Download LATEST EXAM 1 ADVANCED HEALTH ASSESSMENT NUR-631 and more Exams Nursing in PDF only on Docsity!
LATEST EXAM 1 ADVANCED HEALTH ASSESSMENT NUR-
QUESTIONS WITH COMPLETE SOLUTIONS
“A 59 year old patients tells the nurse practitioner that he thinks he must have ulcerative colitis. He has been having "black stools" for the last 24 hours. How would the nurse practitioner best document THE FACTS for his reason for seeking care? A) JM is a 59 year old male here for having "black stools" for the past 24 hours. B) JM came into the clinic complaining of black stools for the past 24 hours. C) JM is a 59 year old male here for "ulcerative colitis."
D) JM, a 59 year old male, states he has ulcerative colitis and wants it checked. - CORRECT
ANSWER A) JM is a 59 year old male here for having "black stools" for the past 24 hours.
Chief Complaint(s) The one or more symptoms or concerns causing the patient to seek care. Make every effort to quote the patient's own words." "During the aging process, the hair can look gray or white and begin to feel thin and fine. The nurse practitioner knows that this occurs because of a decrease in: A) pigmentation B) thyroid stimulating hormone C) phagocytes
D) fungacytes - CORRECT ANSWER A) pigmentation
Hair undergoes a series of changes. Scalp hair loses its pigment (functioning of melanocytes) so the hair looks gray or white and feels thin and fine. The other options are not correct." "You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs of melanoma. Which of the following descriptions correctly defines the ABCDEs? A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm;
E = evolution - CORRECT ANSWER B) A = asymmetry; B = irregular borders; C = color
changes, especially blue; D = diameter >6 mm; E = evolution" "You are examining the skin on a 22 year old female when you notice a circumscribed superficial lesion that is elevated approximately 0.5cm in diameter, filled with serous fluid. What type of lesion is this? A) macule B) papule C) vesicle
D) spider angioma - CORRECT ANSWER C) vesicle
Vesicle - up to 1.0 cm filled with serous fluid" "Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her regular provider is on vacation and she wanted to be seen. You have heard about her many times from your colleague and are aware that she is a very talkative person. Which of the following is a helpful technique to improve the quality of the interview for both the provider and the patient? A) Allow the patient to speak uninterrupted for the duration of the appointment. B) Briefly summarize what you heard from the patient in the first 5 minutes and then try to have her focus on one aspect of what she told you. C) Set the time limit at the beginning of the interview and stick with it, no matter what occurs in the course of the interview. D) Allow your impatience to show so that the patient picks up on your nonverbal cue that the
appointment needs to end. - CORRECT ANSWER B) Briefly summarize what you heard from
the patient in the first 5 minutes and then try to have her focus on one aspect of what she told you. Give the patient free rein for the first 5-10 minutes, listening closely to the conversation. Focus on what seems most important to the patient. Learn to set limits when needed. A brief summary may help you change the subject yet validate any concerns. Do no show your impatience." "Which of the following will help to optimize success from a pediatric examination? A) Doing the examination out of order if necessary to take advantage of quiet periods for auscultation, etc. B) Being very orderly, so as not to miss a portion of the examination. C) Using firmness throughout your examination, letting the child know you are in charge. D) Making sure to place the infant on the table during the examination while Mom watches close
by. - CORRECT ANSWER A) Doing the examination out of order if necessary to take
advantage of quiet periods for auscultation, etc. With certain exceptions, physical examination does not require use of the examining table, or with the child in a parent's lap. Plan the examination to start with the least distressing procedures and end with the most distressing, usually involving the throat and ears. Patience, distraction, play flexibility in the order of the examination, and caring but firm approach are all key to successfully examining the young child." "An Annual Low Dose Computed Tomography (LDCT) screening would be recommended for which patient? A) Tammy, age 57, who smokes a half pack of cigarettes a day for the last 20 years. B) Bob, age 72, who quit smoking 10 years ago after a 30-pack year history. C) Angela, age 43, and started smoking when she was 15 years old.
