ADVANCED HEALTH ASSESSMENT - QUESTIONS PART 2
QUESTIONS AND ANSWERS 2022
Which cranial nerves innervate the face?
A. II and V
B. III and VI
C. V and
... [Show More] VII
D. VIII and IX - ANS-C. Facial muscles are innervated by Cranial nerve V & VII.
The parotid, submandibular, and sublingual salivary glands:
A. impair carbohydrate digestion.
B. inhibit dental caries.
C. lubricate nasal surfaces.
D. promote dry mouth. - ANS-B. T parotid, submandibular, and sublingual salivary
glands are paired and produce saliva which moistens the mouth, inhibits formation of
dental caries, and initiates digestion of carbohydrates
Mr. Black is a 44-year-old patient who presents to the clinic with complaints of neck
pain that he thinks is from his job involving computer data entry. As the examiner,
you are checking the range of motion in his neck and note the greatest degree of
cervical mobility is at:
A. C1 to C2.
B. C2 to C3.
C. C3 to C4.
D. C4 to C5. - ANS-D. C 4 to C 5: C4 and C5 or C5 and C 6 provide the greatest
horizontal mobility in adults
In examining the neck of a 34-year-old female patient, you note that the uppermost
ridge of the tracheal cartilage is at the:
A. cricoid.
B. hyoid.
C. thyroid.
D. sternocleidomastoid. - ANS-A. The thyroid cartilage is shaped like a shield, its
notch on the upper edge marking the level of the bifurcation of the common carotid
artery. The cricoid cartilage is the uppermost ring of the tracheal cartilages.
Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing
correctly into adolescence. Which structures disproportionately enlarge in the male
during adolescence?
A. Coronal sutures
B. Hyoid and cricoid cartilages
C. Mandible and maxilla bones
D. Nose and thyroid cartilages - ANS-D. In the male adolescent, the nose and
thyroid cartilage enlarge, and facial hair develops, emerging first on the upper lip,
then the cheeks, lower lip and chin.
Spaces between the cranial bones accommodate:
A. brain growth.
B. cartilage formation.
C. muscular expansion.
D. nerve regeneration. - ANS-A. Spaces between the cranial bones permit the
expansion of the skull to accommodate brain growth.
When examining the skull of a 4-month-old baby, you should normally find:
A. closure of the anterior fontanel.
B. closure of the posterior fontanel.
C. ossification of all sutures.
D. overlap of cranial bones. - ANS-B. Closure of the posterior fontanel: Ossification
of the sutures begins after completion of brain growth at about 6 years of age, and is
finished by adulthood The fontanels ossify earlier, with the posterior fontanel usually
closing by 2 months of age and the anterior fontanel closing by 24 months of age.
The brown or tan pigmentation on the forehead, nose, and malar prominence of
some pregnant women is called:
A. hormonal acne.
B. erythema.
C. alopecia.
D. chloasma. - ANS-D. Chloasma - "mask of pregnancy" blotchy, brownish
hyperpigmentation of the face particulary over the malar prominences and the
forehead.
Which of the following is an expected change in the assessment of the thyroid during
pregnancy?
A. Palpation of the gland becomes difficult.
B. A bruit is auscultated.
C. Inspection reveals a goiter.
D. The gland is tender upon palpation. - ANS-B. A bruit may be heard because of
increased vascularity.
Mr. Mathews is a 47-year-old patient who presents for a routine physical
examination. On examination, you have noted a bruit heard over the thyroid. This is
suggestive of:
A. hypothyroidism.
B. hyperthyroidism.
C. thyroid cancer.
D. thyroid cyst. - ANS-B. Hyperthyroidism - if thyroid gland is enlarged, auscultate for
vascular sounds with the bell. In a hypermetabolic state, the blood supply is
dramatically increased and a vascular bruit, a soft rushing sound may be heard.
Ms. Galvan is a 22-year-old secretary who comes to the clinic with headaches of 6
weeks' duration. She tells the office assistant about her heavy schedule, including
part-time work and evening classes. Her vital signs are normal. Which information is
most appropriate to Ms. G.'s history?
A. Current medications
B. Elimination patterns
C. Immunization status
D. Previous pregnancies - ANS-A. current medications - anticonvulsants,
antiarrhythmics, beta blocks, CCB, oral contraceptives, serotonin antagonists or
agnoists, selective serotonic reuptake inhibitors, antidepressants, NSAIDs, narcotis,
caffeine-containing medications.
Observation during history taking is the best way to examine for:
A. head position.
B. scalp lice.
C. thyroid size.
D. tracheal alignment. - ANS-A. head position - the patient's head should be
examined during the inspection for position and facial features throughout the history
and physical examination.
During a head and neck assessment of a neonate, it is important to screen for:
A. the presence of torticollis.
B. signs and symptoms of cerebral palsy.
C. uneven movement of the eyes.
D. unilateral movement of the tongue. - ANS-A. The presence of torticollis - often
result of birth trauma or intrauterine malposition.
To detect bruits in the head and neck region, you should place the bell of the
stethoscope:
A. above the temporal and sagittal regions.
B. below the eyes and on the coronal suture.
C. near the zygomatic and nasal areas.
D. on the temporal region and below the occiput. - ANS-D. on the temporal region
and below the occiput - If you suspect a vascular anomaly of the brain, use the bell
of the stethoscope and listen over the temporal region, over the eyes and below the
occiput.
During physical examination of a 30-year-old Chinese man, you notice slight
asymmetry of his face. The cranial nerve examination is normal. Your best action is
to:
A. ask the patient if this characteristic runs in his family.
B. perform monofilament testing on the face.
C. consult with the physician regarding laboratory tests needed.
D. record the finding in the patient's chart. - ANS-A. ask the patient if this
characteristic runs in his family
A bruit, or blowing sound, over the skull or temporal region of an adult indicates a:
A. degenerative change.
B. hyperthyroid storm.
C. skull fracture.
D. vascular anomaly. - ANS-D. Vascular anomaly. A bruit is highly suggestive of a
vascular anomaly and can be associated with temporal arteritis.
Spasmodic muscular contractions of the head, face, or neck are called:
A. torticollis.
B. tics.
C. dimpling.
D. webbing. - ANS-B. Tics - are spasmodic muscular contractions of the face, head,
or neck.
Coarse, dry, and brittle hair is associated with which metabolic disorder?.... [Show Less]