1. In which group is a slight enlargement of the thyroid gland detected on ultrasound considered a normal finding?
a. Infants
b. Adolescents
c.
... [Show More] Pregnant women
d. Native Americans or American Indians - c
2. Which of the following questions is most appropriate to ask a female patient with a suspected thyroid problem?
a. "How much alcohol do you drink?"
b. "Have you noticed a change in your sleep pattern or energy level?"
c. "Do you have headaches?"
d. "Are you currently menstruating?" - b
3. An infant with an alcoholic mother is admitted to the hospital with fetal alcohol syndrome. What assessment finding is consistent with this syndrome?
a. Ear dysplasia
b. Moon face
c. Torticollis
d. Thin upper lip - d
4. Which of the following findings in an older patient would be considered a normal consequence of aging? a. Narrowed palpebral fissures
b. Pulsating fontanels
c. Uneven movement of the tongue
d. Fibrosis of the thyroid gland - d
5. Assessment of an infant's fontanels is best performed while the infant is
a. calm and in an upright position.
b. sleeping in a lateral position.
c. supine and awake.
d. held at a 45-degree angle. - a
6. What problem is suggested by a positive Cardarelli sign?
a. Ocular migraine
b. Aortic aneurysm
c. Hashimoto disease
d. Thyroid cyst - b
7. A 6-month-old infant is brought to the clinic for immunizations. While examining the baby, the examiner notes that the anterior fontanel has not closed. What is the significance of this finding?
a. This indicates a slight developmental delay.
b. There may be a nutritional deficiency.
c. This finding is consistent with hydrocephaly.
d. This is a normal finding. - d
8. Preterm infants often have
a. long, narrow heads.
b. broad nose bridges.
c. low-set ears.
d. webbed necks. - a
9. The presence of a nodular thyroid is a normal finding in
a. infants.
b. adolescents.
c. pregnant women.
d. older adults. - d
10. Webbing, excessive posterior cervical skin, and a short neck are signs associated with
a. Asian heritage.
b. chromosomal anomalies.
c. Cushing syndrome.
d. malnutrition. - b
11. Transillumination of the skull should be performed
a. in infants of mothers with diabetes.
b. in infants with a history of traumatic birth.
c. when an infant has a facial nerve palsy.
d. in infants with suspected intracranial lesions. - d
12. Which of the following findings suggests an inflammation of the thyroid gland?
a. Gritty sensation when the thyroid is palpated
b. Movement of the thyroid when the patient swallows c. Vertical ridges palpated on the thyroid gland
d. Swollen and red skin overlying the thyroid gland - a
13. A patient demonstrates asymmetry of the mouth. The examiner suspects a problem with the
a. inferior facial nerve.
b. thyroid gland.
c. peripheral trigeminal nerve.
d. salivary duct. - c
14. Mr. Andrews presents with complaints of a throbbing, unilateral pain in his head associated with nausea and vomiting. Which problem is suggested by these symptoms?
a. temporal arteritis.
b. cluster headache.
c. subarachnoid hemorrhage.
d. migraine headache. - d
15. You are palpating a thyroid gland and note that it is enlarged bilaterally. What is your next step in the examination process?
a. Listen for vascular sounds over the thyroid lobes.
b. Examine the patient for enlarged lymph nodes. - a
1. During an examination, which of the following questions would be most appropriate for the examiner to ask a patient to elicit information about the lymph system?
a. "Are you aware of any lumps?"
b. "Have you had a change in appetite?"
c. "Do your lymph nodes hurt?"
d. "Where are your largest lymph nodes?" - a
2. While palpating lymph nodes on an adult, the examiner should remember that
a. tubercular nodes are hot and firm to the touch.
b. nodes that are fixed and palpable are a normal finding.
c. heavy pressure is required to locate and identify nodes.
d. easily palpable nodes are generally not found in healthy adults. - d
3. In comparison with those of a young adult, the lymph nodes of an older adult will be
a. large and soft.
b. small and fatty.
c. hard and irregular.
d. large and hard. - b
4. A 19-year-old man has a severe infection involving the fifth digit of his right hand. Where should the examiner expect to palpate enlarged and tender lymph nodes?
a. Radial aspect of the right wrist
b. Palmar aspect of the right-hand
c. Lateral aspect of the right forearm
d.Medial aspect of the right elbow - d
5. Which of the following examination findings is cause for concern in an adult?
a. A palpable fluctuant lymph node movable under the examiner's fingers.
b. A palpable hard lymph node fixed in its setting.
c. A palpable soft lymph node approximately 2 mm in size.
d. Absence of any palpable lymph nodes. - [Show Less]