Tilt the patient's head back a bit and insert the speculum gently into the vestibule of each nostril. Avoid contact with the nasal septum. Use the largest available speculum. In viral rhinitis, the mucosa is usually reddened and swollen, and in allergic rhinitis the mucosa is often pale, bluish, or red." "A teenage patient comes to the emergency room with complaints of an "inability to breathe and a sharp pain in my left chest." Your assessment findings include the following: Cyanosis, tachypnea, tracheal deviation to the right, decreased tactile fremitus on the left, hyperresonance on the left, and decreased breath sounds on the left. This description is consistent with: A) acute pneumonia B) an asthmatic attack C) a pneumothorax
D) bronchitis - CORRECT ANSWER C) a pneumothorax
With a pneumothorax, free air in the pleural space causes partial or complete lung collapse. If the pneumothorax is large then tachypnea and cyanosis are seen. Unequal chest expansion, decreased or absent tactile fremitus, tracheal deviation to the unaffected side, decreased chest expansion, hyperresonnant percussion tones, and decreased or absent breath sounds are found with the presence of a pneumothorax. (Bates, p 340)" "The diameter of the PMI is approximately: A) 1-2.5 cm in diameter and any larger is evidence of mitral valve prolapse B) 1-2.5 cm in diameter and any larger is evidence of left ventricular hypertrophy C) .5-1 cm in diameter and any larger is evidence supporting left ventricular hypertrophy
D) .5-1 cm in diameter and any larger is evidence of mitral valve prolapse - CORRECT
ANSWER B) 1-2.5 cm in diameter and any larger is evidence of left ventricular hypertrophy
(Bates p 344)" "The direction of blood flow through the heart is best described by which of the following? A) Aorta - R atrium - R ventricle - lungs - pulmonary vein - L atrium - L ventricle - vena cava B) R atrium - R ventricle - pulmonary vein - lungs - pulmonary artery - L atrium - L ventricle C) R atrium - R ventricle - pulmonary artery - lungs - pulmonary vein - L atrium - L ventricle
D) Vena cava - R atrium - R ventricle - lungs - pulmonary artery- L atrium - L ventricle -
CORRECT ANSWER C) R atrium - R ventricle - pulmonary artery - lungs - pulmonary vein - L
atrium - L ventricle Returning blood from the body empties into the R atrium and flows into the R ventricle, then goes to the lungs through the pulmonary artery. The lungs oxygenate the blood and it is then returned to the L atrium by the pulmonary vein. It goes from there to the L ventricle and then out to the body through the aorta (Bates, pg 345)"
"When listening to heart sounds, the nurse knows that the valve closures that can be heard for S is: A) pulmonic B) aortic C) tricuspid
D) mitral - CORRECT ANSWER B) aortic
The second heart sound (S2) occurs with the closure of the aortic valve and signals the end of systole. Although it is heard over all the precordium, S2 is loudest at the base of the heart. (Bates, p347)" "The cone of light of the tympanic membrane is found: A) on the posterior lower TM B) on the lower anterior part of the TM C) on the posterior upper TM
D) on the upper anterior TM - CORRECT ANSWER B) on the lower anterior part of the TM
The cone of light is found on the anterior lower TM (Bates, p243)" "A serous (otitis) effusion looks like: A) bright red bulging B) dull and retracted C) amber fluid or bubbles behind the tympanic membrane
D) like a hole in the tympanic membrane - CORRECT ANSWER C) amber fluid or bubbles
behind the tympanic membrane A serous (otitis) effusion appears as an air/fluid level or bubbles with amber colored fluid (Bates, p288)." "Psoriasis lesions are best described as: A) clustered pustules B) silvery scaly plaques/papules C) vesicular lesions progressing to craters
D) macular patches - CORRECT ANSWER B) silvery scaly plaques/papules
Bates, p192" "When looking at the retina, a macular star is usually caused by: A) diabetes B) trauma
A ring around the iris from Wilson's disease is called a Kayser-Fleischer ring and it is from excessive copper (Bates, p276)." "If a patient is reporting light, gray colored stool, it is likely that ________ is missing from the stool. A) bile B) fiber C) bacteria
D) mucus - CORRECT ANSWER A) bile
