UOP NRP531 2021 September All Quizzes Latest (Full)

NRP531 Advanced Health Assessment I

Week 1 Quiz

Question 1The components of the health history include all of the following except which one?

Review of systems

Personal and social items

Thorax and lungs

Present illness

Question 2The following information is recorded in the health history:

“The patient has had abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-epigastric area.”

Which of these categories does it belong to?

Chief complaint

Review of systems

History of present illness

Assessment

Question 3The following information is best placed in which category?

“The patient has had three cesarean sections.”

Obstetrics/gynecology

Adult illnesses

Surgeries

Psychiatric

Question 4Is the following information subjective or objective?

Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and relieved by rest.

Subjective

Objective

Question 5On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for a routine follow up appointment for her hypertension. She is on a low-dose diuretic chronically and denies any side effects. Her blood pressure is 118/78 today, which is well-controlled. As you are writing her script, she mentions that it is hard not having her husband Bill around anymore. What would you do next?

Make sure she understands the script.

Explain that you will have more time at the next visit to discuss this.

Hand her the script and make sure she has a 3-month follow-up appointment.

Ask why Bill is not there.

Question 6For which of the following patients would a comprehensive health history be appropriate?

A new patient with the chief complaint of “I cut my hand”

A new patient with the chief complaint of “I sprained my ankle”

An established patient with the chief complaint of “I have an upper respiratory infection”

A new patient with the chief complaint of “I am here to establish care”

Question 7The following information is recorded in the health history:

“Patient denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea.”

Which category does it belong to?

Personal and social history

Review of systems

Chief complaint

Present illness

Question 8The following information is best placed in which category?

“The patient was treated for an asthma exacerbation in the hospital last year; the patient has never been intubated.”

Surgeries

Obstetrics/gynecology

Adult illnesses

Psychiatric

Question 9Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He has come to the office many times in the past with a variety of injuries, and you suspect that he has a problem with alcohol. Which one of the following questions will be most helpful in diagnosing this problem?

Do you drink 2 to 3 beers every weekend?

You are an alcoholic, aren’t you?

When was your last drink?

Do you drink alcohol when you are supposed to be working?

Question 10The following information is recorded in the health history:

“The patient completed 8th grade. He currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass factory during the week.”

Which category does it belong to?

Personal and social history

Review of systems

Chief complaint

Present illness

 

NRP531 Advanced Health Assessment I

Week 2 Quiz

Question 1An 18-year-old girl comes with her mother for evaluation of hair loss. She denies pulling or twisting her hair, and her mother has not noted this behavior at all. She does not put her hair in braids. On physical examination, you note a clearly demarcated, round patch of hair loss without visible scaling or inflammation. There are no hair shafts visible. Based on this description, what is your most likely diagnosis?

Alopecia areata

Tinea capitus

Traction alopecia

Trichotillomania

Question 2Jacob, a 33-year-old construction worker, complains of a “lump on his back” over his scapula. It has been there for about a year and is getting larger but does not hurt. He says his wife has been able to squeeze out a whitish cheesy-textured smelly substance on occasion. He worries this may be cancer. What is the most likely diagnosis based on this description?

A malignant lesion

An enlarged lymph node

A sebaceous cyst

An actinic keratosis

Question 3A vesicle is an example of a:

Maculopapular skin lesion

Dermatome skin lesion

Primary skin lesion

Secondary skin lesion

Question 4You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABDCEs of melanoma. Which of the following descriptions correctly defines this:

A=asymmetry; B=irregular borders; C=color changes; D=diameter>6mm; E=evolution

A=asymmetry; B=irregular borders; C=color changes; D=distribution; E=evolution

A=actinic; B=basal cell; C=color changes; D=diameter>6 mm; E=evolution

A=actinic; B=irregular borders; C=ceratosis; D=dystrophic nails; E=evolution

Question 5A 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

Psoriasis

Pityriasis rosea

Atopic eczema

Question 6Mrs. Britton is a 34-year-old patient who presents to the office with complaints of a skin rash. You have noted a 4×3 cm, rough, elevated area which appears to be consistent with psoriasis. This is an example of a:

Plaque

Patch

Macule

Papule

Question 7Mrs. Leonard brings her newborn infant into the pediatrician’s office for a first well-baby visit. As the healthcare provider, you teach her that newborns are more vulnerable to hypothermia due to:

A poorly developed subcutaneous fat layer.

