6512Final exam 1 graded A+ questions and answers

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1. Examination of the patient in the lithotomy, or knee-chest, position includes: The examiner can inspect the external and internal female genitalia and perform rectal examination to assess and pa... lpate anal sphincter tone 2. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:One arm over her head and a pillow under her shoulder. 3. An apical PMI palpated beyond the left fifth intercostal space may indicate: left ventricular hypertrophy. 4. Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:ammonia-like suggests uremia, a renal condition; cinnamon- tuberculosis; musty fish or clover hepatic -failure; sweet and fruity - diabetic ketoacidosis; and foul or feculent- intestinal obstruction. 5. Which cranial nerves are usually evaluated during the examination of the eyes?III Oculomotor Motor, IV Trochlear, VI Abducens. 6. Loss of immediate and recent memory with retention of remote memory suggests:Dementia 7. Recent unilateral inversion of a previously everted nipple suggests:Cancer 8. A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is:Hockey or diving. 6512 Final Exam 1 9. You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the:Fingertips. 10. A red, hot swollen joint in a 40-year-old man should lead you to suspect:Gout 11. Normal changes of the aging brain include:Diminished touch and pain 12. An examiner has rotated a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type of specimen requires this technique for collection?Cytology Smear 13. During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings:Are usual conditions during a pregnancy. 14. You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of arterial occlusion? An individual or a patient with peripheral artery disease of claudication will have thin skin with localized pallor and cyanosis, a loss of body warmth in the affected area and loss of hair over the extremities. 15. The Mini-Mental State Examination should be administered for the patient who:Getting lost in familiar territory is a sign of possible cognitive impairment. 16. The physical assessment technique most frequently used to assess joint symmetry is:Inspection 17. Throughout the history and physical examination, the clinician should:The clinician should evaluate the whole patient including physical, emotional and social needs. 18. Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:Older adults 19. The foramen ovale should close:At birth when the lungs become functional. 20. Palpation of a normal prostate in an older adult is likely to feel:Rubbery 21. You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of:Schizophrenia 22. While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:Alcohol, tobacco and caffeine. 23. The Mini-Mental State Examination:estimate cognitive changes quantitatively. 24. Postural hypotension is defined as a when the patient stands, compared with sitting or supine readings.Blood pressure dropped more than 20 mm Hg in systolicand more than 10 mm Hg in diastolic. 25. You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive:Romberg Sign 26. The reliability of health-related findings and observations is the responsibility of the:professional and patient. 27. When you attempt to move a 10-month-old child from his mother's lap to the examination table, he screams loudly. Your best action is to:Perform the examination while the child is in the mother’s lap. 28. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: Inquire about previous penile infections. 29. For purposes of examination and communication of physical findings, the breast is divided into:Four quadrants plus a tail 30. While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should:Note the finding in the patient’s chart. 31. When is the mental status portion of the neurologic system examination performed? Continually throughout the entire interaction with the patient. 32. You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with:Fibrocystic changes. 33. At your first meeting with a patient, it is usually best to say:Take your time and ask open ended questions to ensure that the patient has the opportunity to report accurate. 34. A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following?What age what was your father at the time of his death. 35. A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to:Suggest a pregnancy test. 36. Temporalis and masseter muscles are evaluated by:Having the patient clench his or her teeth. 37. Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by:auscultating lung bases Because the patient has consolidation and has been recumbent and fatigued, the most appropriate first step is to listen to the lung bases before the patient gets exhausted. The lung bases would be the most likely sites for adventitious sounds 38. A grade IV mitral regurgitation murmur would: radiate to the axilla (radiates from the apex to base or to left axilla). 39. To hear diastolic heart sounds, you should ask patients to:lie on their left side. 40. Assessing orientation to person, place, and time helps determine:state of consciousness. 41. Your patient's chief complaint is repeated pencil-like stools. Further examination should include:a digital rectal exam. 42. Which one of the following is a proper technique for use of a speculum during a vaginal examination?Press the introitus downward, insert the closed speculum obliquely. 43. If your patient has nipple discharge, you will most likely need a:glass slide and a fixative. 44. Cranial nerve XII may be assessed in an infant by:Observing the infant suck and swallow. 