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A review of quiz questions and answers for an advanced health assessment midterm exam. It covers a wide range of topics related to health assessment, including symptoms of depression, mental status exam, pain assessment, physical examination techniques, subjective vs. Objective data, skin conditions, eye and ear anatomy and assessment, thyroid gland palpation, conjunctivitis, otitis media, oral thrush, epistaxis, dyspnea assessment, smoking cessation guidelines, percussion findings, edema assessment, chronic venous insufficiency, gastrointestinal conditions, and urinary incontinence. Detailed explanations and correct answers to multiple-choice questions, making it a valuable resource for students preparing for an exam in this subject area.
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The following information belongs in which section of the Comprehensive Heath History (H&P)? "3 day history of rash and swelling" A. History of Present Illness B. Review of Systems C. Allergies D. Chief Complaint - Correct Answer ✅D. Chief Complaint A patient with abdominal pain describes "what" the pain feels like and "how long" it lasts. In which part of the H&P would you place this information? A. History of Present Illness B. Past Medical History C. Sexual History D. Review of Systems - Correct Answer ✅A. History of present illness
Which of the following best describes the patient record? A. describes the approach to a problem B. serves a dual purpose as it reflects your anaylsis of the patient's health status and documents examination findings C. shows your clinical thought process D. reflects you interpersonal skills with the patient - Correct Answer ✅B. serves a dual purpose as it reflects your anaylsis of the patient's health status and documents examination findings The consideration of culture and ethnicity during the interview process are important because: A. similar cultures always provide similar responses B. some cultures consider certain questions and gestures offensive C. it is politically correct
C. fatigue D. social phobia - Correct Answer ✅B. generalized anxiety disorder Risk factors for fatal overdose of pain medications include all of the following except: A. age 65 or older B. depression C. arthritis D. concurrent benzodiazepine use - Correct Answer ✅C. arthritis A healthy BMI can best be described as: A. 18.5-24. B. 30.0-34.
D. 35.0-39.9 - Correct Answer ✅A. 18.5-24. The comprehensive health history: A. has a completely different format that varies with each institution B. varies from country to country C. follows the same general format regardless of the institution or geographical location D. follows the exact same format across the world, except Europe - Correct Answer ✅C. follows the same general format regardless of the institution or geographical location Which of the following is not a common symptom of depression?
A. Depression B. Dementia C. Delirium D. Schizophrenia - Correct Answer ✅C. Delirium Which technique is applied throughout the entire examination and interview process? A. Inspection B. Palpation C. Percussion D. Auscultation - Correct Answer ✅A. Inspection During a patient's pain assessment, the most important element is the patient's:
A. Sleep hygiene B. Perception of his/her own pain C. Vital signs D. Fear of addiction - Correct Answer ✅B. Perception of his/her own pain The general survey of the patient includes all of the following except: A. appearance B. tanner stage C. height D. weight - Correct Answer ✅B. tanner stage One of the main differences between a comprehensive and focused assessment is:
C. Mr D's CXR shows an infiltrate in the left lower lobe consistent with pneumonia D. Mr D is a 53 year old male who presents to the clinic complaining of shortness of breath and says "it hurts to take deep breaths." He reports this started 2 days ago and says he's been having fever and chills. - Correct Answer ✅D. Mr D is a 53 year old male who presents to the clinic complaining of shortness of breath and says "it hurts to take deep breaths." He reports this started 2 days ago and says he's been having fever and chills. All of the following are included in the Review of Systems except: A. general B. Cardiovascular C. Psychiatric D. All of the above - Correct Answer ✅D. All of the above
Which of the following is not a goal when developing a systematic sequence of examination: A. maximize the patients' comfort B. perform invasive imaging first C. avoid unnecessary changes in position D. enhance clinical efficiency - Correct Answer ✅B. perform invasive imaging first All of the following are examples of health promotion except: A. using USPSTF guidelines for practice during the exam B. using American College of Chest Physicians grading criteria during the exam C. removing baby aspirin 81 mg from the medication list of a patient with know coronary artery disease during the exam
Which of the following is not one of the seven attributes of a symptom: A. location B. quality C. timing D. immunization status - Correct Answer ✅D. immunization status All of the following are examples of empathic responses except: A. "I cannot imagine how hard this must be for you" B. "I think you need a psych consult immediately" C. "You must be feeling sad" D. "That sounds upsetting" - Correct Answer ✅B. "I think you need a psych consult immediately"
Which of the following are components of the three dimensions of cultural humility: A. self-awareness B. respectful communication C. collaborative partnership D. all of the above - Correct Answer ✅D. all of the above When performing the general survey which of the following is not considered a sign of distress: A. pain B. labored breathing C. large mole on forehead D. anxiety - Correct Answer ✅C. large mole on forehead
A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E = evolution - Correct Answer ✅A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back. Based on this description, what is the most likely diagnosis? Tinea versicolor Pityriasis rosea
Psoriasis Atopic eczema - Correct Answer ✅Pityriasis rosea A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on his back with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He does sweat more than before because being outdoors is part of his job. On physical examination, you note dark tan patches with a reddish cast that has sharp borders and fine scales, scattered more prominently around the upper back, chest, neck, and upper arms as well as under the arms. Based on this description, what is your most likely diagnosis? Tinea versicolor
Angiomas - Correct Answer ✅Actinic keratoses A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on this description, what is your most likely diagnosis? Seborrheic keratosis Actinic keratosis Basal cell carcinoma
Squamous cell carcinoma - Correct Answer ✅Actinic keratosis Which type of lesion often grows out of already present nevi that are changing or atypical, especially if the patient is over 50 years old: malignant melanoma basal cell carcinoma squamous cell carcinoma