UOP NRP531 2021 September Week 6 Quiz Latest

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