WGU-Comprehensive Health Assessment for Patients
and Populations UJC2
1. A patient comes to you for the appearance of red patches on his forearms
... [Show More] that
have been present for several months. They remain for several weeks. He
denies a history of trauma. Which of the following is likely?
A) Actinic keratoses
B) Pseudoscars
C) Actinic purpura
D) Cherry angiomas - answer- C
2. Mrs. Glynn is 90 years old and lives alone. She is able to bathe, dress, prepare
her food, and transfer from bed to chair independently. She has children in the
area who help her with her medications and transportation needs. Which of the
following is considered an instrumental activity of daily living?
A) Bathing
B) Dressing
C) Preparing food
D) Transferring from bed to chair - answer- C
3. Which of the following represents age-related changes in the lungs?
A) Decrease in chest wall compliance
B) Speed of expiration increases
C) Increase in respiratory muscle strength
D) Increased elastic recoil of lung tissue - answer- A
4. Mrs. Buckley is a 75-year-old widow who wants you to look at her teeth because
over the past 2 weeks she has had right-sided jaw pain when eating. It does not
occur otherwise. She also has had a headache. Which of the following should be
considered?
A) Palpation of her temples
B) Dental referral
C) Ultrasound of the gallbladder - answer- A
5. A 58-year-old gardener comes to your office for evaluation of a new lesion on her
upper chest. The lesion appears to be "stuck on" and is oval, brown, and slightly
elevated with a flat surface. It has a rough, wartlike texture on palpation. Based
on this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - answer- B
6. A 72-year-old retired truck driver comes to the clinic with his wife for evaluation of
hearing loss. He has noticed some decreased ability to hear what his wife andgrandchildren are saying to him. He admits to lip-reading more. He has a history
of noise exposure in his young adult years: He worked as a sound engineer at a
local arena and had to attend a lot of concerts. Based on this information, what is
the most likely finding regarding his hearing acuity?
A) Loss of acuity for middle-range sounds
B) Increase of acuity for low-range sounds
C) Loss of acuity for high-range sounds
D) Increase of acuity for high-range sounds - answer- A
7. Mr. Kelly comes to you today for a burning pain in his lower abdomen. This has
gone on for 2 months. He has received radiation for prostatic cancer for the past
quarter. What assumptions could you draw from this?
A) This represents persistent pain.
B) His pain reporting is likely to be unreliable.
C) There are "red flags" present.
D) He is depressed. - answer- C
8. An 89-year-old retired school principal comes for an annual check-up. She would
like to know whether or not she should undergo a screening colonoscopy. She
has never done this before. Which of the following factors should not be
considered when discussing whether she should go for this screening test?
A) Life expectancy
B) Time interval until benefit from screening accrues
C) Patient preference
D) Current age of patient - answer- D
9. A 73-year-old retired accountant comes to your office for her annual examination.
She has incontinence of urine when she coughs or sneezes. She takes several
medications for control of hypertension and diabetes. You use the DIAPERS
mnemonic to assess the cause of her incontinence. All of the following are items
represented by the mnemonic except for:
A) Atrophic vaginitis
B) Depression
C) Pharmaceuticals
D) Restricted mobility - answer- B
10.It is summer and an 82-year-old woman is brought to you from her home after
seeing her primary care doctor 2 days ago. She was started on an antibiotic at
that time. Today, she comes to the emergency room not knowing where she is or
what year it is. What could be a likely cause of this?
A) Alzheimer's dementia
B) Stroke
C) Delirium
D) Meningitis - answer- C [Show Less]