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.
- Summer '15
- Physical examination, Colonoscopy, Nancy Walker, Final Exam With Answers