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RA & LA 1 - 6

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Health Assessment Final Quiz on RA & LA 1 - 6, created by Melanie Grynsztejn on 10/12/2017.
Melanie Grynsztejn
Quiz by Melanie Grynsztejn, updated more than 1 year ago
Melanie Grynsztejn
Created by Melanie Grynsztejn almost 7 years ago
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Resource summary

Question 1

Question
Chronic sun exposure presents a greater risk for skin cancers than intermittent sun exposure.
Answer
  • True
  • False

Question 2

Question
Skin cancer is the most common cancer in the United States
Answer
  • True
  • False

Question 3

Question
You are seeing a 10 year old child who is brought in for a rash. You examine the child and note several reddish papules on the palms and soles of the feet. What aspect of the patient history aligns with your most likely diagnosis, based on the description of the rash and its location? Select the best answer.
Answer
  • Parents report a recent camping trip.
  • Family history of thyroid disorders.
  • Family reports the child was recently bitten by a spider.
  • Child was recently treated for strep throat with amoxicillin.

Question 4

Question
You are seeing a 37 year old woman for a chief complaint of hair loss. You gently grasp about 60 hairs and pull firmly away from the scalp and observe the presence of telogen bulbs on all hairs that are pulled out. You note the __________test is ___________ and correctly recognize this as _______________.
Answer
  • Tug test, Negative, Telogen effluvium
  • Pull test, Positive, Telogen effluvium
  • Tug test, positive, anagen effluvium
  • Pull test, positive, anagen effluvium

Question 5

Question
An adult female patient presents for a chief complaint of frequent sunburns and recent development of sores in the mouth. She denies any recent changes to outdoor activities or skin protection practices, and note she never used to get sunburns. On exam, in addition to several oral ulcers, you note a malar rash. Based on this constellation of symptoms, you suspect:
Answer
  • Lupus
  • Hyperthyroidism
  • Diabetes
  • Coxsackie virus

Question 6

Question
You correctly diagnose a rash of scaly papules localized to the elbows of a patient as:
Answer
  • Psoriasis
  • Eczema
  • Pityriasis Rosea
  • Vitiligo

Question 7

Question
A patient presents to your clinic concerned about a mole on their back. You know that characteristics of skin lesions associated with melanoma are: (Select all that apply)
Answer
  • Symmetrical borders
  • Size < 6mm
  • Change in size
  • Inconsistent color patterns
  • Blurred borders
  • Irregular shape

Question 8

Question
Cherry angioma & spider angioma [blank_start]are[blank_end]
Answer
  • are vascular
  • are purpuric

Question 9

Question
Match the specific lesion below with its broader classification (vascular or purpuric). Petechial rash & ecchymosis are [blank_start]vascular[blank_end]
Answer
  • vascular
  • purpuric

Question 10

Question
Identify
Image:
Tabfig 6 13 2 (binary/octet-stream)
Answer
  • Decubitous ulcer, stage II
  • Clubbing
  • Cafe Au lait spots
  • Decubitous ulcer, Stage I

Question 11

Question
Identify
Image:
Herpes (binary/octet-stream)
Answer
  • Herpes Zoster
  • Cafe au lait spots
  • Vitiligo

Question 12

Question
Identify
Image:
Psoriasis (binary/octet-stream)
Answer
  • Psoriasis
  • Eczema

Question 13

Question
Nail pitting
Answer
  • COPD
  • Psoriasis
  • Cirrhosis
  • Trauma to nail

Question 14

Question
Transverse linear depressions of the nail plate of one nail on left hand.
Answer
  • COPD
  • Psoriasis
  • Nail pitting
  • Trauma to the nail

Question 15

Question
Nail pitting
Answer
  • COPD
  • Psoriasis
  • Cirrhosis
  • Trauma to nail

Question 16

Question
White nail plate having a ground-glass appearance, distal band is reddish and no visible lunula on all fingers.
Answer
  • COPD
  • Psoriasis
  • Cirrhosis
  • Trauma to nail

Question 17

Question
You are seeing a 27 year old non smoker for a chief complaint of a cough. They report that the cough is sometimes associated with a wheeze, worse at night, and when they are cleaning. They first noticed cough and shortness of breath when they joined the swim team at school a few months ago. They deny any dizziness, heartburn, or fever. Currently, they are asymptomatic and you auscultate clear breath sounds on exam. Based on this information alone, what is the most likely diagnosis?
Answer
  • Asthma
  • Pneumonia
  • Heart failure
  • Chronic bronchitis

