NGR 5056 Advanced Health Assessment 2024- 2025 Questions and Verified Correct Answers Guaranteed A+
- y/o presents to your office with blood pressures different in the arms and legs,
cyanosis, and diminished pulses. What congenital disorder is this? - CORRECT
ANSWER: Coarctation of the aorta
- y/o female presents to your office with an ear ache. Parents tell you she has been
cranky and pulling at her ear in pain. On physical exam you see bulging and redness of
the tympanic membrane. What is the treatment? - CORRECT ANSWER: Otitis media -
Amoxicillin Augmentin if this has happened before
If PCN allergy - erythromycin
- y/o male presents to your ER with "shortness of breath." Patient is leaning forward
trying to breathe. He has inspiratory stridor, a muffled voice, and is drooling. What is it?
What don't you want to do? - CORRECT ANSWER: Epiglottitis
Do not put anything in the mouth, could cause spasm and block the airway, this is a medical emergency
- y/o male presents to your office with a rash above the lips and round the nose. Mom
tells you it used to be a bunch of little "boils" but now it looks to you as if it crusted over like a honey-colored plaque. What is the likely diagnosis? What bacteria is likely the
source? - CORRECT ANSWER: Impetigo
Staph aureus or group A strep
- y/o male patient presents to your office with a bad high pitched intractable cough,
along with nasal congestion, fever, and vomiting lasting for over a month. What is high
on your differential? - CORRECT ANSWER: Pertussis
21 y/o male patient presents to your office with a red swollen ear. You do an ear exam and see purulent drainage. What do you suspect? What may the cause be? How do you
want to treat it? - CORRECT ANSWER: Otitis externa
Usually staph or pseudomonas
Patient may be a surfer or swimmer
Keep the ear dry + cortisporin drops (neomycin + steroid)
- / 4
24 y/o female presents to your office with "blue fingers." She tells you that when she goes out in the cold her fingers rapidly change color and turn "red, white, and blue," bilaterally. They also burn. She has no other medical history and physical exam is
normal. What is this? - CORRECT ANSWER: Raynaud's Syndrome
42 y/o female presents to your office for a well visit. She tells you that her sister was just diagnosed with a "thyroid problem" and she wants to know if she could have it to.What questions do you want to ask her to develop her history of present illness? -
CORRECT ANSWER: Neck swelling?
Changes in hair, skin, nails?Changes in mood or emotional stability?Palpitations?Changes in mensuration?Changes in bowel habits?Changes in temperature preference?
46 y/o male presents to your office complaining of a headache. He says it comes and goes for a few weeks once every year. They feel like an "ice pick" stabbing him in the pack of his eye and last for about 15 minutes, sometimes waking him up from sleep.
What is the diagnosis? What is the first line for treatment? - CORRECT ANSWER:
Cluster headache
Oxygen therapy
50 y/o overweight female presents to your office complaining that her husband complains she snores very loud. She says in the morning she feels tired still and sometimes she wakes herself up in the middle of the night gasping. What is the probably diagnosis? How do you confirm it? What do you suggest for treatment? -
CORRECT ANSWER: Obstructive sleep apnea
Confirm with polysomnogram (sleep study)
Suggest weight loss, smoking cessation, CPAP, possibly uvelectomy
51 y/o male presents to you office for a new onset HTN follow up. His blood pressure is 132/74 on his medications. He tells you he feels great but he thinks he might be getting a cold because he can't stop coughing. What are you thinking? What do you want to do
about it? - CORRECT ANSWER: Possibly bradykinin cough from ACEi
If it's really bothering him you can switch to an ARB
A 7 y/o boy presents to your office having recently been treated for strep throat. He now has a fine sandpaper rash covering his entire body and a strawberry red tongue.
What is this? - CORRECT ANSWER: Scarlet fever
- / 4
Aniscoria is unequal pupil size by how much? Is this normal? - CORRECT ANSWER: > 0.5 mm
It can be normal
Arterial versus venous pressure ulcers? - CORRECT ANSWER: Arterial = painful,
minimal drainage, smooth, occur at pressure areas like toes, LATERAL ankle
Venous = painless, irregular bleeding, occur at lower legs or MEDIAL ankle
Bulla - CORRECT ANSWER: a large blister that is usually more than 0.5 cm in
diameter
Capillary hemangioma - CORRECT ANSWER:
Cherry angioma - CORRECT ANSWER:
Compare your physical exam for a patient with pneumonia, pleural effusion, and
pneumothorax. - CORRECT ANSWER: Pneumonia =
dull percussion increased fremitus bronchial breath sounds positive egophony
Pleural effusion = dull percussion decreased fremitus decreased breath sounds
Pneumothorax = hyperresonant percussion decreased fremitus decreased breath sounds
Cyst - CORRECT ANSWER: sac containing fluid
Define an innocent murmur. What are some examples? - CORRECT ANSWER: Heard
between the left sternal border and apex and disappears when the client sits, indicates turbulent blood across the aorta and indicates structural problems without symptoms
Venous hum = heard above the clavicles
Mammary souffle - high-pitched continuous flow over the base of heart during pregnancy
- / 4
Define conductive hearing loss. What are some possible causes? - CORRECT ANSWER: Interference with the conduction of sound waves through the external and middle ear.
Cerumen, foreign body, infection, etc
Define leukonychia punctata - CORRECT ANSWER: White spots on the nail that form
from injury
Define onycholysis - CORRECT ANSWER: Separation of the nail plate from the
underlying and lateral supporting structures.Nails are firm, smooth and without inflammation.
Define prebycusis - CORRECT ANSWER: Loss of hair cells at the base of the basilar membrane resulting in the loss of the ability to hear high-pitch sound.
Most common type of age-related hearing loss (after 50)
Define primary versus secondary skin lesions. - CORRECT ANSWER: Primary - initial spontaneous manifestations of a pathologic process
Secondary - result from later evolution or external trauma to a primary lesion
Define sensorineural hearing loss. What are some possible causes? - CORRECT
ANSWER: Hearing loss caused by damage to the cochlea's receptor cells or to the
auditory nerves; also called nerve deafness
Nerve damage, brain damage, etc
Describe bronchial breath sounds - CORRECT ANSWER: High pitch, loud
Harsh and hollow Inspiration < expiration
Normal over the trachea
Describe bronchovesicular breath sounds - CORRECT ANSWER: Moderate pitch
Inspiration = expiration
Normal posterior between scapulae and anterior over upper sternum
Describe fetal thyroid functioning. What does a large thyroid in a pregnant woman
usually indicate? - CORRECT ANSWER: The fetal thyroid doesn't become functional
until the second trimester so the mother supplies the thyroid hormone. An enlarged thyroid means that mom probably isn't getting enough iodine
- / 4