The presence of coarse terminal hair.

Their covering of vernix caseosa.

Desquamation of the stratum corneum after birth.

Question 8A 68-year-old gardener comes to your office for evaluation of a new lesion on his upper chest. The lesion appears to be “stuck on” and is oval, brown, and slightly elevated with a flat surface. It has a rough texture on palpation. Based on this description, what is your most likely diagnosis?

Seborrheic keratosis

Actinic keratosis

Squamous cell carcinoma

Basal cell carcinoma

Question 9Your inspection of a 6-year-old child reveals honey-colored exudate from a rash on his chin and around his mouth, which his mother reports he has been itching a lot. Which condition is most consistent with the above findings?

Impetigo

Viral Exanthem

Keratosis

Tricholtillomania

Question 10Mrs. Anderson presents with an itchy rash that is raised plus appears and disappears in various locations. Each lesion lasts for many minutes. What condition most likely accounts for this rash?

Psoriasis

Purpura

Urticaria (hives)

Insect bites

 

NRP531 Advanced Health Assessment I

Week 3 Quiz

Question 1A 32-year-old warehouse worker presents for evaluation of low back pain. He notes a sudden onset of pain after lifting a set of boxes that were heavier than usual. He also states that he has numbness and tingling in the left leg. He wants to know if he needs to be off of work. What test should you perform to assess for a herniated disc?

Epley’s maneuver

Leg-length test

Leg-strength test

Straight-leg raise test

Question 2When palpating joints, crepitus may occur when:

Supporting muscles are excessively spastic

Irregular bony surfaces rub together

There is excess fluid within the synovial membrane

Joints are excessively lax

Question 3The articulation of the radius and carpal bones is the:

Elbow joint

Acromioclavicular joint

Glenohumerol joint

Wrist joint

Question 4What technique is performed at every well infant examination during the first year of life to detect hip dislocation?

Leg length measurements

McMurray testing

Barlow-Ortolani maneuvers

Ballottement testing

Question 5Pain, swelling, loss of both active and passive motion, locking, and deformity would be consistent with which of the following?

Articular joint pain

Muscular injury

Nerve damage

Bursitis

Question 6Mrs. Fletcher complains of numbness of her right hand. On examination, sensation of the thumb, index finger, and middle finger have decreased sensation. Which of the following is affected?

Ulnar nerve

Radial nerve

Index nerve

Median nerve

Question 7Ulnar deviation and swan neck deformities are characteristics of:

Osteoporosis

Osteoarthritis

Congenital defects

Rheumatoid arthritis

Question 8When the patient flexes forward at the waist, what spinal observation would lead you to suspect scoliosis?

Prominent cervical concave curve

Restricted ability to flex at the hips

Prominent lumbar hump

Lateral curvature of the spine

Question 9A 50-year-old woman presents with “left hip pain” of several weeks duration. There is marked tenderness when you press over her proximal lateral thigh. What do you think she has?

Rheumatoid arthritis

Osteoarthritis

Sciatica

Trochanteric bursitis

Question 10A red, hot, swollen joint of a big toe in a 40 year old man should lead you to suspect which condition:

Gout

Synovitis

Bursitis

Trauma

 

NRP531 Advanced Health Assessment I

Week 4 Quiz

Question 1You observe pupillary response as the patient looks at a distant object and then at an object held 10 cm from the bridge of the nose. You are assessing for:

Pupillary light reflex

Confrontation reaction

Accommodation

Nystagmus

Question 2Cotton wool spots are most closely associated with:

Hypertension

Normal aging processes

Glaucoma

Eye trauma

Question 3Peripheral vision can be estimated by means of which test?