Question 18

Question
You have correctly diagnosed a 64 year old patient with Chronic Obstructive Pulmonary Disease. Which of the following findings listed below would have led you to select this as your final diagnosis? Select all that apply.
Answer
  • You note a barrel-chest appearance on inspection of the chest.
  • The patient notes that they experience shortness of breath only when the seasons change and that symptoms are worse in the Spring and Fall.
  • Your patient describes progressivley worsening shortness of breath, noted to be exacerbated when walking up stairs.
  • On physical exam, you note hyperresonance to percussion.
  • The patient has a history of cigarette smoking.
  • Patient describes sudden onset of dyspnea and you note erythema of the left lower extremity.

Question 19

Question
19 year old afebrile female, presenting for chief complaint of shortness of breath before exams at school, denies cough, wheeze, heartburn is [blank_start]anxiety[blank_end]
Answer
  • anxiety
  • pneumonia
  • chronic bronchitis
  • post nasal drip

Question 20

Question
A 75 year old smoker, presenting for a productive cough for 6 months and dyspnea when walking up stairs that seems to be getting worse, denies fever, chills, weight loss or chest pain is [blank_start]chronic bronchitis[blank_end]
Answer
  • chronic bronchitis
  • anxiety
  • pneumonia
  • post nasal drip

Question 21

Question
A 55 year old woman, non smoker, presenting for a chief complaint of a productive cough, occasional sore throat worse in the morning. She notes she has a history of persistent allergies and has been out of her antihistamines for several weeks. No fever and her lungs are clear on auscultation is [blank_start]post nasal drip[blank_end]
Answer
  • post nasal drip
  • anxeity
  • pneumonia
  • chronic bronchitis

Question 22

Question
Egophany, bronchophony and whispered pectoriloquy are indications of which of the following options below?
Answer
  • normal finding
  • lung consolidation
  • rib fracture
  • increased air in the lung

Question 23

Question
Low Dose Computed Tomography is the preferred screening method for lung cancer.
Answer
  • True
  • False

Question 24

Question
You are seeing a 72 year old male patient with a long history of tobacco use, for a chief complaint of a cough. Which one of the following symptoms would be most concerning and lead you to highly suspect the possibility of a malignancy?
Answer
  • Significant unexplained weight loss.
  • History of heartburn
  • Purulent sputum production with cough and fever.
  • Dyspnea on exertion

Question 25

Question
Which patients should receive pneumococcal vaccination? Select all that apply.
Answer
  • All children under age 5, and all adults 65 years old and older
  • 27 year old with sickle cell disease
  • A 55 year old with chronic obstructive pulmonary disease.
  • A 42 year old woman with asthma.
  • A 55 year old woman taking prednisone daily for sarcoidosis.
  • A 16 year old female with a history of HPV on pap smear 2 years ago.

Question 26

Question
You are seeing a 22 year old male for a chief complaint of chest pain. On physical exam you note tenderness with palpation at the pectoral muscles and clear breath sounds. Based on these findings alone, what diagnosis can you rule out?
Answer
  • Anxiety
  • Costochondritis
  • Pectoral strain
  • Rib fracture

Question 27

Question
The best technique to distinguish pneumothorax from bronchitis when xray is not available would be:
Answer
  • Chest expansion/Lung excursion
  • Auscultation of the lungs for adventitious sounds
  • Walk test
  • Asking about a history of tobacco use

Question 28

Question
It makes no difference whether examiners listen directly on a patient's skin or over their clothing when performing auscultation of the lungs.
Answer
  • True
  • False

Question 29

Question
If a patient is poorly groomed with poor personal hygiene it is important to ignore these findings and not document this in the patient's record.
Answer
  • True
  • False

Question 30

Question
Which of the following are considered the "cardinal techniques" of the physical examination"?
Answer
  • Hand washing, Vital signs, General survey, Palpation
  • HEENT, Nervous System, Lungs, Cardiac
  • Inspection, Palpation, Percussion, Auscultation
  • None of the above

Question 31

Question
Mr. Norris is a 56 yo male and has come to clinic for a full physical. His waist circumference measures 45 inches. Which of the following is the most appropriate response?
Answer
  • Tell Mr. Norris that 45 inches is about right for a man his age and he should not be worried.
  • Tell Mr. Norris he is not at risk for heart disease because he does not have a family history.
  • Do not tell Mr. Norris his measurements.
  • Tell Mr. Norris that his waist circumference of 45 inches puts him at risk for diabetes, hypertension and cardiovascular disease.

