WGU-Comprehensive Health
Assessment for Patients and
Populations UJC2
A 22-year-old advertising copywriter presents for evaluation of joint pain. The
... [Show More] pain is
new, located in the wrists and fingers bilaterally, with some subjective fever. The patient
denies a rash; she also denies recent travel or camping activities. She has a family
history significant for rheumatoid arthritis. Based on this information, which of the
following pathologic processes would be the most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a
regular skin check-up. She has just returned from her annual dig site in Greece. She
has fair skin and reddish-blonde hair. She has a family history of melanoma. She has
many freckles scattered across her skin. From this description, which of the following is
not a risk factor for melanoma in this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
A 15-year-old high school sophomore and her mother come to your clinic because the
mother is concerned about her daughter's weight. You measure her daughter's height
and weight and obtain a BMI of 19.5 kg/m2. Based on this information, which of the
following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in her diet
because she is obese.
A 32-year-old attorney comes to your office for her second prenatal visit. She has had
two previous pregnancies with uneventful prenatal care and vaginal deliveries. Her only
problem was that with each pregnancy she gained 50 lbs (23 kg) and had difficulty
losing the weight afterward. She has no complaints today. Looking at her chart, you see
she is currently 10 weeks pregnant and that her prenatal weight was 130 lbs (59 kg).
Her weight today is 134 lbs (60.9 kg). Her height is 5'4", giving her a BMI of 22. Her
blood pressure, pulse, and urine tests are unremarkable. The fetal heart tone is difficult
to find but is located and is 150. While you give her first trimester education, you tell her
how much weight you expect her to gain.
How much weight should this patient gain during pregnancy?
A) Less than 15 pounds (less than 7 kg)
B) 15 to 25 pounds (7 to 11.5 kg)
C) 25 to 35 pounds (11.5 to 16 kg)
D) 30 to 40 pounds (12.5 to 18 kg)
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight gain, and
hair loss. You strongly suspect that she has hypothyroidism. What is the expected
moisture and texture of the skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
A middle-aged man comes in because he has noticed multiple small, blood-red, raised
lesions over his anterior chest and abdomen for the past several months. They are not
painful and he has not noted any bleeding or bruising. He is concerned this may be
consistent with a dangerous condition. What should you do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office.
A 23-year-old ticket agent is brought in by her husband because he is concerned about
her recent behavior. He states that for the last 2 weeks she has been completely out of
control. He says that she hasn't showered in days, stays awake most of the night
cleaning their apartment, and has run up over $1,000 on their credit cards. While he is
talking, the patient interrupts him frequently and declares this is all untrue and she has
never been so happy and fulfilled in her whole life. She speaks very quickly, changing
the subject often. After a longer than normal interview you find out she has had no
recent illnesses or injuries. Her past medical history is unremarkable. Both her parents
are healthy but the husband has heard rumors about an aunt with similar symptoms.
She and her husband have no children. She smokes one pack of cigarettes a day
(although she has been chain-smoking in the last 2 weeks), drinks four to six drinks a
week, and smokes marijuana occasionally. On examination she is very loud and
outspoken. Her physical examination is unremarkable. Which mood disorder does she
most likely have?
A) Major depressive episode
B) Manic episode
C) Dysthymic disorder [Show Less]