45. The difference in blood pressure readings between the right and the left arms is considered normal up to mm Hg.By as much as 10 mm Hg and seems to be higher in the right arm. 46. During chest assessment, you note the patient's voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e's sound like a’s. This sound is indicative of:lung consolidation. 47. Kawasaki disease is suspected when assessments of a child reveal:conjunctival injection, strawberry tongue, and edema of the hands and feet. 48. The Denver II is a tool used to determine:whether the child is developing fine and gross motor, language, personal, and social skills as expected according to the .child’s age 49. Montgomery tubercles are most prominent in the breasts of:pregnant women 50. Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:P wave. 51. Which of the following statements is true regarding the examination of peripheral arteries? The pulses are most readily felt over arteries that lie over bones. 52. When palpating breast tissue, the examiner should use the at each site.Finger pads. 53. A common finding in markedly obese and pregnant women is:Lordosis 54. Inspection of the scrotum should reveal:The left scrotal sac is lower than the right. 55. When conducting a geriatric assessment, basic activities of daily living (ADLs) include:Basic ADL’s include bathing, dressing, toileting, ambulating and feeding. 56. A patient in the deepest coma would be scored a on the Glasgow Coma Scale.3 57. If pitting edema is unilateral, you would suspect occlusion of a:major vein 58. In the adult, the apical impulse should be most visible when the patient is in what position?Upright. 59. A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with:hydrocele 60. You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her?Cervical radiographs 61. Anterior cruciate ligament integrity is assessed via the_Lachmanstest. 62. The strength of the trapezius muscle is evaluated by having the patient:push her head against the examiner’s hand. 63. It is especially important to test for ankle clonus if:deep tendon reflexes are hyperactive. 64. Diabetic peripheral neuropathy will likely produce:decreased pain sensation 65. To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? patellar 66. Breath sounds normally heard over the trachea are called:bronchial 67. Tarry black stool should make you suspect:upper gastrointestinal bleed 68. The checkout station for pre-participation physical evaluation (PPE) is critical because at this point:plan follow ups 69. Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Nancy, apart from occasional colds, Nancy is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Nancy's current problem?Cocaine 70. The best way to ease the apprehension of a 3-year-old child before a physical examination is to: let him hold the stethoscope during the exam 71. To assess a cremasteric reflex, the examiner strokes the: lightly stroking the inner thigh 72. The goals of pre-participation sports evaluation include:determining the risk of injury or death during sports participation. 73. Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her:menstrual cycles 74. One of the most important aspects to consider in the orthopedic screening examination is:symmetry 75. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN), requires further evaluation?XI 76. While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John's wort. You make a short note to check for results of the:MMSE 77. Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: duck walking. 78. Which one of the following techniques is used to detect a torn meniscus?McMurray 79. Which medical condition would exclude a person from sports participation?fever 80. The musculoskeletal examination should begin when:the patient enters the examination room 81. The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:QRS 82. The examiner percusses for diaphragmatic excursion along the:scapular line 83. Functional assessment is most important during the examination of a(n): 84. You are conducting an examination of Mr. Curtis's heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is: moderately loud 85. When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the sign. 86. Bimanual examination of the uterus includes: using two hands and external and internal exam? 87. The finger-to-nose test allows assessment of:coordination and find motor skills. 88. A pulsation that is diminished to the point of being barely palpable would be graded as:1 89. As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as: cerebellar ataxia 90. In the most effective percussion technique of the posterior lung fields, the patient cooperates by:crossing arms in front 91. When assessing superficial pain, touch, vibration, and position perceptions, you are testing:sensory 92. Which portion of the physical examination is best done with the patient standing? Spinal 93. Ulnar deviation and boutonniere deformities are characteristic of: Rheumatoid arthritis 94. The family history for a patient with joint pain should include information about siblings with:genetic disorders 95. When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:Presence and form of body parts. 96. A positive straight leg raise test usually indicates:Nerve root irritation (L4L5 S1) 97. You are assessing Mr. Z.'s fluid volume status as a result of heart failure. If your finger depresses a patient's edematous ankle to a depth of 6 mm, you should record this pitting as:4+ 98. An idiopathic spasm of arterioles in the digits is termed:Raynaud’s 99. Nerves that arise from the brain rather than the spinal cord are called:cranial 100.A cervical polyp usually appears as a:bright red, soft protrusion from the endocervical canal. [Show More]

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