UOP NRP531 2021 September Week 6 Quiz Latest
NRP531 Advanced Health Assessment I

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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
Explanation & Answer
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