FNU Physical Assessment in Health Care Final exam

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Question 1

Cerebrospinal fluid serves as a:

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Question 2

At what age should the infant begin to transfer objects from hand to hand?

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Question 3

Deep pressure tests are used mostly for patients who are experiencing:

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Question 4

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:

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Question 5

Cranial nerve XII may be assessed in an infant by:

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b. observing the infant suck and swallow.

Question 6

If a patient cannot shrug his or her shoulders against resistance, which cranial nerve (CN) requires further evaluation?

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Question 7

Ipsilateral Horner syndrome indicates a cerebrovascular accident (CVA) occurring in the:

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Question 8

A neurologic past medical history should include data about:

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Question 9

An acute polyneuropathy that commonly follows a nonspecific infection occurring 10 to 14 days earlier and that primarily affects the motor and autonomic peripheral nerves in an ascending pattern is:

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Question 10

Diabetic peripheral neuropathy will likely produce:

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Question 11

A major risk factor for arterial embolic disease is:

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Question 12

An idiopathic spasm of arterioles in the digits is termed:

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Question 13

Conduction system impairment should be suspected if an irregular heartbeat is:

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Question 14

If pitting edema is unilateral, you would suspect occlusion of a:

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Question 15

A characteristic distinguishing primary Raynaud phenomenon from secondary Raynaud phenomenon includes which of the following?

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Question 16

A venous hum heard over the internal jugular vein of a child:

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Question 17

A bounding pulse in an infant may be associated with:

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Question 18

A pulsation that is diminished to the point of being barely palpable would be graded as:

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Question 19

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:

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Question 20

A sound similar to a murmur that is heard over arteries is a:

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Question 21

A firm, transverse ridge of compressed tissue is felt bilaterally along the lower edge of a 40-year-old patient’s breast. You should:

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Question 22

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 response to this finding is to:

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Question 23

If your patient has nipple discharge, you will most likely need a:

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Question 24

A peppering of nontender, nonsuppurative Montgomery tubercles is considered to be a:

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Question 25

Contraction of breast smooth muscle results in:

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Question 26

Documentation of a breast mass location is done:

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Question 27

During pregnancy, which of the following changes normally occurs in the breasts because of the effects of luteal and placental hormones?

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Question 28

A 50-year-old woman presents as a new patient. Which finding in her personal and social history would increase her risk profile for developing breast cancer?

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Question 29

A nursing mother complains that her breasts are tender. You assess hard, shiny, and erythemic breasts bilaterally. You should advise the patient to:

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Question 30

For purposes of examination and communication of physical findings, the breast is divided into:

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Question 31

Equipment for examination of the anus, rectum, and prostate routinely includes gloves and:

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Question 32

A healthy prostate protrudes into the rectal wall a distance of _____ cm.

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Question 33

A common cause of dark green or black stools during pregnancy is:

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Question 34

In males, which surface of the prostate gland is accessible by digital examination?

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Question 35

Baby Sue is born with an imperforate anus. However, her outward anal appearance is normal. Which sign would indicate to the health care provider that she has a closed anal passageway?

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Question 36

A 70-year-old man has a prostate-specific antigen (PSA) value of 6 ng/mL and a negative digital rectal examination (DRE). These results indicate:

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Question 37

An infant with constipation and a consistently empty rectum may need evaluation for:

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Question 38

An expected anal or rectal finding late in pregnancy is the presence of:

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Question 39

A lower spinal cord lesion may be indicated by which finding?

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Question 40

Factors associated with increased risk of prostate cancer include:

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Question 41

Bimanual examination of the uterus includes:

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Question 42

A young, sexually active woman comes to the urgent care clinic complaining of suprapubic abdominal pain. She is afebrile with rebound tenderness to the right side. There is no dysuria and no vaginal discharge or odor. A pelvic examination is done. She has pain with cervical motion, and you palpate a painful mass over the left adnexal area. Your prioritized action is to:

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Question 43

A 3-year-old girl is being seen because of a foul vaginal odor. To inspect the vaginal vault, you should first:

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Question 44

Asking the woman to close the introitus during a pelvic examination is a test for:

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Question 45

A cervical polyp usually appears as a:

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Question 46

A bluish color to the cervix during pregnancy is called (the):

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Question 47

Dacron swabs are necessary when testing for which condition?

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Question 48

A mother brings her 8-year-old daughter to the clinic because the child says it hurts to urinate after she fell while riding her bicycle. On inspection, you find posterior vulvar and gross perineum bruising. These findings are consistent with:

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Question 49

A fixed uterus may indicate ______________.