Question 32

Question
Examining the patient from patient's right side is the standard position for the physical exam.
Answer
  • True
  • False

Question 33

Question
The nurse practitioner should never comment in their notes about a patient's appearance or odor.
Answer
  • True
  • False

Question 34

Question
A patient with a visual acuity test result of 20/15 has better vision than a patient with a visual acuity test result of 20/40.
Answer
  • True
  • False

Question 35

Question
A 57 year old post-menopausal woman presents with increasing frequency of epistaxis and bleeding gums. Which of the following medications might be contributing directly to her symptoms? Think simple here- this is not a pharmacology test.
Answer
  • Antigoagulats such as coumadin and warfarin
  • Statins for her cholesterol
  • Her antihypertensive, Lisinopril
  • The antihistamine she takes for her allergies

Question 36

Question
A patient presents to you with complaints of sudden an painful loss of vision in their left eye. Which of the conditions below would you suspect based on this description? Select all that apply.
Answer
  • Retinal detachment
  • Uveitis
  • Corneal ulcer
  • Macular degeneration

Question 37

Question
While examining an adult patient for left ear pain, you elicit ear pain when you pull on the left ear to insert your otoscope speculum. This pain causes which of the following differentials to rise to the top of your list? (Which of the options is the most likely diagnosis based on pain w pulling on the ear?)
Answer
  • Acute otitis media
  • Serous otitis
  • Otitis Externa
  • Carotid Arteritis

Question 38

Question
To diagnose acute sinusitis, which of the techniques below is most appropriate to elicit tenderness from the affected sinuses?
Answer
  • Press upward on the frontal sinuses and downward on the maxillary sinuses
  • Gently tap the frontal and maxillary sinuses using the percussive technique
  • Press upward on the frontal and maxillary sinuses
  • Apply gentle pressure to the frontal and maxillary sinuses

Question 39

Question
Your patient has been experiencing ear pain accompanied with discharge. Based on those 2 symptoms alone, which 2 of the 4 options below are the most likely considering what you know about ear conditions and ear anatomy?
Answer
  • Otitis externa
  • Acute otitis media with a perforated tympanic membrane
  • Acute otitis media with an intact tympanic membrane
  • Serous otitis

Question 40

Question
You are evaluating a patient presenting for eye pain and visual changes after being involved in a fight. You note periorbital swelling and echymosis on the right side of the face. What examination technique would best evaluate the function of the ocular muscles?
Answer
  • Pupillary response to light
  • Extraocular Movements
  • Snellen chart for visual acuity
  • Color recognition

Question 41

Question
Headache due to a brain mass or lesion symptom is [blank_start]pain with lying supine & valsalva[blank_end]
Answer
  • pain with lying supine & valsalva
  • unilateral pain
  • pain in temporal area
  • pain with valsalva and leaning forward

Question 42

Question
Tension headache is [blank_start]pain in the temporal area[blank_end]
Answer
  • pain in the temporal area
  • unilateral pain
  • pain with valsalva and leaning forward
  • pain with lying supine and valsalva

Question 43

Question
Sinus headache is [blank_start]pain with Valsalva and leaning forward[blank_end]
Answer
  • pain with Valsalva and leaning forward
  • unilateral pain
  • pain in temporal area
  • pain with lying supine and valsalva

Question 44

Question
Migraine & cluster headache [blank_start]is unilateral pain[blank_end]
Answer
  • is unilateral pain
  • pain in the temporal area
  • pain with valsalva & leaning forward
  • pain with lying supine & valsalva

Question 45

Question
You are seeing a patient for new onset headaches. Which of the following symptoms is worrisome and causes you to suspect that this may be more than a common migraine, tension or cluster headache? Select all that apply.
Answer
  • Abnormalities in cranial nerve examinatation
  • Complaint of nausea and aura accompanying headache
  • Worsened by changes in sleep patterns
  • Increasing in frequency and severity
  • Associated with fever and weight loss
  • Relieved by changes in position