Pupillary reaction

Snellen Chart

Confrontation

Accommodation

Question 4To perform the Rinne test, place the tuning fork on the:

Mastoid bone

Forehead

Top of the head

Preauricular area

Question 5A patient presents with ear pain. She is an avid swimmer. The history includes pain and drainage from the left ear. On examination, she has pain when the ear is manipulated, including manipulation of the tragus. The canal is narrowed and erythematous, with some white debris in the canal. The rest of the examination is normal. What diagnosis would you assign this patient?

Cholesteatoma

Otitis externa

Otitis media

Perforation of the tympanum

Question 6A 29 – year old physical therapist presents for evaluation of an eyelid problem. On observation, the right eyeball appears to be protruding forward. Based on the description, which is the most likely diagnosis?

Ptosis

Ectropion

Exophthalmos

Epicanthus

Question 7Mr. Cole’s visual acuity is 20/100. This means that he:

Can see at 20 feet what a normal person can see at 100 feet

Can see at 100 feet what a normal person can see at 20 feet

Obtains a 20% correct score at 100 feet

Can accurately name 20% of the letters at 20 feet

Question 8A college student presents with a sore throat, fever, and fatigue for several days. You notice exudates on her enlarged tonsils. You do a careful lymphatic examination and notice some scattered small, mobile lymph nodes just behind her sternocleidomastoid muscles bilaterally. What group of nodes is this?

Submandibular

Posterior cervical

Occipital

Tonsillar

Question 9Normal tympanic membrane color is:

Chalky white

Pink

Amber

Pearly gray

Question 10A light is pointed at a patient’s pupil, which contracts. It is also noted that the other pupil contracts as well, though it is not exposed to bright light. Which of the following terms describes this latter phenomenon?

Near reaction

Consensual reaction

Direct reaction

Accommodation

NRP531 Advanced Health Assessment I

Week 5 Quiz

Question 1When hearing is evaluated, which cranial nerve is being tested?

XII

IV

VIII

III

Question 2A 22-year-old man is brought to your office by his father to discuss his son’s mental health disorder. The patient was diagnosed with schizophrenia 6 months ago and has been taking medication since. The father states that his son’s dose isn’t high enough and you need to raise it. He states that his son has been hearing things that don’t exist. You ask the young man what is going on and he tells you that his father is just jealous because his sister talks only to him. His father turns to him and says, “Son, you know your sister died 2 years ago!” His son replies “Well, she still talks to me in my head all the time!” Which best describes this patient’s abnormality of perception?

Fugue state

Illusion

Hallucination

Question 3Which cranial nerves innervate the face?

VIII and IX

II and V

III and VI

V and VII

Question 4The finger-to-nose test allows assessment of:

coordination and fine motor function.

sensory function.

alcohol impairment.

stereognosis.

Question 5When you ask a patient to close his eyes and identify an object placed in their hand, you are evaluating:

graphesthesia.

proprioception.

cognitive level.

stereognosis.

Question 6A 29-year-old woman comes to your office. As you take the history, you notice that she is speaking very quickly, and jumping from topic to topic so rapidly that you have trouble following her. You are able to find some connections between ideas, but it is difficult. Which word describes this thought process?

Flight of ideas

Incoherence

Derailment

Circumstantiality

Question 7Adam is a very successful 15-year-old student and athlete. His mother brings him in today because he no longer studies, works out, or sees his friends. This has gone on for a month and a half. When you speak with him alone in the room, he states it “would be better if he were not here.” What would you do next?

Tell him that he has a very promising career in anything he chooses and soon he will feel better.

Speak with his mother about getting him together more with his friends.

Assess his suicide risk.

Tell him that he needs an antidepressant and it will take about 4 weeks to work.

Question 8If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?

