Advanced Health Midterm Exam Questions With 100%
Verified Solutions
The following information is recorded in the health history: "The patient
completed 8th grade. He currently lives with his wife and two children.
He works on old cars on the
weekend. He works in a glass factory during the
week." Which category does it belong to?
Chief complaint
Present illness
Personal and social history
Review of systems - ANSWER Personal and social history
Personal and social history information includes educational level,
family of origin, current household status, personal interests,
employment, religious beliefs, military history, and lifestyle (including
diet and exercise habits; use of alcohol, tobacco, and/or drugs; and
sexual preferences and history). All of this information is documented
in this example.
Give the patient information concerning reduction of fat and
cholesterol in her diet
because she is obese. - ANSWER Reassure the mother that this is a
normal body
weight.
The patient has a normal BMI; the range for a normal BMI is 18.5 to
24.9 kg/m2. You
,may be able to give the patient and her mother the lower limit of normal
in pounds for
her daughter's height, or instruct her in how to use a
BMI table.
A 25-year-old radio announcer comes to the clinic for an annual
examination. His BMI is
26.0 kg/m2. He is concerned about his weight. Based on this
information, what is
appropriate counsel for the patient during
the visit?
Refer the patient to a nutritionist because he is anorexic.
Reassure the patient that he has a normal body weight.
Give the patient information about reduction of fat, cholesterol, and
calories because he
is
overweight.
Give the patient information about reduction of fat and cholesterol
because he is obese.
- ANSWER Give the patient information about reduction of fat,
cholesterol, and calories
because he is
overweight.
The patient has a BMI in the overweight range, which is 25.0 to 29.9
kg/m2. It is prudent
to give him information about reducing calories, fat, and cholesterol in
his diet to help
,prevent further weight
gain.
A 30-year-old sales clerk comes to your office wanting to lose weight;
her BMI is 30.0
kg/m2. What is the most appropriate amount for a weekly weight
reduction goal?
.5 to 1 pound per week
1 to 2.5 pounds per week
2.5 to 3.5 pounds per week
3.5 to 4.5 pounds per week - ANSWER .5 to 1 pound per week
Based on the NIH Obesity Guidelines, this is the weekly weight loss goal
to strive for to
maintain long-term control of weight. More rapid weight loss than this
does not result in
a better outcome at one
year.
Common or concerning symptoms to inquire about in the General Survey
and vital signs
include all of the following
except:
Changes in weight
Fatigue and weakness
, Cough
Fever and chills - ANSWER Cough
This symptom is more appropriate to the respiratory review of systems.
The following information is recorded in the health history: "I
feel really tired."
Which category does it
belong to?
Chief complaint
Present illness
Personal and social history
Review of systems - ANSWERWER Chief complaint
The chief complaint is an attempt to quote the patient's own words, as
long as they are
suitable to print. It is brief, like a headline, and further details should
be sought in the
present illness section. The above information is a chief
complaint.
The following information is recorded in the health history: "Patient
denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal
dyspnea."
Which category does it
belong to?
Verified Solutions
The following information is recorded in the health history: "The patient
completed 8th grade. He currently lives with his wife and two children.
He works on old cars on the
weekend. He works in a glass factory during the
week." Which category does it belong to?
Chief complaint
Present illness
Personal and social history
Review of systems - ANSWER Personal and social history
Personal and social history information includes educational level,
family of origin, current household status, personal interests,
employment, religious beliefs, military history, and lifestyle (including
diet and exercise habits; use of alcohol, tobacco, and/or drugs; and
sexual preferences and history). All of this information is documented
in this example.
Give the patient information concerning reduction of fat and
cholesterol in her diet
because she is obese. - ANSWER Reassure the mother that this is a
normal body
weight.
The patient has a normal BMI; the range for a normal BMI is 18.5 to
24.9 kg/m2. You
,may be able to give the patient and her mother the lower limit of normal
in pounds for
her daughter's height, or instruct her in how to use a
BMI table.
A 25-year-old radio announcer comes to the clinic for an annual
examination. His BMI is
26.0 kg/m2. He is concerned about his weight. Based on this
information, what is
appropriate counsel for the patient during
the visit?
Refer the patient to a nutritionist because he is anorexic.
Reassure the patient that he has a normal body weight.
Give the patient information about reduction of fat, cholesterol, and
calories because he
is
overweight.
Give the patient information about reduction of fat and cholesterol
because he is obese.
- ANSWER Give the patient information about reduction of fat,
cholesterol, and calories
because he is
overweight.
The patient has a BMI in the overweight range, which is 25.0 to 29.9
kg/m2. It is prudent
to give him information about reducing calories, fat, and cholesterol in
his diet to help
,prevent further weight
gain.
A 30-year-old sales clerk comes to your office wanting to lose weight;
her BMI is 30.0
kg/m2. What is the most appropriate amount for a weekly weight
reduction goal?
.5 to 1 pound per week
1 to 2.5 pounds per week
2.5 to 3.5 pounds per week
3.5 to 4.5 pounds per week - ANSWER .5 to 1 pound per week
Based on the NIH Obesity Guidelines, this is the weekly weight loss goal
to strive for to
maintain long-term control of weight. More rapid weight loss than this
does not result in
a better outcome at one
year.
Common or concerning symptoms to inquire about in the General Survey
and vital signs
include all of the following
except:
Changes in weight
Fatigue and weakness
, Cough
Fever and chills - ANSWER Cough
This symptom is more appropriate to the respiratory review of systems.
The following information is recorded in the health history: "I
feel really tired."
Which category does it
belong to?
Chief complaint
Present illness
Personal and social history
Review of systems - ANSWERWER Chief complaint
The chief complaint is an attempt to quote the patient's own words, as
long as they are
suitable to print. It is brief, like a headline, and further details should
be sought in the
present illness section. The above information is a chief
complaint.
The following information is recorded in the health history: "Patient
denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal
dyspnea."
Which category does it
belong to?
