UOP NRP531 2021 September Week 8 Quiz Latest

NRP531 Advanced Health Assessment I

Week 8 Quiz

Question 1Chris is a 20-year-old college student who has had abdominal pain for 3 days. It started at his umbilicus and was associated with nausea and vomiting. He was unable to find a comfortable position. Yesterday, the pain became more severe and constant. Now, he hesitates to walk, because any motion makes the pain much worse. It is localized just medial and inferior to his iliac crest on the right. Which of the following is most likely?

Cholecystitis

Appendicitis

Peptic ulcer

Pancreatitis

Question 2A patient presents to the emergency department after a motor vehicle accident. The patient sustained blunt trauma to the abdomen and complains of pain in the left upper quadrant that radiates to the left shoulder. What organ is most likely injured?

Spleen

Liver

Bladder

Stomach

Question 3Mr. Maxwell has noticed that he is gaining weight and has increasing girth. Which of the following would argue for the presence of ascites?

Dullness which remains despite change in position

Dullness centrally when the patient is supine

Bilateral flank tympany

Tympany which changes location with patient position

Question 4Which of the following is consistent with obturator sign?

Pain that stops inhalation in the right upper quadrant

Pain distant from the site used to check rebound tenderness

Pain with extension of the right thigh while the patient is on her left side or while pressing her knee against your hand with thigh flexion

Right hypogastric pain with the right hip and knee flexed and the hip internally rotated

Question 5A daycare worker presents to your office with jaundice. She denies IV drug use, blood transfusion, and travel and has not been sexually active for the past 10 months. Which type of hepatitis is most likely?

Hepatitis C

Hepatitis A

Hepatitis D

Hepatitis B

Question 6To accommodate the enlarging uterus of pregnancy, chest changes result in:

intercostal muscle atrophy

lowering of the resting diaphragm

a decrease in alveoli expansion

an increase in the subcostal angle

Question 7Bill, a 55-year-old man, presents with pain in his epigastrium that lasts for 30 minutes or more at a time and has started recently. Which of the following should be considered?

All of the above

Peptic ulcer

Myocardial ischemia

Pancreatitis

Question 8Which is the proper sequence of examination for the abdomen?

Inspection, percussion, palpation, auscultation

Auscultation, inspection, palpation, percussion

Auscultation, percussion, inspection, palpation

Inspection, auscultation, percussion, palpation

Question 9Mr. Martin is a 72-year-old smoker who comes to you for his hypertension visit. You note that with deep palpation you feel a pulsatile mass which is about 4 centimeters in diameter. What should you do next?

Refer to a vascular surgeon

Obtain abdominal ultrasound

Reassess by examination in 6 months

Reassess by examination in 3 months

Question 10The spleen is usually palpable:

True

False

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