CN XI, spinal accessory

CN I, olfactory

CN V, trigeminal

CN IX, glossopharyngeal

Question 9The awareness of body position is:

two-point discrimination.

proprioception.

graphesthesia.

clonus.

Question 10You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive:

Romberg test.

Homan sign.

McMurray test.

Kernig sign.        

 

 

NRP531 Advanced Health Assessment I

Week 6 Quiz

Question 1To distinguish between a respiratory friction rub and a cardiac friction rub, have the patient:

Identify the location of the pain

Hold their breath

Lean forward

Say “ninety-nine” while you palpate the anterior chest

Question 2You are conducting a workshop on the measurement of jugular venous pulsation. As part of your instruction, you tell the students to make sure that they can distinguish between the jugular venous pulsation and the carotid pulse. Which one of the following characteristics is typical of the carotid pulse?

Pulsation eliminated by light pressure on the vessel

Level of pulsation changes with changes in position

Soft, rapid, undulating quality

Palpable

Question 3Which of the following is true of a grade 4 intensity murmur?

It is moderately loud

It is associated with a “thrill”

It can be heard with the stethoscope completely off the chest

It can be heard with the stethoscope partially off the chest

Question 4Where is the PMI (point of maximal impulse) normally located?

In the left 5th intercostal space, 10 – 12 cm lateral of the sternum

In the left 5th intercostal space, 7 – 9 cm lateral of the sternum

In the left 5th intercostal space, in the anterior axillary line

In the left 5th intercostal space, in the midaxillary line

Question 5You are performing a routine check-up on an 81-year-old retired cotton farmer. You note that he has a history of chronic arterial insufficiency. Which of the following physical examination findings in the lower extremities would be expected with this disease?

Thin, shiny, atrophic skin

Normal skin temperature

Normal pulses

Marked edema

Question 6A 55-year-old secretary with hypertension and a recent history of breast cancer, for which she underwent surgery and radiation therapy, comes to your office for a routine checkup. Which of the following aspects of the physical are important to note when assessing the patient for peripheral vascular disease in the arms?

Carotid pulses

Femoral pulses and Popliteal pulses

Dorsalis pedis pulses and posterior tibial pulses

Radial pulses and brachial pulses

Question 7You are a student in the vascular surgery clinic. You are asked to perform a physical examination on a patient with known peripheral vascular disease in the legs. Which of the following aspects is important to note when you perform your examination?

Lower extremity strength

Nodules in joints

Size, symmetry, and skin color

Muscle bulk and tone

Question 8You are performing a cardiac examination on a patient with shortness of breath and palpitations. You listen to the heart with the patient sitting upright, then have him change to a supine position, and then have him turn onto his left side. Which of the following valvular defects is best heard in this position?

Pulmonic

Mitral

Aortic

Tricuspid

Question 9A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned that he may have peripheral vascular disease. Which of the following is part of common or concerning symptoms for the peripheral vascular system?

Chest pressure with exertion

Intermittent claudication

Shortness of breath

Left knee pain

Question 10The bell of the stethoscope is more useful than the diaphragm for hearing:

Low pitched murmurs

High-pitched murmurs

 

 

NRP531 Advanced Health Assessment I

Week 7 Quiz

Question 1When crackles, wheezes, or rhonchi clear with a cough, which of the following is a likely etiology?

Cystic fibrosis

Simple asthma

Heart failure

Bronchitis

Question 2The middle lobe of the right lung is best auscultated in the:

Right midclavicular line

Right anterior chest

Right midaxillary line

Right posterior chest

Question 3A grandmother brings her 13-year-old grandson to you for evaluation. She noticed last week when he took off his shirt that his breastbone seemed collapsed. He seems embarrassed and tells you that it has been that way for quite a while. He states he has no symptoms from it and he just tries not to take off his shirt in front of anyone. He denies any shortness of breath, chest pain, or lightheadedness on exertion. His past medical history is unremarkable. He is in sixth grade and just moved in with his grandmother after his father was deployed to the Middle East. His mother died several years ago in a car accident. On examination you see a teenage boy appearing his stated age without distress. On visual examination of his chest you see that the lower portion of the sternum is depressed. Auscultation of the lungs and heart are unremarkable. What disorder of the thorax best describes your findings?