Question 46

Question
On examination of a thyroid gland you detect a left sided thyroid nodule. The patient displays symptoms of hyperthyroidism so you order a thyroid scan. If your suspicions are correct, what would you expect to see on the thyroid scan results?
Answer
  • Increased uptake of radioactive iodine on the left side
  • Decreased uptake of radioactive iodine on the left side
  • A thyroid scan would not tell you anything about the activity of the thyroid, only of its size.
  • Slightly increased uptake of radioactive iodine on the right side

Question 47

Question
Mr. Smith is a 56 y.o. white male with a 40 pack year history of smoking cigarettes and he continues to smoke a pack a day. He has complaints of severe pain in his left upper calf when walking that resolves at rest. You are concerned he may have peripheral artery disease and you send him for ankle-brachial index (ABI) testing. Which of the following ABI results would indicated severe PAD?
Answer
  • Ankle-Brachial Index of 1.30
  • Ankle-Brachial Index of 0.25
  • Ankle-Brachial Index of .65
  • Ankle-Brachial Index of .75

Question 48

Question
You listen to the heart with the patient sitting upright, then have him change to a supine position, and finally have him turn onto his left side in the left lateral decubitus position. Which of the following valvular defects is best heard in this position?
Answer
  • Aortic regurgitation
  • Tricuspid stenosis
  • Mitral stenosis
  • None of the above

Question 49

Question
You are screening people at the mall as part of a health fair. The first person who comes for screening has a blood pressure of 166/100. How would you categorize this?
Answer
  • Normal
  • Pre-hypertension
  • Stage 1 hypertension
  • Stage 2 hypertension

Question 50

Question
Which of the following is true of a grade IV (four) intensity murmur?
Answer
  • It is very faint
  • It can only be found with special cardiac testing.
  • It can be heard with the stethoscope entirely off the chest.
  • It is loud with a palpable thrill.

Question 51

Question
Which of the following are part of the History of Present Illness (HPI)? Select all that apply.
Answer
  • Radiation
  • Onset
  • Immunizations
  • Aggravating factors
  • Character of pain
  • Family history
  • Treatment attempted

Question 52

Question
The lab performance feedback form is completed by your lab faculty upon completion of 6 hrs of lab and provides you with feedback concerning skills you need to work on. It indicates that you have received one-on-one instruction from your lab faculty.
Answer
  • True
  • False

Question 53

Question
Generally speaking, the Review of Systems proceeds from the very specific to the more general.
Answer
  • True
  • False

Question 54

Question
When obtaining a medical history and review of systems which interviewing techniques assist in obtaining more information from the patient? Select all that apply.
Answer
  • Facilitation
  • Reflection
  • Clarification
  • Using medical terminology
  • Telling the patient that you are embarrassed to ask the question
  • Asking leading questions
  • Telling the patient that you have only 15 minutes

Question 55

Question
When completing the medication history on a patient, it is sufficient to ask if they take any prescription drugs.
Answer
  • True
  • False

Question 56

Question
When obtaining a family history it is sufficient to ascertain whether the parents are living or deceased.
Answer
  • True
  • False

Question 57

Question
The medical history is in the correct order: Identifying information Chief complaint History of presenting illness Past medical history Family history Psychosocial history Review of systems
Answer
  • True
  • False

Question 58

Question
In a healthy patient, when you are conducting the eye exam with the opthalmoscope, which setting would you start with?
Answer
  • Wide round circle
  • Narrow slit
  • Small round circle
  • the grid

Question 59

Question
You are seeing a patient complaining of eye pain and decreased vision. You use your penlight to shine a light at an oblique angle across the eye and note a crescent-shaped shadow on the opposite side of the iris. You know this patient may be at increased risk of which disorder?
Answer
  • Hyperthyroidism
  • Narrow angle glaucoma
  • Nothing, this is always a benign finding
  • Neuroblastoma

Question 60

Question
You note a gray ring around the cornea of a 72 year old male patient. What is your diagnosis?
Answer
  • Corneal arcus, a benign finding
  • Cataract
  • Narrow angle glaucoma
  • Iritis

Question 61

Question
Acute otitis membrane is [blank_start]red, inflamed tympanic membrane[blank_end]
Answer
  • red, inflamed tympanic membrane
  • TM is retracted and appears to have bubb
  • TM is pearly gray, with sharp triangular
  • dark spot near annulus, no reflection

