Final Assess Physical Exam Chpt 24

25 July 2022
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question
____ 1. Which of the following is true regarding the relationship between the examiner and the patient?
answer
The patient is a full partner with the examiner.
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____ 2. An examiner might be able to help a patient who seems uncomfortable with close contact during an examination by
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acknowledging the discomfort.
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____ 3. At your first meeting with a patient, it is usually best to say
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"Tell me about yourself."
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____ 4. Which one of the following patient characteristics is most likely to limit patient reliability during history taking?
answer
The patient's sensory deprivation
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____ 5. Which of the following is most likely to enhance examiner reliability?
answer
The examiner seeks confirmation from others when necessary.
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____ 6. The reliability of health-related findings and observations is the responsibility of the
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professional and the patient.
question
____ 7. Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?
answer
No test has 100% sensitivity and specificity.
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____ 8. As you greet the patient, which examination technique is first implemented?
answer
Inspection
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____ 9. Which of the following data are not part of your general inspection?
answer
Sinus tenderness
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____ 10. The sequence of the physical examination should be individualized to
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minimize the number of times that the patient must change positions.
question
____ 11. According to the usual examination procedure, you would first assist your patient to assume which position?
answer
Sitting
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____ 12. An ophthalmoscopic eye examination involves
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lens inspection.
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____ 13. The cranial nerves are usually assessed while the patient is in which position?
answer
Sitting
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____ 14. Which of the following are examined with the patient in a reclining 45-degree position?
answer
Jugular venous pulsation and pressure
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____ 15. Which patient position facilitates inspection of the chest and shoulders?
answer
Sitting
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____ 16. When assessing the abdomen, one needs to expose the patient
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from the pubis to the epigastrium.
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____ 17. To inspect the abdominal muscles, ask the
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supine patient to raise the head.
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____ 18. Proprioception should be assessed while the patient is
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standing.
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____ 19. Examination of the patient in the lithotomy, or knee-chest, position includes
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palpation of anal sphincter tone.
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____ 20. Which portion of the physical examination is best done with the patient standing?
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Spinal
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____ 21. The greatest risk for potential health problems occurs in which age group?
answer
Newborn
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____ 22. A common method of estimating gestational age of a newborn is to assess
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creases on the sole of the foot.
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____ 23. To promote your examination time with a cooperative child, your approach to the examination should be to
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conduct the physical examination on the child while the parent is holding the child.
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____ 24. When conveying "bad" or distasteful news to the patient and family, it is best to
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be specific in all details.
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____ 25. The examination of a newborn should begin with
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inspection.
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____ 26. The best way to ease the apprehension of a 3-year-old child before a physical examination is to
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encourage child's participation.
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____ 27. In crying infants, it is often difficult to
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auscultate heart sounds.
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____ 28. When you attempt to move a 10-month-old child from his mother's lap to the examination table, he screams loudly. Your best action is to
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perform the examination while the child is in the mother's lap.
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____ 29. Observation of the child playing in the playroom provides information about which two systems?
answer
Neurologic and musculoskeletal
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____ 30. When conducting a geriatric assessment, basic activities of daily living (ADLs) include
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bathing.
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____ 31. Functional assessment is most important during the examination of a(n)
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older adult.
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____ 32. Throughout the history and physical examination, the clinician should
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evaluate the whole patient.
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____ 33. Which of the following is not assessed in a newborn's Apgar score?
answer
Pupil reactivity
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____ 2. Which one of the following examiner behaviors would help minimize your patient's dissatisfaction?
answer
Seek information about the patient's problem.
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____ 3. An examiner might be able to help a patient who seems uncomfortable with close contact during an examination by:
answer
acknowledging the discomfort.
question
____ 4. When performing a history and physical assessment, the examiner should:
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develop a sequence of standard observations.