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Question 50

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?

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Question 51

A third heart sound is created by:

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Question 52

A grade IV mitral regurgitation murmur would:

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Question 53

An example of a functional heart murmur is one that is caused by:

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Question 54

A lift along the left sternal border is most likely the result of:

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Question 55

A grade I or II murmur, without radiation and of medium pitch, is a common variation found in:

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Question 56

A condition that is likely to present with dizziness and syncope is:

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Question 57

An apical PMI palpated beyond the fifth intercostal space may indicate:

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Question 58

A patient you are seeing in the emergency department for chest pain is believed to be 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?

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Question 59

A split second heart sound is:

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Question 60

A palpable rushing vibration over the base of the heart at the second intercostal space is called a:

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Question 61

Baby Joe is 6 months old. He has abdominal distention and vomiting and is inconsolable. A sausage-shaped mass is palpable in his right upper quadrant. Joe’s lower quadrant feels empty, and a positive Dance sign is noted in his record. Which one of the following conditions is consistent with Baby Joe’s symptoms?

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Question 62

A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:

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Question 63

A 23-year-old man comes to the urgent care clinic with intense left flank and lower left quadrant pain. A patient response to a history of present illness questions that further supports a tentative diagnosis of renal calculi is which of the following?

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Question 64

A mother brings her 2-year-old child for you to assess. The mother feels a lump whenever she fastens the child’s diaper. Nephroblastoma is a likely diagnosis for this child when your physical examination of the abdomen reveals a(n):

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Question 65

An umbilical assessment in the newborn that is of concern is:

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Question 66

Before performing an abdominal examination, the examiner should:

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Question 67

A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:

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Question 68

Contraction of the gallbladder propels bile into the:

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Question 69

A patient presents to the emergency department after a motor vehicle accident. The patient sustained blunt trauma to the abdomen and complains of pain in the upper left quadrant that radiates to the left shoulder. Which organ is most likely injured?

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Question 70

After thorough inspection of the abdomen, the next assessment step is:

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Question 71

A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful on palpation. The left inguinal canal is without masses. The mass transilluminates with a penlight. This collection of symptoms is consistent with:

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Question 72

Expected genitalia changes that occur as men age include that:

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Question 73

A premature infant’s scrotum will appear:

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Question 74

A painless indurated lesion on the glans penis is most consistent with a _________.

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Question 75

Difficulty replacing the retracted foreskin of the penis to its normal position is called:

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Question 76

An enlarged painless testicle in an adolescent or adult male may indicate:

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Question 77

An adolescent male is being seen for acute onset of left testicular pain. The pain started 3 hours ago. He complains of nausea and denies dysuria or fever. Your priority action should be to:

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Question 78

A characteristic related to syphilis or diabetic neuropathy is testicular:

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Question 79

A cremasteric reflex should result in:

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Question 80

A finding associated with recurrent male genital herpes is:

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Question 81

A 3-year-old is brought to the clinic complaining of a painful right elbow. He is holding his right arm slightly flexed and pronated and refuses to move it. The mother states that symptoms started right after his older brother had been swinging him around by his arms. This presentation supports a diagnosis of:

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Question 82

A common finding in markedly obese patients and pregnant women is:

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Question 83

A tingling sensation radiating from the wrist to the hand on striking the median nerve is a positive _____ sign.

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Question 84

A finding that is indicative of osteoarthritis is (are):

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Question 85

A red, hot, swollen joint in a 40-year-old man should lead you to suspect:

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Question 86

A dowager hump is:

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Question 87

A positive straight leg raise test usually indicates:

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Question 88

A wheelchair-dependent older woman would most likely develop skin breakdown at:

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Question 89

A goniometer is used to assess:

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Question 90

A 7-year-old child who begins to limp and complains of persistent hip pain may have:

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Question 91

Functional assessment is most important during the examination of a(n):

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Question 92

An ophthalmoscopic eye examination involves:

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Question 93

For a routine physical examination, all the following equipment is necessary except:

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Question 94

A common method for estimating gestational age of a newborn is to assess:

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Question 95

Examination of the patient in the lithotomy, or knee-chest, position includes:

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Question 96

According to the usual examination procedure, you would first assist your patient to assume which position?

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Question 97

An examiner might be able to help a patient who seems uncomfortable with close contact during an examination by:

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b. acknowledging the discomfort.

Question 98

At your first meeting with a patient, it is usually best to say:

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Question 99

As you greet the patient, which examination technique is first implemented?

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Question 100

In crying infants, it is often difficult to:

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FNU Physical Assessment in Health Care Final exam
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