Advanced Health Assessment Midterm
2024-2025 Review of Quiz Questions &
Answers.
A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the
left eye. It started this morning. He denies any trauma or injury. There is no visual
disturbance. Upon physical examination, there is a red raised area at the margin of the
eyelid that is tender to palpation; no tearing occurs with palpation of the lesion. Based
on this description, what is the most likely diagnosis?
Dacryocystitis
Chalazion
Hordeolum
Xanthelasma - ANSHordeolum
A 19-year-old college student, Todd, is brought to your clinic by his mother. She is
concerned that there is something seriously wrong with him. She states for the past 6
months his behavior has become peculiar and he has flunked out of college. Todd
denies any recent illness or injuries. His past medical history is remarkable only for a
broken foot. His parents are both healthy. He has a paternal uncle who had similar
symptoms in college. The patient admits to smoking cigarettes and drinking alcohol. He
also admits to marijuana use but none in the last week. He denies using any other
substances. He denies any feelings of depression or anxiety. While speaking with Todd
and his mother you do a complete physical examination, which is essentially normal.
When you question him on how he is feeling, he says that he is very worried that
Microsoft has stolen his software for creating a better browser. He tells you he has se -
ANSSchizophrenia
A 19-year-old construction worker presents for evaluation of a rash. He notes that it
started on his back with a multitude of spots and is also on his arms, chest, and neck. It
itches a lot. He does sweat more than before because being outdoors is part of his job.
On physical examination, you note dark tan patches with a reddish cast that has sharp
borders and fine scales, scattered more prominently around the upper back, chest,
neck, and upper arms as well as under the arms. Based on this description, what is your
most likely diagnosis?
,Tinea versicolor
Pityriasis rosea
Psoriasis
Atopic eczema - ANSTinea versicolor
A 21-year-old college senior presents to your clinic, complaining of shortness of breath
and a nonproductive nocturnal cough. She states she used to feel this way with extreme
exercise a few years ago and used to have to use some kind of inhaler 20 minutes
before exercise. She denies any other upper respiratory symptoms, chest pain,
gastrointestinal symptoms, or urinary tract symptoms. Her past medical history is
significant only for seasonal allergies, for which she takes a nasal steroid spray but is
otherwise on no other medications. She has had no surgeries. Her mother has allergies
and eczema and her father has high blood pressure. She is an only child. She denies
smoking and illegal drug use but drinks three to four alcoholic beverages per weekend.
She is a junior in finance at a local university and she has recently started a job as a
bartender in town. On examination she is in no acute distress and her tempera -
ANSAsthma
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part of
your physical examination, you listen to her heart and hear a murmur only at the cardiac
apex. Which valve is most likely to be involved, based on the location of the murmur?
Mitral
Tricuspid
Aortic
Pulmonic - ANSMitral
A 27-year-old policewoman comes to your clinic, complaining of severe left-sided back
pain radiating down into her groin. It began in the middle of the night and woke her up
suddenly. It hurts in her bladder to urinate but she has no burning on the outside. She
has had no frequency or urgency with urination but she has seen blood in her urine.
She has had nausea with the pain but no vomiting or fever. She denies any other recent
illness or injuries. Her past medical history is unremarkable. She denies tobacco or drug
,use and drinks alcohol rarely. Her mother has high blood pressure and her father is
healthy. On examination she looks her stated age and is in obvious pain. She is lying on
her left side trying to remain very still. Her cardiac, pulmonary, and abdominal
examinations are unremarkable. She has tenderness just inferior to the left
costovertebral angle. Her urine pregnancy test is negative and her urine anal -
ANSureteral pain from a stone
A 28-year-old patient comes to the office for evaluation of a rash. At first there was only
one large patch, but then more lesions erupted suddenly on the back and torso; the
lesions itch. On physical examination, you note that the pattern of eruption is like a
Christmas tree and that there are a variety of erythematous papules and macules on the
cleavage lines of the back. Based on this description, what is the most likely diagnosis?
