NURS 6512 Advanced Health Assessment Midterm Review of Quiz 120 Questions and Correct Answers Guaranteed A+ A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the left eye. It started this morning. He denies any trauma or injury. There is no visual disturbance. Upon physical examination, there is a red raised area at the margin of the eyelid that is tender to palpation; no tearing occurs with palpation of the lesion. Based on this description, what is the most likely diagnosis?
Dacryocystitis
Chalazion
Hordeolum
Xanthelasma - Correct Answer Hordeolum
A 19-year-old college student, Todd, is brought to your clinic by his mother. She is concerned that there is something seriously wrong with him. She states for the past 6 months his behavior has become peculiar and he has flunked out of college. Todd denies any recent illness or injuries. His past medical history is remarkable only for a broken foot. His parents are both healthy. He has a paternal uncle who had similar symptoms in college. The patient admits to smoking cigarettes and drinking alcohol. He also admits to marijuana use but none in the last week. He denies using any other substances. He denies any feelings of depression or anxiety. While speaking with Todd and his mother you do a complete physical examination, which is essentially normal.When you question him on how he is feeling, he says that he is very worried that Microsoft has stolen his software for creating a better browser. He tells you he has seen a black van in his neighborhood at night and he is sure that it is full of computer tech workers stealing his work through special gamma waves. You ask him why he believes they are trying to steal his programs. He replies that the techniciCorrect Answer have been telepathing their intents directly into his head. He says he hears these conversations at night so he knows this is happening. Todd's mother then tells you, "See, I told you . . . he's crazy. What do I do about it?"
While arranging for a psychiatry consult, what psychotic disorder do you think Todd has?
This is normal teenaged behavior
- / 4
Psychotic disorder due to a medical illness
Substance-induced psychotic disorder
Schizophrenia - Correct Answer Schizophrenia
A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on his back with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He does sweat more than before because being outdoors is part of his job.On physical examination, you note dark tan patches with a reddish cast that has sharp borders and fine scales, scattered more prominently around the upper back, chest, neck, and upper arms as well as under the arms. Based on this description, what is your most likely diagnosis?
Tinea versicolor
Pityriasis rosea
Psoriasis
Atopic eczema - Correct Answer Tinea versicolor
A 21-year-old college senior presents to your clinic, complaining of shortness of breath and a nonproductive nocturnal cough. She states she used to feel this way with extreme exercise a few years ago and used to have to use some kind of inhaler 20 minutes before exercise. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her past medical history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is otherwise on no other medications. She has had no surgeries. Her mother has allergies and eczema and her father has high blood pressure. She is an only child. She denies smoking and illegal drug use but drinks three to four alcoholic beverages per weekend.She is a junior in finance at a local university and she has recently started a job as a bartender in town. On examination she is in no acute distress and her temperature is
98.6. Her blood pressure is 120/80, her pulse is 80, and her respirations are 20. Her
head, eyes, ears, nose, and throat examinations are essentially unremarkable.Inspection of her anterior and posterior chest shows no abnormalities. On auscultation of her chest, there is decreased air movement and a high-pitched whistling on expiration in all lobes. Percussion reveals resonant lungs.
- / 4
Which disorder of the thorax or lung does this best describe?
Spontaneous pneumothorax
Chronic obstructive pulmonary disease (COPD)
Asthma
Pneumonia - Correct Answer Asthma
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part of your physical examination, you listen to her heart and hear a murmur only at the cardiac apex. Which valve is most likely to be involved, based on the location of the murmur?
Mitral
Tricuspid
Aortic
Pulmonic - Correct Answer Mitral
A 27-year-old policewoman comes to your clinic, complaining of severe left-sided back pain radiating down into her groin. It began in the middle of the night and woke her up suddenly. It hurts in her bladder to urinate but she has no burning on the outside. She has had no frequency or urgency with urination but she has seen blood in her urine.She has had nausea with the pain but no vomiting or fever. She denies any other recent illness or injuries. Her past medical history is unremarkable. She denies tobacco or drug use and drinks alcohol rarely. Her mother has high blood pressure and her father is healthy. On examination she looks her stated age and is in obvious pain. She is lying on her left side trying to remain very still. Her cardiac, pulmonary, and abdominal examinations are unremarkable. She has tenderness just inferior to the left costovertebral angle. Her urine pregnancy test is negative and her urine analysis shows red blood cells.
What type of urinary tract pain is she most likely to have?
- / 4
pain from the cervix
ureteral pain from a stone
musculoskeletal pain
ischemic bowel pain - Correct Answer ureteral pain from a stone
A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back. Based on this description, what is the most likely diagnosis?
Tinea versicolor
Pityriasis rosea
Psoriasis
Atopic eczema - Correct Answer Pityriasis rosea
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the right eyeball appears to be protruding forward. Based on this description, what is the most likely diagnosis?
Ptosis
Ectropion
Epicanthus
Exophthalmos - Correct Answer Exophthalmos
A 32-year-old white female comes to your clinic, complaining of overwhelming sadness.She says for the past 2 months she has had crying episodes, difficulty sleeping, and
- / 4