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____ 5. The examiner should develop a demeanor that is exemplified by which one of the following behaviors?
answer
Validates the patient's justified concerns
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____ 6. At your first meeting with a patient, it is usually best to say:
answer
"Tell me about yourself."
question
____ 7. Which one of the following patient characteristics is most likely to limit patient reliability during history taking?
answer
The patient is sleep- and sensory-deprived.
question
____ 8. Which of the following is most likely to enhance examiner reliability?
answer
The examiner attempts to qualify data.
question
____ 9. The reliability of health-related findings and observations is the responsibility of the:
answer
professional and the patient.
question
____ 10. Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?
answer
No test has 100% sensitivity and specificity.
question
____ 11. As you greet the patient, which examination technique is first implemented?
answer
Inspection
question
____ 12. Which of the following data are not part of your general inspection?
answer
Sinus tenderness
question
____ 13. The sequence of the physical examination should be individualized to:
answer
minimize the number of times that the patient must change positions.
question
____ 14. According to the usual examination procedure, you would first assist your patient to assume which position?
answer
Sitting
question
____ 15. An ophthalmoscopic eye examination involves:
answer
lens inspection.
question
____ 16. Palpation of the epitrochlear nodes is part of the:
answer
examination of the upper extremities.
question
____ 17. Which of the following are examined with the patient in a reclining 45-degree position?
answer
Jugular venous pulsation and pressure
question
____ 18. Which patient position facilitates inspection of the chest and shoulders?
answer
Sitting
question
____ 19. When assessing the abdomen, the examiner needs to expose the patient:
answer
from the pubis to the epigastrium.
question
____ 20. To inspect the abdominal muscles, ask the:
answer
supine patient to raise their head.
question
____ 21. Proprioception should be assessed while the patient is:
answer
standing.
question
____ 22. Examination of the patient in the lithotomy, or knee-chest, position includes:
answer
palpation of anal sphincter tone.
question
____ 23. Which portion of the physical examination is best done with the patient standing?
answer
Spinal
question
____ 24. The greatest risk for potential health problems occurs in which age group?
answer
Newborn
question
____ 25. A common method for estimating gestational age of a newborn is to assess:
answer
creases on the sole of the foot.
question
____ 26. To promote a child's cooperation during your examination, your approach to the examination should be to:
answer
conduct the physical examination on the child while the parent is holding the child.
question
____ 27. Which of the following cannot be assessed in the crying infant:
answer
Respiratory rate
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____ 28. The Ballard Gestational Age Test is completed within 36 hours of birth to:
answer
determine if the newborn is premature.
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____ 29. Mrs. Kia has brought her newborn infant in for a 2-week examination. The examination of the newborn should begin with:
answer
inspection.
question
____ 30. The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
answer
let the child hold the stethoscope while you listen.
question
____ 31. In crying infants, it is often difficult to:
answer
auscultate heart sounds.
question
____ 32. When you attempt to move a 10-month-old child from his mother's lap to the examination table, he screams loudly. Your best action is to:
answer
perform the examination while the child is in the mother's lap.
question
____ 33. When conducting a geriatric assessment, keep in mind that basic activities of daily living (ADLs) include:
answer
bathing.
question
____ 34. When interviewing a disabled patient, it is best to speak to:
answer
the patient directly.
question
____ 35. Functional assessment is most important during the examination of a(n):
answer
older adult.
question
____ 36. Which of the following factors is not known to affect patient compliance with his or her treatment regimen?
answer
The patient's age and social status
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____ 37. When a patient has not been compliant with instructions, an examiner should:
answer
look for the reason behind the noncompliance.
question
____ 38. Observation of the child playing in the playroom provides information about which two systems?
answer
Neurologic and musculoskeletal
question
____ 39. Throughout the history and physical examination, the clinician should:
answer
evaluate the whole patient.
question
____ 40. For a routine physical examination, all the following equipment is necessary except:
answer
a monofilament.
question
____ 41. The cranial nerves are usually assessed while the patient is in which position?
answer
Sitting