Question 62

Question
Healthy normal finding on ear exam is
Answer
  • TM is retracted and appears to have bubbles behind it
  • TM is pearly gray, with sharp triangular cone of light seen
  • A dark spot near the annulus, no reflection of light
  • Red, inflamed tympanic membrane

Question 63

Question
On ear exam, perforated tympanic membrane looks like
Answer
  • TM is retracted and appears to have bubbles behind it
  • TM is pearly gray, with sharp triangular cone of light seen
  • A dark spot near the annulus, no reflection of light
  • Red, inflamed tympanic membrane

Question 64

Question
Serous otitis looks like _____ on ear exam
Answer
  • TM is retracted and appears to have bubbles behind it
  • TM is pearly gray, with sharp triangular cone of light seen
  • A dark spot near the annulus, no reflection of light
  • Red, inflamed tympanic membrane

Question 65

Question
Upon inserting the nasal speculum, you can see the inferior turbinates.
Answer
  • True
  • False

Question 66

Question
inflamed vessels are generalized throughout the conjunctiva
Answer
  • jaundice
  • iritis
  • conjunctivitis
  • anemia

Question 67

Question
inflamed vessels are localized around the iris
Answer
  • jaundice
  • iritis
  • Conjunctivitis
  • Anemia

Question 68

Question
Generalized yellow hue of the conjunctiva
Answer
  • jaundice
  • iritis
  • conjunctivitis
  • anemia

Question 69

Question
Marked pallor of the conjunctiva
Answer
  • jaundice
  • iritis
  • conjunctivitis
  • anemia

Question 70

Question
When examining the thyroid gland of a 32 year old nonpregnant woman, you note generalized enlargement of the gland. This finding is consistent with which of the following conditions?
Answer
  • Thyroid nodule
  • Enlarged lymph node
  • Goiter
  • Displaced trachea

Question 71

Question
In a normal ear, the tympanic membrane is often slightly convex,
Answer
  • True
  • False

Question 72

Question
When using pneumootoscopy, a decrease in mobility of the tympanic membrane is indicative of otitis media.
Answer
  • True
  • False

Question 73

Question
You place the otoscope light source directly on the maxilla and note an orange glow on the hard palate when the patient opens their mouth. This indicates which of the following findings:
Answer
  • Bell's Palsy
  • Acute sinusitis
  • A normal finding, this is what you would expect in a healthy person
  • Deviated septum

Question 74

Question
When examining the Neck the Carotid Pulses should be palpated at the same time.
Answer
  • True
  • False

Question 75

Question
When examining the Abdomen which order of techniques is most correct?
Answer
  • Auscultation, Inspection, Percussion, Palpation
  • Palpation, Inspection, Palpation, Auscultation
  • Inspection, Auscultation, Percussion, Palpation
  • Auscultation is always last

Question 76

Question
Which of the following are best examined with the patient lying supine?
Answer
  • Heart
  • HEENT
  • Spine
  • Vital signs

Question 77

Question
The General Assessment is an overall appraisal of features not inherent to a particular organ system.
Answer
  • True
  • False

Question 78

Question
Meredith is a 63 year old woman who presents to the clinic with worsening epigastric pain. She states "I have smoked ½ ppd for 30 years. I drink a bottle of wine by myself each Friday and Saturday night." This statement belongs in which category of the SOAP note?
Answer
  • HPI
  • ROS
  • Social History
  • Plan

Question 79

Question
Following examination techniques are in the right order You note the patient is in tripod positiion You note increased vibration when placing palm of your hand over the patient's right upper lobe You note tympany over the right upper lung field You hear the sound "A" with your stethoscope when you ask the patient to say "E" over the left upper lung field
Answer
  • True
  • False

Question 80

Question
It is a concerning finding to auscultate bronchial (high-pitched) breath sounds over the trachea.
Answer
  • True
  • False

Question 81

Question
It is a concerning finding to auscultate bronchial breath sounds over the Left Lower Lobe.
Answer
  • True
  • False

Question 82

Question
You place your stethoscope on a patient's back over the area of the Right Upper Lung field and you auscultate a continuous, scratchy sound, much like the sound of walking on snow. You would note this as which of the following findings:
Answer
  • End Expiratory Wheeze
  • Pleural Friction Rub
  • Coarse crackles
  • Rales

Question 83

Question
You are seeing a patient with COPD and you want to auscultate the apices. You know that: (Select the correct choice)
Answer
  • There is never really an indication to auscultate apices, as air does not flow through apices.
  • You place your stethoscope just under the inner clavicles.
  • You place your stethoscope above the inner clavicle.
  • You must complete diaphragmatic excursion to locate the lung apices.