Bile is what gives stools a darker color, so lighter, gray colored stools may indicate a bile duct obstruction (Bates, p461)." "Kidney pain is commonly described as "flank pain." Which of the following would be considered in the flank area? A) periumbilical B) costovertebral angle C) suprapubic
D) epigastric - CORRECT ANSWER B) costovertebral angle
Costovertabal angle (CVA) pain or tenderness with percussion is a common test for kidney pain (Bates, p463-464)." "At what age is colorectal cancer screening started in those with "average risk?" A) 50 B) 45 C) 25
D) 35 - CORRECT ANSWER A) 50
The recommendation for colorectal cancer screening starts at 50 years old for those with "average risk." Bates, p 469" "While performing a fundoscopic examination on a 38 year old African American female, the color of the fundus is a grayish brown, almost purple. You determine: A) this is a sign of diabetic retinopathy B) this is a sign of hypertensive retinopathy C) this indicates retinal detachment and requires immediate intervention
D) this is a normal variation, no action is needed - CORRECT ANSWER D) this is a normal
variation, no action is needed There are normal variants for darker skinned patients (Bates, p283)." "Wheezes are a result of:
A) abnormal lung tissue B) narrowed air passages C) fibrosis
D) fluid in the lungs - CORRECT ANSWER B) narrowed air passages
Wheezes are the result of narrowed airways, like in asthma, COPD, or bronchitis (Bates, p338)" "Rhonchi suggests: A) secretions is large airways B) secretions in the pleural sac C) secretions in alveoli
D) secretions in bronchioles - CORRECT ANSWER A) secretions is large airways
Rhonchi are suggestive of secretions in large airways (Bates, p325)." "7. The following information is recorded in the health history: "I feel really tired." Which category does it belong to? A) Chief complaint B) Present illness C) Personal and social history
D) Review of systems - CORRECT ANSWER A) chief complaint
pt's own words" "8. 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? A) Chief complaint B) Present illness C) Personal and social history
D) Review of systems - CORRECT ANSWER D) review of systems"
"9. The following information is best placed in which category? "The patient has had three cesarean sections." A) Adult illnesses B) Surgeries C) Obstetrics/gynecology
D) Psychiatric - CORRECT ANSWER B) surgeries"
"10. The following information is best placed in which category?
A) Infectious B) Inflammatory C) Hematologic
D) Traumatic - CORRECT ANSWER B) inflammatory"
"A 47-year-old contractor presents for evaluation of neck pain, which has been intermittent for several years. He normally takes over-the-counter medications to ease the pain, but this time they haven't worked as well and he still has discomfort. He recently wallpapered the entire second floor in his house, which caused him great discomfort. The pain resolved with rest. He denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to the neck. Based on this description, what is the most likely pathologic process? A) Infectious B) Neoplastic C) Degenerative
D) Traumatic - CORRECT ANSWER C) degenerative"
"A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-week history of sneezing; itchy, watery eyes; clear nasal discharge; ear pain; and nonproductive cough. Which is the most likely pathologic process? A) Infection B) Inflammation C) Allergic
D) Vascular - CORRECT ANSWER C) allergic
consistent with allergic rhinitis" "A 19-year old-college student presents to the emergency room with fever, headache, and neck pain/stiffness. She is concerned about the possibility of meningococcal meningitis. Several of her dorm mates have been vaccinated, but she hasn't been. Which of the following physical examination descriptions is most consistent with meningitis? A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range of motion B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous muscle spasm and limited range of motion to the right C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to palpation, unable to perform range of motion D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with full
range of motion - CORRECT ANSWER C)"
"A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal pain. The pain is associated with nausea and vomiting and occurs 1 to 2 hours after eating greasy foods.
