Advanced Health Assessment Exam With Verified
Solution 100% Correct
Asking simple one- and two-step directions measures a patient's
comprehension. Patients should be able to follow instructions of this
type. ANSWERs a, c, and d measure other cognitive abilities, like
abstract reasoning.
Mrs. Tucker presents to your office today for a follow-up appointment.
She appears to fidget in her seat and with her hands. Which of the
following would assess her attention span?
A. Are you usually this anxious?
B. I am going to ask you to name four items; do the best you can.
C. What does this phrase mean: "A stitch in time saves nine?"
D. Could you take this paper, fold it in half, and put it on the counter? -
ANSWER D. Could you take this paper, fold it in half, and put it on
the counter?
ANSWER d is an example of asking the patient a set of short
commands that measures attention span. ANSWER a is a form of
validation. Asking ANSWER c measures cognitive abilities, whereas
ANSWER b does not provide enough information to determine what
the examiner is trying to measure.
A person with one first-degree relative with a history of prostate cancer
has twice the risk of developing prostate cancer himself; the risk
increases with more than one firstdegree relative.
Which is a possible explanation for an examination finding of "absence
of the anal wink"?
A. Upper motor neuron disorder
B. Chronic constipation
C. Pilonidal cyst
,D. Chronic abuse - ANSWER D. Chronic abuse
Lack of contraction may indicate a lower spinal cord lesion or
chronic abuse. Mrs. Black brings her infant son to your office. She
tells you that his stools are thin, slimy, and brown to green. You
explain that this is a normal finding for a: A. newborn infant.
B. breastfed infant.
C. 3- to 6-day-old infant.
D. formula-fed infant. - ANSWER C. 3- to 6-day-old infant.
Stools of infants 3 to 6 days old are transitional: thin, slimy, and brown
to green. Which statement applies to screening for sexually transmitted
infections (STIs) in men who have sex with men?
A. Screening for common STIs should be done every 6 months if the
man is sexually active.
B. Regular screening should be done for human papillomavirus (HPV)
infection.
C. HIV screening should be done if HIV serologic testing is positive or if
the patient has not been tested within past year.
D. Screening for gonorrheal pharyngeal infection should be done if the
man has had receptive oral intercourse with a condom. - ANSWER
D. Screening for gonorrheal pharyngeal infection should be done if
the man has had receptive oral intercourse with a condom.
Test for the following infection in men who have had receptive oral
intercourse during the preceding year regardless of history of condom
use during exposure: urethral infection and rectal infection with
Neiserria gonorrhoeae and Chlamydia trachomatis; pharyngeal infection
with N. gonorrhoeae.
On rectal examination, you note a lax anal sphincter. This is an
indication of which problem?
A. Meckel diverticulum
B. Volvulus
,C. Polyps
D. Neurologic deficit - ANSWER D. Neurologic deficit
A lax sphincter may indicate neurologic deficit or
sexual abuse.
Rectal bleeding may be an
indication of:
A.
hemorrhoids.
B. ulcerative
colitis.
C. polyps.
D. all of the above. - ANSWER D. all of
the above.
There are numerous reasons that blood can appear in the feces, ranging
from benign, self-limiting events to serious, life-threatening disease.
You are teaching a parent how to check for pinworms. When is the
best time to have the parent assess the child? A. Right after the child
wakes up
B. While the child is sleeping
C. Early afternoon
D. Right before the child goes to bed - ANSWER B. While the child is
sleeping
The best time to visualize pinworms in children is after they fall asleep.
A patient presents to your clinic with rectal pain. On examination, you
note a tender, swollen mass in the superficial subcutaneous tissue just
adjacent to the anus. Of what is this an indication? A. Pilonidal cyst
B. Enlarged prostate
C. Perianal abscess
D. Hemorrhoids - ANSWER C. Perianal abscess
, Perianal abscess presents as a tender, swollen, fluctuant mass in the
superficial subcutaneous tissue just adjacent to the anus.
Mrs. Harris presents to your office as a new patient for a physical
examination. When performing a physical examination, you should
consider the examination to begin: A. as soon as you meet the patient.
B. after the vital signs are taken.
C. after you explain to the patient everything you are going to do.
D. after the patient has put on an examination gown. - ANSWER A. as
soon as you meet the patient.
General inspection, an important component of the physical
examination, begins as soon as you meet the patient. At the first
meeting, you can note factors such as general level of alertness, ability
to respond to name and greeting, hygiene, and appropriateness of dress.
Which problem is suggested by assessment findings of irritability,
jitteriness, and poor sucking in a newborn?
A. Placental insufficiency before birth
B. maternal use of sedatives or opioids
C. Exposure to herpesvirus during birth
D. hypothermia - ANSWER B. maternal use of sedatives or opioids
The mother's frequent use of sedatives or opioids may cause irritability,
jitteriness, poor sucking, and other problems as the newborn goes
through withdrawal (neonatal withdrawal syndrome).
Ms. Jones is a 35-year-old patient who presents to your office. In what
way can the patient's modesty be maintained while an examination is
being conducted?
A. The examiner should keep the patient covered as much as possible
during the examination.
B. The examiner should avoid touching the patient during the
examination except when absolutely necessary.
C. The examiner should not require the patient to disrobe for the
examination.
