaths per minute
What else would a respiratory rate over 25 breaths per minute indicate? - ANSWER:
heart failure and COPD exacerbation
Is hypothermia more common in infants, children, adults or older adults? - ANSWER:
older adults
What is the key indicator of poor nutrition? - ANSWER: low weight
In what kind of conditions would you see undernutrition? - ANSWER: depression,
alcoholism, cognitive impairment, malignancy, chronic organ failure, medication use,
social isolation, poor dentition and poverty
, Describe a basal cell carcinoma lesion. - ANSWER: initially a translucent nodule that
spreads and leaves a depressed center with a firm elevated border
Describe a squamous cell carcinoma lesion. - ANSWER: firm, reddish-appearing
lesion often emerging in a sun-exposed area
Describe a melanoma lesion. - ANSWER: dark, raised, asymmetric lesion with
irregular borders
What causes herpes zoster infection? - ANSWER: reactivation of latent varicella-
zoster virus in the dorsal root ganglion
When are you at increased risk for developing herpes zoster infection? - ANSWER:
increased age or impaired cell-mediated immunity
Why do pressure sores develop? - ANSWER: from obliteration of arteriolar and
capillary blood flow to the skin or from shear forces during movement across sheets
or when lifted upright incorrectly
About how many Americans have refractive errors? - ANSWER: more than 40 million
What eye problems increase in incidence with age? - ANSWER: cataracts, glaucoma,
and macular degeneration
What is the leading cause of blindness? - ANSWER: cataracts
What are risk factors for cataracts? - ANSWER: cigarette smoking, exposure to UV-B
light, high alcohol intake, diabetes, medications (including steroids), and trauma
What problems may a patient have if they have retinal microvascular disease? -
ANSWER: cerebral microvascular changes and cognitive impairment
What does an increased cup-to-disc ratio suggest? - ANSWER: open angle glaucoma
What causes open angle glaucoma? - ANSWER: irreversible optic neuropathy
What else does open angle glaucoma cause? - ANSWER: loss of peripheral and
central vision and blindness
Which ethnic group has a 3 to 4 times higher risk for open angle glaucoma than the
rest of the general population? - ANSWER: African Americans
What are the symptoms of macular degenration? - ANSWER: poor central vision and
blindness
What are the types of macular degeneration? - ANSWER: dry atrophic and wet
exudative and neovascular
EXAMINATION AND HISTORY TAKING 13TH EDITION
BICKLEY TEST BANK & RATIONALS ALL CHAPTERS( 1-
27)| A+ ULTIMATE GUIDE 2023
Flat or impoverished affect occurs in: - ANSWER: depression, Parkinson's disease, or
Alzheimer's disease
What may suggest frailty in an older individual? - ANSWER: undernutrition, slowed
motor performance, loss of muscle mass or weakness
What would kyphosis or abnormal gait do to your balance? - ANSWER: Impair
balance and increase risk of falls
What does isolated systolic hypertension (SBP>140) after age 50 triple the risk for? -
ANSWER: coronary heart disease in men and increases risk of stroke
A peripheral pulse of _______ is a risk factor for cardiovascular and renal disease and
stroke. - ANSWER: greater than or equal to 60
At what time of day is orthostatic hypotension worse? - ANSWER: in the morning
upon waking
What are the symptoms of orthostatic hypotension? - ANSWER: lightheadedness,
weakness, unsteadiness, visual blurring and syncope
What are some causes of orthostatic hypotension? - ANSWER: medications,
autonomic disorders, diabetes, prolonged bed rest, volume depletion, amyloidosis
and cardiovascular disorders
What respiratory rate would indicate a lower respiratory infection? - ANSWER:
greater than or equal to 25 breaths per minute
What else would a respiratory rate over 25 breaths per minute indicate? - ANSWER:
heart failure and COPD exacerbation
Is hypothermia more common in infants, children, adults or older adults? - ANSWER:
older adults
What is the key indicator of poor nutrition? - ANSWER: low weight
In what kind of conditions would you see undernutrition? - ANSWER: depression,
alcoholism, cognitive impairment, malignancy, chronic organ failure, medication use,
social isolation, poor dentition and poverty
, Describe a basal cell carcinoma lesion. - ANSWER: initially a translucent nodule that
spreads and leaves a depressed center with a firm elevated border
Describe a squamous cell carcinoma lesion. - ANSWER: firm, reddish-appearing
lesion often emerging in a sun-exposed area
Describe a melanoma lesion. - ANSWER: dark, raised, asymmetric lesion with
irregular borders
What causes herpes zoster infection? - ANSWER: reactivation of latent varicella-
zoster virus in the dorsal root ganglion
When are you at increased risk for developing herpes zoster infection? - ANSWER:
increased age or impaired cell-mediated immunity
Why do pressure sores develop? - ANSWER: from obliteration of arteriolar and
capillary blood flow to the skin or from shear forces during movement across sheets
or when lifted upright incorrectly
About how many Americans have refractive errors? - ANSWER: more than 40 million
What eye problems increase in incidence with age? - ANSWER: cataracts, glaucoma,
and macular degeneration
What is the leading cause of blindness? - ANSWER: cataracts
What are risk factors for cataracts? - ANSWER: cigarette smoking, exposure to UV-B
light, high alcohol intake, diabetes, medications (including steroids), and trauma
What problems may a patient have if they have retinal microvascular disease? -
ANSWER: cerebral microvascular changes and cognitive impairment
What does an increased cup-to-disc ratio suggest? - ANSWER: open angle glaucoma
What causes open angle glaucoma? - ANSWER: irreversible optic neuropathy
What else does open angle glaucoma cause? - ANSWER: loss of peripheral and
central vision and blindness
Which ethnic group has a 3 to 4 times higher risk for open angle glaucoma than the
rest of the general population? - ANSWER: African Americans
What are the symptoms of macular degenration? - ANSWER: poor central vision and
blindness
What are the types of macular degeneration? - ANSWER: dry atrophic and wet
exudative and neovascular
