When performing a history and physical assessment, the examiner should:
a. change the sequence of observation with each interview
b. develop a sequence of standard observations
c. develop a preliminary diagnosis at the onset
d. direct patient responses to fit the history sequence
To inspect the abdominal muscles, ask the:
a. supine patient to raise their head
b. standing patient to bend forward
c. prone patient to raise their lower legs
d. standing patient to stand on tiptoes
Which of the following cannot be assessed in the crying infant:
a. Tactile fremitus
b. Respiratory rate
c. Lung excursion
d. Facial symmetry
When assessing the abdomen, the examiner needs to expose the patient:
a. from the waist down.
b. from the pubis to the epigastrium
c. in entirety
d. at no point during the examination
Which of the following is true regarding the relationship between the examiner and patient?
a. It is the examiner's responsibility to help the patient understand that he or she is qualified to make decisions regarding health care
b. The patient must trust the examiner completely
c. The examiner-patient relationship is enhanced by ignoring cultural issues
d. The patient is a full partner with the examiner
Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?
a. The gold standard test has 100% sensitivity and specificity
b. Sensitivity and specificity are inversely correlated
c. Sensitivity and specificity are directly correlated
Which one of the following examiner behaviors would help minimize your patient’s dissatisfaction?
a. Assume a busy and rushed attitude
b. Convey your own feelings of discomfort
c. Keep the patient waiting for more than 30 minutes
d. Seek information about the patient's problem
The examiner should develop a demeanor that is exemplified by which one of the following behaviors?
a. Exhibits visible distaste about the condition
b. Gives immediate reassurances to the patient
c. Gives patient unsolicited advice
d. Validates the patient's justified concerns
Throughout the history and physical examination, the clinician should:
a. concentrate on emotional issues
b. follow an inflexible sequence
c. evaluate the whole patient
d. deal only with previously identified problems
Which of the following data are not part of your general inspection?
a. Dress and habitus
b. Sinus tenderness
d. Facial expression
Which of the following are examined with the patient in a reclining 45-degree position?
a. Bilateral hips and popliteal angles
b. Facial bones and cranial nerves V and VII
c. Jugular venous pulsation and pressure
d. Oropharynx and thyroid gland placement
When conducting a geriatric assessment, keep in mind that basic activities of daily living (ADLs) include:
c. medication compliance
d. communication skills
Which of the following factors is not known to affect patient compliance with his or her treatment regimen?
a. The patient's ability to understand the problem
b. The value the patient places on resolving the problem
c. The provider's relationship with the patient
d. The patient's age and social status
When you attempt to move a 10-month-old child from his mother’s lap to the examination table, he screams loudly. Your best action is to:
a. move the child to the examination table and proceed matter of factly with the examination
b. ask the mother to try to get the child to stop crying
c. perform the examination while the child is in the mother's lap
d. defer the examination until another day
The reliability of health-related findings and observations is the responsibility of the:
b. professional and medical assistants
c. attending physician
d. professional and the patient
To promote a child’s cooperation during your examination, your approach to the examination should be to:
a. ask the parent to give the child a bottle during the examination
b. sing songs with the child during the examination
c. conduct the physical examination on the child while the parent is holding the child
d. let the child play with examination room equipment to feel more comfortable
Which of the following is most likely to enhance examiner reliability?
a. The examiner attempts to qualify data
b. The examiner is uncomfortable with his or her own skills
c. The examiner believes that he or she must always be correct
d. The examiner prejudges the patient and family
Which one of the following patient characteristics is most likely to limit patient reliability during history taking?
a. The patient's measured IQ is above average
b. The patient is alert and oriented to time and place
c. The patient is sleep- and sensory-deprived
d. The patient speaks the same language as examiner
The greatest risk for potential health problems occurs in which age group?
The cranial nerves are usually assessed while the patient is in which position?
Which portion of the physical examination is best done with the patient standing?
When a patient has not been compliant with instructions, an examiner should:
a. ask someone else to repeat the instructions
b. explain that compliance is important
c. look for the reason behind the noncompliance
d. reprimand the patient for wasting your time
When interviewing a disabled patient, it is best to speak to:
a. the patient's attendant
b. family members
c. an interpreter
d. the patient directly
Which patient position facilitates inspection of the chest and shoulders?
The sequence of the physical examination should be individualized to:
a. minimize the number of times that the patient must change positions
b. maximize the convenience of the examiner
c. improve patient flow
d. minimize the time that the patient is in the room
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