Assessing orientation to person, place, and time helps determine: a. ability to understand analogies. b. abstract reasoning. c. attention span. d. state of consciousness. {{Correct Ans- State of consciousness In the adult, the apical impulse should be most visible when the patient is in what position? {{Correct Ans- Upright A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarct. During the health history interview of his family history, he relates that his father had died of heart trouble. The most important follow-up question you should pose is which of the following? {{Correct Ans- "What age was your father at the time of his death?" You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with: {{Correct Ans- fibrocystic changes Inspection of the scrotum should reveal: {{Correct Ans- left scrotal sac lower than the right Temporalis and masseter muscles are evaluated by {{Correct Ans- having the patient clench his or her teeth. During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings: {{Correct Ans- are usual conditions during pregnancy Palpation of the epitrochlear nodes is part of the: a. examination of the upper extremities. b. assessment of the chest and thorax. c. palpation of the abdomen. d. examination of the head and neck. {{Correct Ans- examination of the upper extremities While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should: {{Correct Ans-Note the findings in the patients record A 62 year old female presents to the clinic with complains of chest pain and heart palpitations that started 3 days ago. Patient states she is healthy and only has a history of hypertension and tachycardia. Patient is currently taking Norvasc 10mg daily and Coreg 6.25 mg BID. You order an EKG and it shows heart rate above 200 beats/min and the ECG may look like a sawtooth cog. What is the most likely diagnosis of this patient? {{Correct Ans- atrial flutter You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: {{Correct Ans- inquire about previous penile infections. The adnexa of the uterus are composed of the: {{Correct Ans- fallopian tubes and ovaries. A pulsation that is diminished to the point of being barely palpable would be graded as: {{Correct Ans- 1 Which one of the following is a proper technique for use of a speculum during a vaginal examination? {{Correct Ans- Press introitus downward; insert closed speculum obliquely. Which cranial nerves are usually evaluated during the examination of the eyes? {{Correct Ans- III and VI Recent unilateral inversion of a previously everted nipple suggests: {{Correct Ans- cancer Normal changes of the aging brain include: {{Correct Ans- diminished perception of touch. It is especially important to test for ankle clonus if: {{Correct Ans- deep tendon reflexes are hyperactive. In the most effective percussion technique of the posterior lung fields, the patient cooperates by: {{Correct Ans- folding the arms in front