Solution 100% Correct
Asking simple one- and two-step directions measures a patient's
comprehension. Patients should be able to follow instructions of this
type. ANSWERs a, c, and d measure other cognitive abilities, like
abstract reasoning.
Mrs. Tucker presents to your office today for a follow-up appointment.
She appears to fidget in her seat and with her hands. Which of the
following would assess her attention span?
A. Are you usually this anxious?
B. I am going to ask you to name four items; do the best you can.
C. What does this phrase mean: "A stitch in time saves nine?"
D. Could you take this paper, fold it in half, and put it on the counter? -
ANSWER D. Could you take this paper, fold it in half, and put it on
the counter?
ANSWER d is an example of asking the patient a set of short
commands that measures attention span. ANSWER a is a form of
validation. Asking ANSWER c measures cognitive abilities, whereas
ANSWER b does not provide enough information to determine what
the examiner is trying to measure.
A person with one first-degree relative with a history of prostate cancer
has twice the risk of developing prostate cancer himself; the risk
increases with more than one firstdegree relative.
Which is a possible explanation for an examination finding of "absence
of the anal wink"?
A. Upper motor neuron disorder
B. Chronic constipation
C. Pilonidal cyst
,D. Chronic abuse - ANSWER D. Chronic abuse
Lack of contraction may indicate a lower spinal cord lesion or
chronic abuse. Mrs. Black brings her infant son to your office. She
tells you that his stools are thin, slimy, and brown to green. You
explain that this is a normal finding for a: A. newborn infant.
B. breastfed infant.
C. 3- to 6-day-old infant.
D. formula-fed infant. - ANSWER C. 3- to 6-day-old infant.
Stools of infants 3 to 6 days old are transitional: thin, slimy, and brown
to green. Which statement applies to screening for sexually transmitted
infections (STIs) in men who have sex with men?
A. Screening for common STIs should be done every 6 months if the
man is sexually active.
B. Regular screening should be done for human papillomavirus (HPV)
infection.
C. HIV screening should be done if HIV serologic testing is positive or if
the patient has not been tested within past year.
D. Screening for gonorrheal pharyngeal infection should be done if the
man has had receptive oral intercourse with a condom. - ANSWER
D. Screening for gonorrheal pharyngeal infection should be done if
the man has had receptive oral intercourse with a condom.
Test for the following infection in men who have had receptive oral
intercourse during the preceding year regardless of history of condom
use during exposure: urethral infection and rectal infection with
Neiserria gonorrhoeae and Chlamydia trachomatis; pharyngeal infection
with N. gonorrhoeae.
On rectal examination, you note a lax anal sphincter. This is an
indication of which problem?
A. Meckel diverticulum
B. Volvulus
,C. Polyps
D. Neurologic deficit - ANSWER D. Neurologic deficit
A lax sphincter may indicate neurologic deficit or
sexual abuse.
Rectal bleeding may be an
indication of:
A.
hemorrhoids.
B. ulcerative
colitis.
C. polyps.
D. all of the above. - ANSWER D. all of
the above.
There are numerous reasons that blood can appear in the feces, ranging
from benign, self-limiting events to serious, life-threatening disease.
You are teaching a parent how to check for pinworms. When is the
best time to have the parent assess the child? A. Right after the child
wakes up
B. While the child is sleeping
C. Early afternoon
D. Right before the child goes to bed - ANSWER B. While the child is
sleeping
The best time to visualize pinworms in children is after they fall asleep.
A patient presents to your clinic with rectal pain. On examination, you
note a tender, swollen mass in the superficial subcutaneous tissue just
adjacent to the anus. Of what is this an indication? A. Pilonidal cyst
B. Enlarged prostate
C. Perianal abscess
D. Hemorrhoids - ANSWER C. Perianal abscess
, Perianal abscess presents as a tender, swollen, fluctuant mass in the
superficial subcutaneous tissue just adjacent to the anus.
Mrs. Harris presents to your office as a new patient for a physical
examination. When performing a physical examination, you should
consider the examination to begin: A. as soon as you meet the patient.
B. after the vital signs are taken.
C. after you explain to the patient everything you are going to do.
D. after the patient has put on an examination gown. - ANSWER A. as
soon as you meet the patient.
General inspection, an important component of the physical
examination, begins as soon as you meet the patient. At the first
meeting, you can note factors such as general level of alertness, ability
to respond to name and greeting, hygiene, and appropriateness of dress.
Which problem is suggested by assessment findings of irritability,
jitteriness, and poor sucking in a newborn?
A. Placental insufficiency before birth
B. maternal use of sedatives or opioids
C. Exposure to herpesvirus during birth
D. hypothermia - ANSWER B. maternal use of sedatives or opioids
The mother's frequent use of sedatives or opioids may cause irritability,
jitteriness, poor sucking, and other problems as the newborn goes
through withdrawal (neonatal withdrawal syndrome).
Ms. Jones is a 35-year-old patient who presents to your office. In what
way can the patient's modesty be maintained while an examination is
being conducted?
A. The examiner should keep the patient covered as much as possible
during the examination.
B. The examiner should avoid touching the patient during the
examination except when absolutely necessary.
C. The examiner should not require the patient to disrobe for the
examination.