Which one of the following physical examination descriptions would be most consistent with the diagnosis of cholecystitis? A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or masses. B) Abdomen is soft and tender to palpation in the right lower quadrant, without rebound or guarding. C) Abdomen is soft and tender to palpation in the right upper quadrant with inspiration, to the point of stopping inspiration, and there is no rebound or guarding. D) Abdomen is soft and tender to palpation in the mid-epigastric area, without rebound or
guarding. - CORRECT ANSWER C) tender to palpation in RUQ"
"A 55-year-old data entry operator comes to the clinic to establish care. She has the following symptoms: headache, neck pain, sinus congestion, sore throat, ringing in ears, sharp brief chest pains at rest, burning abdominal pain with spicy foods, constipation, urinary frequency that is worse with coughing and sneezing, and swelling in legs. This cluster of symptoms is explained by: A) One disease process
B) More than one disease process - CORRECT ANSWER B) more than one disease process"
"You are running late after your quarterly quality improvement meeting at the hospital and have just gotten paged from the nurses' station because a family member of one of your patients wants to talk with you about that patient's care. You have clinic this afternoon and are double-booked for the first appointment time; three other patients also have arrived and are sitting in the waiting room. Which of the following demeanors is a behavior consistent with skilled interviewing when you walk into the examination room to speak with your first clinic patient? A) Irritability B) Impatience C) Boredom
D) Calm - CORRECT ANSWER D) calm"
"Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing to go into the examination room to interview her. Which of the following is the most logical sequence for the patient-provider interview? A) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's story. B) Invite the patient's story, negotiate a plan, establish the agenda, and establish rapport. C) Greet the patient, establish rapport, invite the patient's story, establish the agenda, expand and clarify the patient's story, and negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story, and establish rapport. -
CORRECT ANSWER C) greet the patient, establish rapport, invite the patients story, establish
agenda, expand and clarify the story, negotiate the plan" "Alexandra is a 28-year-old editor who presents to the clinic with abdominal pain. The pain is a dull ache, located in the right upper quadrant, that she rates as a 3 at the least and an 8 at the
say "Go on," and later, "Mm-hmmm." This is an example of which of the following skilled interviewing techniques? A) Echoing B) Nonverbal communication C) Facilitation
D) Empathic response - CORRECT ANSWER C) facilitation"
"Mrs. R. is a 92-year-old retired teacher who comes to your clinic accompanied by her daughter. You ask Mrs. R. why she came to your clinic today. She looks at her daughter and doesn't say anything in response to your question. This is an example of which type of challenging patient? A) Talkative patient B) Angry patient C) Silent patient
D) Hearing-impaired patient - CORRECT ANSWER C) silent patient"
"Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her regular provider is on vacation and she wanted to be seen. You have heard about her many times from your colleague and are aware that she is a very talkative person. Which of the following is a helpful technique to improve the quality of the interview for both the provider and the patient? A) Allow the patient to speak uninterrupted for the duration of the appointment. B) Briefly summarize what you heard from the patient in the first 5 minutes and then try to have her focus on one aspect of what she told you. C) Set the time limit at the beginning of the interview and stick with it, no matter what occurs in the course of the interview. D) Allow your impatience to show so that the patient picks up on your nonverbal cue that the
appointment needs to end. - CORRECT ANSWER B) briefly summarize what you heard from
the patient in the first 5 minutes and then try to have her focus on one aspect of what she told you" "Mrs. H. comes to your clinic, wanting antibiotics for a sinus infection. When you enter the room, she appears to be very angry. She has a raised tone of voice and states that she has been waiting for the past hour and has to get back to work. She states that she is unimpressed by the reception staff, the nurse, and the clinic in general and wants to know why the office wouldn't call in an antibiotic for her. Which of the following techniques is not useful in helping to calm this patient? A) Avoiding admission that you had a part in provoking her anger because you were late B) Accepting angry feelings from the patient and trying not to get angry in return C) Staying calm
D) Keeping your posture relaxed - CORRECT ANSWER A) avoiding admission that you had a
part in provoking her anger because you were late"
"A 23-year-old graduate student comes to your clinic for evaluation of a urethral discharge. As the provider, you need to get a sexual history. Which one of the following questions is inappropriate for eliciting the information? A) Are you sexually active? B) When was the last time you had intimate physical contact with someone, and did that contact include sexual intercourse? C) Do you have sex with men, women, or both?
D) How many sexual partners have you had in the last 6 months? - CORRECT ANSWER A)
are you sexually active? the question is too vague" "Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He has come to the office many times in the past with a variety of injuries, and you suspect that he has a problem with alcohol. Which one of the following questions will be most helpful in diagnosing this problem? A) You are an alcoholic, aren't you? B) When was your last drink? C) Do you drink 2 to 3 beers every weekend?
D) Do you drink alcohol when you are supposed to be working? - CORRECT ANSWER B)
when was your last drink?" "On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for her usual visit for her blood pressure. She is on a low-dose diuretic chronically and denies any side effects. Her blood pressure is 118/78 today, which is well-controlled. As you are writing her script, she mentions that it is hard not having her husband Bill around anymore. What would you do next? A) Hand her the script and make sure she has a 3-month follow-up appointment. B) Make sure she understands the script. C) Ask why Bill is not there.