Thoracic kyphoscoliosis

Funnel chest (pectus excavatum)

Pigeon chest (pectus carinatum)

Barrel chest

Question 6Which of the following conditions would produce a hyperresonant percussion note?

Lobar pneumonia

Pleural effusion

Large pneumothorax

Empyema

Question 7Which lung sound possesses the characteristics of being louder and higher in pitch, with a short silence between inspiration and expiration, and with expiration being longer than inspiration?

Tracheal

Bronchovesicular

Vesicular

Bronchial

Question 8A cause for alarm during the chest assessment of an infant is:

An irregular respiratory rate

Wheezing

Rhonci

Stridor

Question 9Which of the following percussion notes would you obtain over the gastric bubble?

Flatness

Resonance

Dullness

Tympany

Question 10During a 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 e’s sound like a’s. This is indicative of:

Bronchial obstruction

Asthma

Emphysema

Lung consolidation

 

NRP531 Advanced Health Assessment I

Week 8 Quiz

Question 1Chris is a 20-year-old college student who has had abdominal pain for 3 days. It started at his umbilicus and was associated with nausea and vomiting. He was unable to find a comfortable position. Yesterday, the pain became more severe and constant. Now, he hesitates to walk, because any motion makes the pain much worse. It is localized just medial and inferior to his iliac crest on the right. Which of the following is most likely?

Cholecystitis

Appendicitis

Peptic ulcer

Pancreatitis

Question 2A patient presents to the emergency department after a motor vehicle accident. The patient sustained blunt trauma to the abdomen and complains of pain in the left upper quadrant that radiates to the left shoulder. What organ is most likely injured?

Spleen

Liver

Bladder

Stomach

Question 3Mr. Maxwell has noticed that he is gaining weight and has increasing girth. Which of the following would argue for the presence of ascites?

Dullness which remains despite change in position

Dullness centrally when the patient is supine

Bilateral flank tympany

Tympany which changes location with patient position

Question 4Which of the following is consistent with obturator sign?

Pain that stops inhalation in the right upper quadrant

Pain distant from the site used to check rebound tenderness

Pain with extension of the right thigh while the patient is on her left side or while pressing her knee against your hand with thigh flexion

Right hypogastric pain with the right hip and knee flexed and the hip internally rotated

Question 5A daycare worker presents to your office with jaundice. She denies IV drug use, blood transfusion, and travel and has not been sexually active for the past 10 months. Which type of hepatitis is most likely?

Hepatitis C

Hepatitis A

Hepatitis D

Hepatitis B

Question 6To accommodate the enlarging uterus of pregnancy, chest changes result in:

intercostal muscle atrophy

lowering of the resting diaphragm

a decrease in alveoli expansion

an increase in the subcostal angle

Question 7Bill, a 55-year-old man, presents with pain in his epigastrium that lasts for 30 minutes or more at a time and has started recently. Which of the following should be considered?

All of the above

Peptic ulcer

Myocardial ischemia

Pancreatitis

Question 8Which is the proper sequence of examination for the abdomen?

Inspection, percussion, palpation, auscultation

Auscultation, inspection, palpation, percussion

Auscultation, percussion, inspection, palpation

Inspection, auscultation, percussion, palpation

Question 9Mr. Martin is a 72-year-old smoker who comes to you for his hypertension visit. You note that with deep palpation you feel a pulsatile mass which is about 4 centimeters in diameter. What should you do next?

Refer to a vascular surgeon

Obtain abdominal ultrasound

Reassess by examination in 6 months

Reassess by examination in 3 months

Question 10The spleen is usually palpable:

True

False

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