Question 84

Question
Which of the exam findings listed below are significant in a patient with a chronic lung condition?
Answer
  • None of these are significant
  • Clubbing of the nails
  • Bluish color around the mouth
  • Apparent drowsiness
  • Pectus excavatum

Question 85

Question
You note a pulse ox reading of 87% on a well-appearing 72 year old woman. Your next best action is which of the following below:
Answer
  • Proceed with your exam, this is a normal finding in this patient.
  • Have her take some deep breaths and recheck her pulse oxymetry reading
  • Auscultate the lungs.
  • Place her on 2 L of oxygen per nasal cannula.

Question 86

Question
Which of the following statements is/are correct about peak flow meters and peak flow monitoring? Select all that apply.
Answer
  • Peak Flow measurements have a high level of reliability and objectivity.
  • Peak flow measurements are often dependent on correct technique of the user and therefore have a lower degree of reliability and objectivity.
  • Peak flow meters measure inspiration.
  • Peak flow meters measure expiration.
  • Peak flow is useful in diagnosing pneumonia.
  • History of Pulmonary Emboli is a contraindication to Peak Flow Meter use.

Question 87

Question
You are utilizing the technique of rib excursion to assess a patient with chest pain and dyspnea. You note a unilateral decrease in excursion on the left side. Which of the following would you expect to find on chest ray? (Select the best option.)
Answer
  • Left lobar pneumonia
  • Right lobar pneumonia
  • COPD
  • Bilateral sarcoidosis

Question 88

Question
Tympany is [blank_start]air-filled area[blank_end]
Answer
  • air-filled area
  • Solid organ mass
  • Fluid or fat
  • Air-filled lung tissue (normal)
  • Hyperinflated lung tissue

Question 89

Question
Hyperresonance is [blank_start]hyperinflated lung tissue[blank_end]
Answer
  • hyperinflated lung tissue
  • Solid organ mass, such as a heart
  • Fluid or fat
  • Air-filled area (puffed out cheek)
  • Air-filled tissue (normal)

Question 90

Question
Dullness is [blank_start]solid organ mass, such as the heart[blank_end]
Answer
  • solid organ mass, such as the heart
  • fluid or fat
  • air-filled area (puffed out cheek)
  • air-filled lung tissue (normal)
  • hyperinflated lung tissue

Question 91

Question
Percussion note of flatness is [blank_start]fluid or fat[blank_end]
Answer
  • fluid or fat
  • solid organ mass, such as the heart
  • air-filed area (puffed out cheek)
  • air-filled lung tissue (normal)
  • hyperinflated lung tissue

Question 92

Question
Resonance percussion note sounds like [blank_start]air-filled lung tissue (normal)[blank_end]
Answer
  • air-filled lung tissue (normal)
  • solid oran mass, such as the heart
  • fluid or fat
  • air-filled area (puffed out cheek)
  • hyperinflated lung tissue

Question 93

Question
Paleness of the conjunctiva, skin, and nail beds reflects an absence of ______________ and is a sign of ________________.
Answer
  • Hemoglobin, Anemia
  • Melanin, Anemia
  • Melanin, Sun exposure
  • Deoxyhemoglobin, Anemia

Question 94

Question
You note a bluish color to a patient's finger and toe nails. You know that this pigmentation represents _________________ condition and is due to the presence of _____________.
Answer
  • Central Cyanosis, Deoxyhemoglobin
  • Central cyanosis, hemoglobin
  • Peripheral Cyanosis, Jaundice
  • Peripheral Cyanosis, Deoxyhemoglobin

Question 95

Question
Emotional Stress may activate the _______________ sweat glands, located in the _______________ region of the body.
Answer
  • Apocrine, Axillary and genitals
  • Eccrine, Axillary and genitals
  • Eccrine, Generalized in the skin
  • Apocrine, Generalized in the skin

Question 96

Question
You note fine, soft, unpigmented hairs on the cheeks and face of a 42 year old woman. You note this finding as _________________ hairs, a(n) _________________ finding
Answer
  • Vellus, normal
  • Terminal, normal
  • Vellus, abnormal
  • Terminal, abnormal