Tinea versicolor
Pityriasis rosea
Psoriasis
Atopic eczema - ANSPityriasis rosea
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On
observation, the right eyeball appears to be protruding forward. Based on this
description, what is the most likely diagnosis?
Ptosis
Ectropion
Epicanthus
Exophthalmos - ANSExophthalmos
A 32-year-old white female comes to your clinic, complaining of overwhelming sadness.
She says for the past 2 months she has had crying episodes, difficulty sleeping, and
problems with overeating. She says she used to go out with her friends from work but
now she just wants to go home and be by herself. She also thinks that her work
productivity has been dropping because she just is too tired to care or concentrate. She
, denies any feelings of guilt or any suicidal ideation. She states that she has never felt
this way in the past. She denies any recent illness or injuries. Her past medical history
consists of an appendectomy when she was a teenager; otherwise, she has been
healthy. She is single and works as a clerk in a medical office. She denies tobacco,
alcohol, or illegal drug use. Her mother has high blood pressure and her father has had
a history of mental illness. On examination you see a woman appearing her st -
ANSMajor depressive episode
A 38-year-old accountant comes to your clinic for evaluation of a headache. The
throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to
10. It started a few hours ago, and she has noted nausea with sensitivity to light; she
has had headaches like this in the past, usually less than one per week, but not as
severe. She does not know of any inciting factors. There has been no change in the
frequency of her headaches. She usually takes an over-the-counter analgesic and this
results in resolution of the headache. Based on this description, what is the most likely
diagnosis of the type of headache?
Tension
Cluster
Migraine
Analgesic rebound - ANSMigraine
A 52-year-old secretary comes to your office, complaining about accidentally leaking
urine when she coughs or sneezes. She says this has been going on for about a year
now. She relates that she has not had a period for 2 years. She denies any recent
illness or injuries. Her past medical history is significant for four spontaneous vaginal
deliveries. She is married and has four children. She denies alcohol, tobacco, or drug
use. During her pelvic examination you note some atrophic vaginal tissue, but the
remainder of her pelvic, abdominal, and rectal examinations are unremarkable.
Which type of urinary incontinence does she have?
stress
urge
2024-2025 Review of Quiz Questions &
Answers.
A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the
left eye. It started this morning. He denies any trauma or injury. There is no visual
disturbance. Upon physical examination, there is a red raised area at the margin of the
eyelid that is tender to palpation; no tearing occurs with palpation of the lesion. Based
on this description, what is the most likely diagnosis?
Dacryocystitis
Chalazion
Hordeolum
Xanthelasma - ANSHordeolum
A 19-year-old college student, Todd, is brought to your clinic by his mother. She is
concerned that there is something seriously wrong with him. She states for the past 6
months his behavior has become peculiar and he has flunked out of college. Todd
denies any recent illness or injuries. His past medical history is remarkable only for a
broken foot. His parents are both healthy. He has a paternal uncle who had similar
symptoms in college. The patient admits to smoking cigarettes and drinking alcohol. He
also admits to marijuana use but none in the last week. He denies using any other
substances. He denies any feelings of depression or anxiety. While speaking with Todd
and his mother you do a complete physical examination, which is essentially normal.
When you question him on how he is feeling, he says that he is very worried that
Microsoft has stolen his software for creating a better browser. He tells you he has se -
ANSSchizophrenia
A 19-year-old construction worker presents for evaluation of a rash. He notes that it
started on his back with a multitude of spots and is also on his arms, chest, and neck. It
itches a lot. He does sweat more than before because being outdoors is part of his job.
On physical examination, you note dark tan patches with a reddish cast that has sharp
borders and fine scales, scattered more prominently around the upper back, chest,
neck, and upper arms as well as under the arms. Based on this description, what is your
most likely diagnosis?
,Tinea versicolor
Pityriasis rosea
Psoriasis
Atopic eczema - ANSTinea versicolor
A 21-year-old college senior presents to your clinic, complaining of shortness of breath
and a nonproductive nocturnal cough. She states she used to feel this way with extreme
exercise a few years ago and used to have to use some kind of inhaler 20 minutes
before exercise. She denies any other upper respiratory symptoms, chest pain,
gastrointestinal symptoms, or urinary tract symptoms. Her past medical history is
significant only for seasonal allergies, for which she takes a nasal steroid spray but is
otherwise on no other medications. She has had no surgeries. Her mother has allergies
and eczema and her father has high blood pressure. She is an only child. She denies
smoking and illegal drug use but drinks three to four alcoholic beverages per weekend.
