ADVANCED HEALTH ASSESSMENT QUIZ #1 ACTUAL EXAM
100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |AGRADE
The practitioner is conducting an ophthalmoscopic exam and knows that all the
following steps are correct except:
Answers:
A. Using the practitioner’s right eye to examine the patient’s right eye
B. Using the round beam of white light
C. Moving in with the ophthalmoscope at a 15 degree angle
D. Starting the examination with the lens disc at 10 diopters – ANSWER- D.
Starting the examination with the lens disc at 10 diopters
A college student presents with a sore throat, fever and fatigue for two days. The
practitioner does a careful lymphatic examination and notices some scattered
small, mobile lymph nodes just behind her sternocleidomastoid muscles bilaterally.
What group of nodes are being palpated?
Answers:
A. Submandibular
B. Tonsillar
C. Occipital
D. Posterior cervical – ANSWER- D. Posterior cervical
Which would produce a hyperresonant percussion note?
Answers:
a. Empyema
b. Lobar pneumonia
c. Chronic obstructive pulmonary disease (COPD)
d. Pleural effusion – ANSWER- c. Chronic obstructive pulmonary disease (COPD)
A 21-year-old college senior complains of shortness of breath and a nonproductive, nocturnal cough. She used to feel this way only with extreme exercise,
but lately she has felt this way continuously. On ausculation of her chest, there is
decreased air movement and wheezing on expiration in all lobes. Which disorder
of the thorax or lung is described?
Answers:
a. Chronic obstructive pulmonary disease
b. Spontaneous pneumothorax
c. Asthma
d. Pneumonia – ANSWER- c. Asthma
A 47 year-old receptionist complains of fever, shortness of breath and a productive
cough with yellow sputum. She looks ill and her temperature is 101. On
auscultation she has decreased air movement, and coarse crackles are heard over
the left lower lobe. There is dullness on percussion, increased fremitus during
palpation, and egophony on auscultation. Which disorder of the thorax or lungs is
described here?
Answers:
a. Spontaneous pneumothorax
b. Chronic obstructive pulmonary disease
c. Pneumonia
d. Asthma – ANSWER- c. Pneumonia
Which lung sound possesses the characteristics of being louder and higher in pitch,
with a short silence between inspiration and expiration, and with expiration being
longer than inspiration?
Answers:
a. Vesicular
b. Bronchovesicular
c. Bronchial
d. Tracheal – ANSWER- c. Bronchial
The breath sounds typically heard throughout most of the lung fields are:
Answers:
a. Vesicular
b. Bronchovesicular
c. Bronchial
d. Tracheal – ANSWER- a. Vesicular
What is the best way to accentuate the murmur of aortic regurgitation?
Answers:
a. Have the patient sit leaning forward and exhale
b. Place the bell on the apical impulse and turn the patient to the left lateral
position
c. Have the patient stand and perform a valsalva maneuver.
d. Have the patient squat. – ANSWER- a. Have the patient sit leaning forward and
exhale
Which occurs at the start of diastole?
Answers:
ADVANCED HEALTH ASSESSMENT QUIZ #2 ACTUAL EXAM
100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |AGRADE
All of the following symptoms associated with chest pain are likely to
represent CAD except? – ANSWER- pain with inspiration
60 yo landscaper presents to your office to establish care, history of CHF
controlled with medications. Denies cp, edema. Early diastolic ? with
opening snap _. You suspect? – ANSWER- Mitral stenosis
A patient states that she has had a rash on her breast for about 2 weeks.
In order to determine if it is pagets disease you would expect to have all
of the following on physical exam EXCEPT – ANSWER- inverted
nipple
You notice a medium-pitched harsh systolic murmur during a routine
exam or R upper border of the sternum. Which of the following is most
likely? – ANSWER- Aortic stenosis
Which of the following statements in NOT typical of the murmur it is
describing? – ANSWER- Grade II/Grade VI murmur is associated with a
thrill?
A 58 yo dentist presents for routine check up. He has been healthy. Non
smoker, does not drink alcohol. You hear a moderately loud murmur, no
palpable thrill. What is the appropriate grade for this murmur? –
ANSWER- Grade 3
57 yo college professor is hospitalized for SOB. As you examine her in
ER, JVP of 45 degrees 8 cm above the clavicle. finding is most
consistent with which of the following diagnoses? – ANSWER- Right
sided heart failure
What technique should be used to best auscultate the 2nd heart sounds? –
ANSWER- Diaphragm of the stethoscope at 2nd intercostal space at the
base of the heart
You hear a split s2 on auscultation of a 25 yo client. What is your best
action? – ANSWER- Tell them to hold their breath and repeat
The client has been told he has a heart murmur. He asks you what this
means. You explain – ANSWER- It is the rushing sound blood makes
moving through narrow places. Some are harmless and others indicate
problems
Where would you expect to hear best an abnormal sound with mitral
valve insufficiency? – ANSWER- 5th ICS at MCL