D) Explain that you will have more time at the next visit to discuss this. - CORRECT ANSWER
C) ask why bill is not there? patient is looking for support and empathy" "A patient is describing a very personal part of her history very quickly and in great detail. How should you react to this? A) Write down as much as you can, as quickly as possible. B) Ask her to repeat key phrases or to pause at regular intervals, so you can get almost every word. C) Tell her that she can go over the notes later to make sure they are accurate.
D) Push away from the keyboard or put down your pen and listen. - CORRECT ANSWER D)
push away from the keyboard and put down your pen and listen"
C) Summarization
D) Validation - CORRECT ANSWER D) validation"
"You are performing a young woman's first pelvic examination. You make sure to tell her verbally what is coming next and what to expect. Then you carry out each maneuver of the examination. You let her know at the outset that if she needs a break or wants to stop, this is possible. You ask several times during the examination, "How are you doing, Brittney?" What are you accomplishing with these techniques? A) Increasing the patient's sense of control B) Increasing the patient's trust in you as a caregiver C) Decreasing her sense of vulnerability
D) All of the above - CORRECT ANSWER D) all of the above"
"When using an interpreter to facilitate an interview, where should the interpreter be positioned? A) Behind you, the examiner, so that the lips of the patient and the patient's nonverbal cues can be seen B) Next to the patient, so the examiner can maintain eye contact and observe the nonverbal cues of the patient C) Between you and the patient so all parties can make the necessary observations
D) In a corner of the room so as to provide minimal distraction to the interview - CORRECT
ANSWER B) next to the patient , so that the examiner can maintain eye contact and observe
non verbal cues of the patient" "A 15-year-old high school sophomore and her mother come to your clinic because the mother is concerned about her daughter's weight. You measure her daughter's height and weight and obtain a BMI of 19.5 kg/m2. Based on this information, which of the following is appropriate? A) Refer the patient to a nutritionist and a psychologist because the patient is anorexic. B) Reassure the mother that this is a normal body weight. C) Give the patient information about exercise because the patient is obese. D) Give the patient information concerning reduction of fat and cholesterol in her diet because
she is obese. - CORRECT ANSWER B) reassure the mother that this is a normal body weight
normal BMI is 18.5-24.9" "A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is 26. kg/m2. He is concerned about his weight. Based on this information, what is appropriate counsel for the patient during the visit? A) Refer the patient to a nutritionist because he is anorexic. B) Reassure the patient that he has a normal body weight. C) Give the patient information about reduction of fat, cholesterol, and calories because he is overweight.
D) Give the patient information about reduction of fat and cholesterol because he is obese. -
CORRECT ANSWER C) give the patient information about reduction of fat, cholesterol, and
calories because he is overweight overweight BMI is 25-29.9" "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? A) .5 to 1 pound per week B) 1 to 2.5 pounds per week C) 2.5 to 3.5 pounds per week
D) 3.5 to 4.5 pounds per week - CORRECT ANSWER A) .5-1 pound per week"
"A 67-year-old retired janitor comes to the clinic with his wife. She brought him in because she is concerned about his weight loss. He has a history of smoking 3 packs of cigarettes a day for 30 years, for a total of 90 pack-years. He has noticed a daily cough for the past several years, which he states is productive of sputum. He came into the clinic approximately 1 year ago, and at that time his weight was 140 pounds. Today, his weight is 110 pounds. Which one of the following questions would be the most important to ask if you suspect that he has lung cancer? A) Have you tried to force yourself to vomit after eating a meal? B) Do you have heartburn/indigestion and diarrhea? C) Do you have enough food to eat?
D) Have you tried to lose weight? - CORRECT ANSWER D) have you tried to lose weight?"
