N522 Health Assessment MidTerm Exam
QUESTION AND ANSWERS
A young man comes to you with an extremely pruritic rash over his knees and
elbows which has come and gone for several years. It seems to be worse in the
winter and improves with some sun exposure. On examination, you notice
scabbing and crusting with some silvery scale, and you are observant enough to
notice small "pits" in his nails. What would account for these findings?
a.Pityriasis rosea
b.Psoriasis
c.Tinea infection
d.Eczema - ANSWER>>b.Psoriasis
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.Endocrine
c.Reproductive
d.Urinary - ANSWER>>a.Musculoskeletal
A 78 year old retired seamstress comes to the office for a routine check-up. You
obtain an ECG (electrocardiogram) because of her history of hypertension. You
diagnose a previous myocardial infarction and ask her if she had any symptoms
related to this. Which of the following symptoms would be more common in this
patient's age group for an acute yocardial infarction?
a.Chest pain
b.Pain radiating into the jaw
c.Pain radiating into the left arm
d.Syncope - ANSWER>>d.Syncope
A 55-year-old patient visits your clinic reporting feeling very tired, short of breath,
and difficulty sleeping noting the need for use of several pillows. The patient
, indicates this has occurred for the past month or so. You realize these symptoms
may indicate left-sided congestive heart failure (CHF). What specific assessment
finding is the most helpful in making this diagnosis?
a.Hypotension
b.Tachycardia
c.Displaced PMI
d.Hypertension - ANSWER>>c.Displaced PMI
Which of the following is consistent with good percussion technique?
a.Strike the pleximeter over the distal interphalangeal joint.
b.Allow all of the fingers to touch the chest while performing percussion.
c.Maintain a stiff wrist and hand.
d.Leave the plexor finger on the pleximeter after each strike. - ANSWER>>a.Strike
the pleximeter over the distal interphalangeal joint.
You ask your patient the following question: "What brought you here today?" The
patient's ANSWER would be placed in which part of the health history?
a.Review of systems
b.Present illness
c.Family history
d.Chief concern - ANSWER>>d.Chief concern
Which of the following statements is true about the vision of a newborn?
a.The lacrimal gland produces a full volume of tears at birth.
b.Peripheral vision is fully developed at birth.
c.The newborn infant can differentiate colors.
d.Central vision is fully developed at birth. - ANSWER>>b.Peripheral vision is fully
developed at birth.
You are speaking to a group of pregnant patients during an educational
presentation about skin changes in pregnancy. Which of the following statements
accurately presents what skin changes women can expect during pregnancy?
a.a, b, & c
QUESTION AND ANSWERS
A young man comes to you with an extremely pruritic rash over his knees and
elbows which has come and gone for several years. It seems to be worse in the
winter and improves with some sun exposure. On examination, you notice
scabbing and crusting with some silvery scale, and you are observant enough to
notice small "pits" in his nails. What would account for these findings?
a.Pityriasis rosea
b.Psoriasis
c.Tinea infection
d.Eczema - ANSWER>>b.Psoriasis
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.Endocrine
c.Reproductive
d.Urinary - ANSWER>>a.Musculoskeletal
A 78 year old retired seamstress comes to the office for a routine check-up. You
obtain an ECG (electrocardiogram) because of her history of hypertension. You
diagnose a previous myocardial infarction and ask her if she had any symptoms
related to this. Which of the following symptoms would be more common in this
patient's age group for an acute yocardial infarction?
a.Chest pain
b.Pain radiating into the jaw
c.Pain radiating into the left arm
d.Syncope - ANSWER>>d.Syncope
A 55-year-old patient visits your clinic reporting feeling very tired, short of breath,
and difficulty sleeping noting the need for use of several pillows. The patient
, indicates this has occurred for the past month or so. You realize these symptoms
may indicate left-sided congestive heart failure (CHF). What specific assessment
finding is the most helpful in making this diagnosis?
a.Hypotension
b.Tachycardia
c.Displaced PMI
d.Hypertension - ANSWER>>c.Displaced PMI
Which of the following is consistent with good percussion technique?
a.Strike the pleximeter over the distal interphalangeal joint.
b.Allow all of the fingers to touch the chest while performing percussion.
c.Maintain a stiff wrist and hand.
d.Leave the plexor finger on the pleximeter after each strike. - ANSWER>>a.Strike
the pleximeter over the distal interphalangeal joint.
You ask your patient the following question: "What brought you here today?" The
patient's ANSWER would be placed in which part of the health history?
a.Review of systems
b.Present illness
c.Family history
d.Chief concern - ANSWER>>d.Chief concern
Which of the following statements is true about the vision of a newborn?
a.The lacrimal gland produces a full volume of tears at birth.
b.Peripheral vision is fully developed at birth.
c.The newborn infant can differentiate colors.
d.Central vision is fully developed at birth. - ANSWER>>b.Peripheral vision is fully
developed at birth.
You are speaking to a group of pregnant patients during an educational
presentation about skin changes in pregnancy. Which of the following statements
accurately presents what skin changes women can expect during pregnancy?
a.a, b, & c