Question 97

Question
Assessment of the integument system involves history and physical exam of which of the following structures? Select all that applyIn
Answer
  • Inner ear
  • Bottom of feet
  • Scalp and hair
  • Nails

Question 98

Question
Skin mobility and turgor are essentially the same things.
Answer
  • True
  • False

Question 99

Question
Jaundice may be detected in which areas of the body? Select all that apply.
Answer
  • Skin
  • Lips
  • Sclera
  • Nails

Question 100

Question
When conducting a skin assessment on a patient you should not wear gloves unless you will be coming in contact with an open wound.
Answer
  • True
  • False

Question 101

Question
You are assessing the nails of an African American man and note some darker longitudinal bands on the nail. You correctly note this as an abnormal finding.
Answer
  • True
  • False

Question 102

Question
You are seeing a patient with a long history of uncontrolled COPD. What would you expect to find on examination of the nails?
Answer
  • Parallel lines of pigment on the fingernails and pale toenails.
  • A nail bed angle of less than 180 degrees.
  • A nail bed angle of greater than 180 degrees.
  • Increased hemoglobin concentration around the lips giving a red hue.

Question 103

Question
When auscultating the heart, you believe you are hearing a mitral systolic murmur and possibly an S 3 heart sound. Which of the following positions would best bring out these “left sided” sounds?
Answer
  • Have the patient fully exhale and hold the breath.
  • Listen over the apex with the bell
  • Position the patient on to the left side
  • Both B and C

Question 104

Question
If you cannot tell which tone is S1 synchronize it with the carotid pulse because S1 just barely precedes the carotid pulsation.
Answer
  • True
  • False

Question 105

Question
If a carotid bruit is auscultated which of the following is the next step in examining the patient?
Answer
  • Send the patient to the ED
  • Send the patient for an carotid arterial Doppler study
  • Auscultate the right upper sternal border for possible transmission of an aortic murmur
  • Palpate the PMI

Question 106

Question
Xiphoid process
Answer
  • Junction of the sternum & inferior costal margin
  • Area near apex
  • Junction of the hear and great vessles lies just below sternal angle
  • Tip of the left ventricle extends to the midclavicular line in about 5th interspace

Question 107

Question
Apex
Answer
  • Tip of the left ventricle extends to the midclavicular line in about 5th interspace
  • Area near the apex
  • Right sternal border 2nd intercostal space
  • Left sternal border 2nd or 3rd intercostal space

Question 108

Question
Sternal angle
Answer
  • Junction of the sternum and second rib
  • Tip of the left ventricle extends to the midclavicular line in about 5th interspace
  • Right sternal border 2nd intercostal space
  • Left sternal border 2nd or 3rd intercostal space

Question 109

Question
Mitral
Answer
  • Area near the apex
  • Junction of the heart and great vessels lies just below sternal angle
  • Left sternal border near sternum and fifth interspace
  • Tip of the left ventricle extends to the midclavicular line in about 5th interspace

Question 110

Question
The Apex
Answer
  • Tip of the left ventricle extends to the midclavicular line in about 5th interspace
  • Area near the apex
  • Junction of the heart and great vessels lies just below sternal angle
  • Junction of the sternum and second rib

Question 111

Question
Sternal Notch
Answer
  • The junction of the sternum and clavicles
  • Junction of the sternum and inferior costal margin
  • Junction of the heart and great vessels lies just below sternal angle

Question 112

Question
Aortic
Answer
  • Right sternal border 2nd intercostal space
  • Left sternal border 2nd or 3rd intercostal space
  • Area near the apex

Question 113

Question
Base of heart
Answer
  • Junction of the heart and great vessels lies just below sternal angle
  • The junction of the sternum and clavicles
  • Left sternal border near sternum and fifth interspace

Question 114

Question
Triscuspid
Answer
  • Left sternal border near sternum and fifth interspace
  • Right sternal border 2nd intercostal space
  • Area near the apex

Question 115

Question
Pulmonic
Answer
  • Area near the apex
  • Left sternal border 2nd or 3rd intercostal space
  • Left sternal border near sternum and fifth interspace

Question 116

Question
On exam, the skin of the patient’s lower extremities is pale, cool, thin, and shiny. The patient’s nails are thickened, and there is little hair growth on the extremities. From these findings which of the following is most likely to be the diagnosis?
Answer
  • Chronic arterial Insufficiency
  • Renal insufficiency
  • Deep vein thrombosis
  • Ischemic heart disease
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