Realize the cultural values are difficult to change and must be respected 65. Which of the following is an “ABCD” characteristic of malignant melanoma? Asymmetric borders ABCD melanoma mnemonic: A symmetry, B orders that are irregular, C olor that is not the same all over, and D iameter larger than 6 mm and growing. 66. Tracheal tug suggests the presence of a(n)? Aortic aneurysm (aortic arch) 67. A patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least likely to be associated with this condition early in its course? Positive psoas sign Positive McBurney sign History of periumbilical pain Rebound tenderness Obturator muscle test Psoas sign, McBurney point pain, rebound tenderness, and periumbilical pain that migrates to the right lower quadrant are signs of appendicitis. Conditions that cause irritation of the obturator muscle are later findings
usually associated with a ruptured appendix or pelvic abscess. 68. The review of systems is a component of the: Personal and social history 69. Cherry angiomas are a common finding in: Adults older than 30 years 70. Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted: with illumination provided by daylight. 71. To correctly document absent bowel sounds, one must listen continuously for: 5 minutes 72. The adult recommended dietary fat intake should be ____g/day. 20 to 35 73. Mr. Jones is a 45-year-old patient who presents for a physical examination. On examination, you note costochondral beading, enlarged skull, and bowed legs and diagnose him with rickets. A deficiency of which fat-soluble micronutrient can result in rickets? Vitamin D 74. A flat, non-palpable lesion is described as a macule if the diameter is: Less than 1 cm - and is measurable (Ex. Measles) 75. Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient? Fat 76. Which of the following organs is part of the alimentary tract? continuous tract from the mouth to the esophagus, stomach, small intestine, large intestine, and anus 77. Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care health care provider. Which of the following describes a physical, not a cultural, differentiator? Race 78. To approximate vocal frequencies, which tuning fork should be used to assess hearing? 500 to 1000 Hz 79. During percussion, a dull tone is expected to be heard over: The liver (more dense area) 80. The attitudes of the health care professional: Culturally derived/ are largely irrelevant to the success of relationships with the patient 81. When recording physical findings, which data are recorded first for all systems?
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- Summer '15
- Physical examination