She is a junior in finance at a local university and she has recently started a job as a
bartender in town. On examination she is in no acute distress and her tempera -
ANSAsthma
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part of
your physical examination, you listen to her heart and hear a murmur only at the cardiac
apex. Which valve is most likely to be involved, based on the location of the murmur?
Mitral
Tricuspid
Aortic
Pulmonic - ANSMitral
A 27-year-old policewoman comes to your clinic, complaining of severe left-sided back
pain radiating down into her groin. It began in the middle of the night and woke her up
suddenly. It hurts in her bladder to urinate but she has no burning on the outside. She
has had no frequency or urgency with urination but she has seen blood in her urine.
She has had nausea with the pain but no vomiting or fever. She denies any other recent
illness or injuries. Her past medical history is unremarkable. She denies tobacco or drug
,use and drinks alcohol rarely. Her mother has high blood pressure and her father is
healthy. On examination she looks her stated age and is in obvious pain. She is lying on
her left side trying to remain very still. Her cardiac, pulmonary, and abdominal
examinations are unremarkable. She has tenderness just inferior to the left
costovertebral angle. Her urine pregnancy test is negative and her urine anal -
ANSureteral pain from a stone
A 28-year-old patient comes to the office for evaluation of a rash. At first there was only
one large patch, but then more lesions erupted suddenly on the back and torso; the
lesions itch. On physical examination, you note that the pattern of eruption is like a
Christmas tree and that there are a variety of erythematous papules and macules on the
cleavage lines of the back. Based on this description, what is the most likely diagnosis?
Tinea versicolor
Pityriasis rosea
Psoriasis
Atopic eczema - ANSPityriasis rosea
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On
observation, the right eyeball appears to be protruding forward. Based on this
description, what is the most likely diagnosis?
Ptosis
Ectropion
Epicanthus
Exophthalmos - ANSExophthalmos
A 32-year-old white female comes to your clinic, complaining of overwhelming sadness.
She says for the past 2 months she has had crying episodes, difficulty sleeping, and
problems with overeating. She says she used to go out with her friends from work but
now she just wants to go home and be by herself. She also thinks that her work
productivity has been dropping because she just is too tired to care or concentrate. She
, denies any feelings of guilt or any suicidal ideation. She states that she has never felt
this way in the past. She denies any recent illness or injuries. Her past medical history
consists of an appendectomy when she was a teenager; otherwise, she has been
healthy. She is single and works as a clerk in a medical office. She denies tobacco,
alcohol, or illegal drug use. Her mother has high blood pressure and her father has had
a history of mental illness. On examination you see a woman appearing her st -
ANSMajor depressive episode
A 38-year-old accountant comes to your clinic for evaluation of a headache. The
throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to
10. It started a few hours ago, and she has noted nausea with sensitivity to light; she
has had headaches like this in the past, usually less than one per week, but not as
severe. She does not know of any inciting factors. There has been no change in the
frequency of her headaches. She usually takes an over-the-counter analgesic and this
results in resolution of the headache. Based on this description, what is the most likely
diagnosis of the type of headache?
Tension
Cluster
Migraine
Analgesic rebound - ANSMigraine
A 52-year-old secretary comes to your office, complaining about accidentally leaking
urine when she coughs or sneezes. She says this has been going on for about a year
now. She relates that she has not had a period for 2 years. She denies any recent
illness or injuries. Her past medical history is significant for four spontaneous vaginal
deliveries. She is married and has four children. She denies alcohol, tobacco, or drug
use. During her pelvic examination you note some atrophic vaginal tissue, but the
remainder of her pelvic, abdominal, and rectal examinations are unremarkable.
Which type of urinary incontinence does she have?
stress
urge