"Common or concerning symptoms to inquire about in the General Survey and vital signs include all of the following except: A) Changes in weight B) Fatigue and weakness C) Cough
D) Fever and chills - CORRECT ANSWER C) cough
done in the respiratory ROS" "You are beginning the examination of a patient. All of the following areas are important to observe as part of the General Survey except: A) Level of consciousness B) Signs of distress C) Dress, grooming, and personal hygiene
D) Blood pressure - CORRECT ANSWER D) blood pressure
BP is a vital sign"
"Mrs. Lenzo weighs herself every day with a very accurate balance-type scale. She has noticed that over the past 2 days she has gained 4 pounds. How would you best explain this? A) Attribute this to some overeating at the holidays. B) Attribute this to wearing different clothing. C) Attribute this to body fluid.
D) Attribute this to instrument inaccuracy. - CORRECT ANSWER C) attribute this to body
fluid" "Mr. Curtiss has a history of obesity, diabetes, osteoarthritis of the knees, HTN, and obstructive sleep apnea. His BMI is 43 and he has been discouraged by his difficulty in losing weight. He is also discouraged that his goal weight is 158 pounds away. What would you tell him? A) "When you get down to your goal weight, you will feel so much better." B) "Some people seem to be able to lose weight and others just can't, no matter how hard they try." C) "We are coming up with new medicines and methods to treat your conditions every day." D) "Even a weight loss of 10% can make a noticeable improvement in the problems you mention."
- CORRECT ANSWER D) even a weight loss of 10% can make a noticeable improvement in the problems you mention benefits often come with even a 10% weight loss" "Jenny is one of your favorite patients who usually shares a joke with you and is nattily dressed. Today she is dressed in old jeans, lacks makeup, and avoids eye contact. To what do you attribute these changes? A) She is lacking sleep. B) She is fatigued from work. C) She is running into financial difficulty.
D) She is depressed. - CORRECT ANSWER D) she is depressed"
"You are seeing an older patient who has not had medical care for many years. Her vital signs taken by your office staff are: T 37.2, HR 78, BP 118/92, and RR 14, and she denies pain. You notice that she has some hypertensive changes in her retinas and you find mild proteinuria on a urine test in your office. You expected the BP to be higher. She is not on any medications. What do you think is causing this BP reading, which doesn't correlate with the other findings? A) It is caused by an "auscultatory gap." B) It is caused by a cuff size error. C) It is caused by the patient's emotional state.
D) It is caused by resolution of the process which caused her retinopathy and kidney problems. -
CORRECT ANSWER A) it is caused by an "auscultatory gap"
*an unrecognized auscultatory gap may lead to serious underestimation of systolic and overestimation of diastolic"
"A 50-year-old body builder is upset by a letter of denial from his life insurance company. He is very lean but has gained 2 pounds over the past 6 months. You personally performed his health assessment and found no problems whatsoever. He says he is classified as "high risk" because of obesity. What should you do next? A) Explain that even small amounts of weight gain can classify you as obese. B) Place him on a high-protein, low-fat diet. C) Advise him to increase his aerobic exercise for calorie burning.
D) Measure his waist. - CORRECT ANSWER D) measure his waist"
"You are observing a patient with heart failure and notice that there are pauses in his breathing. On closer examination, you notice that after the pauses the patient takes progressively deeper breaths and then progressively shallower breaths, which are followed by another apneic spell. The patient is not in any distress. You make the diagnosis of: A) Ataxic (Biot's) breathing B) Cheyne-Stokes respiration C) Kussmaul's respiration
D) COPD with prolonged expiration - CORRECT ANSWER B) cheyne-stokes respiration
kussmauls -metabolic acidosis COPD respirations are regular with no apnea ataxia - irregular in rhythm and depth and see in brain injury" "Mr. Garcia comes to your office for a rash on his chest associated with a burning pain. Even a light touch causes this burning sensation to worsen. On examination, you note a rash with small blisters (vesicles) on a background of reddened skin. The rash overlies an entire rib on his right side. What type of pain is this? A) Idiopathic pain B) Neuropathic pain C) Nociceptive or somatic pain
D) Psychogenic pain - CORRECT ANSWER B) neuropathic
sounds like shingles" "Despite having high BP readings in the office, Mr. Kelly tells you that his readings at home are much lower. He checks them twice a day at the same time of day and has kept a log. How do you respond? A) You diagnose "white coat hypertension." B) You assume he is quite nervous when he comes to your office. C) You question the accuracy of his measurements.
D) You question the accuracy of your measurements. - CORRECT ANSWER C) you question
the accuracy of his measurement
