Putting It All Together

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All Questions

Question 1

Free

Multiple Choice

Which is true regarding the relationship between the examiner and patient?

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It is the examiner's responsibility to help the patient understand that he or she is qualified to make decisions regarding health care.

The patient must trust the examiner completely.

The examiner-patient relationship is enhanced by ignoring cultural issues.

The patient is a full partner with the examiner.

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Question 2

Free

Multiple Choice

Which examiner behavior would help minimize your patient's dissatisfaction?

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Assume a busy and rushed attitude.

Convey your own feelings of discomfort.

Keep the patient waiting for more than 30 minutes.

Seek information about the patient's problem.

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Question 3

Free

Multiple Choice

An examiner might be able to help a patient who seems uncomfortable with close contact during an examination by:

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acknowledging the discomfort.

backing away from the patient.

joking about the patient's discomfort.

moving briskly to completion.

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Question 4

Free

Multiple Choice

When performing a history and physical assessment, the examiner should:

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change the sequence of observation with each interview.

develop a sequence of standard observations.

develop a preliminary diagnosis at the onset.

direct patient responses to fit the history sequence.

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Question 5

Free

Multiple Choice

The examiner should develop a demeanor that is exemplified by which one of the following behaviors?

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Exhibits visible distaste about the condition.

Gives immediate reassurances to the patient.

Gives patient unsolicited advice.

Validates the patient's justified concerns.

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Question 6

Multiple Choice

At your first meeting with a patient, it is usually best to say:

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"Let's get to the point."

"I hope you will learn to trust me."

"Let me tell you what I can do for you."

"Tell me about yourself."

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Question 7

Multiple Choice

Which patient characteristic is most likely to limit patient reliability during history taking?

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The patient's measured IQ is above average.

The patient is alert and oriented to time and place.

The patient is depressed.

The patient speaks the same language as examiner.

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Question 8

Multiple Choice

The reliability of health-related findings and observations is the responsibility of the:

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patient.

professional and medical assistants.

attending clinician.

professional and the patient.

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Question 9

Multiple Choice

Which is most likely to enhance examiner reliability?

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The examiner who seeks input from others.

The examiner is uncomfortable with his or her own skills.

The examiner believes that he or she must always be correct.

The examiner prejudges the patient and family.

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Question 10

Multiple Choice

Which statement accurately reflects the sensitivity and specificity of laboratory tests?

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The gold standard test has 100% sensitivity and specificity.

Sensitivity and specificity are inversely correlated.

Sensitivity and specificity are directly correlated.

No test has 100% sensitivity and specificity.

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Question 11

Multiple Choice

As you greet the patient, which examination technique is first implemented?

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Auscultation

Inspection

Measurement

Palpation

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Question 12

Multiple Choice

Which data is not part of your general inspection?

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Dress and habitus

Sinus tenderness

Gait

Facial expression

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Question 13

Multiple Choice

The sequence of the physical examination should be individualized to:

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minimize the number of times that the patient must change positions.

maximize the convenience of the examiner.

improve patient flow.

minimize the time that the patient is in the room.

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Question 14

Multiple Choice

According to the usual examination procedure, you would first assist your patient to assume which position?

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Lithotomy

Prone

Sitting

Supine

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Question 15

Multiple Choice

An ophthalmoscopic eye examination involves:

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lens inspection.

near vision evaluation.

sclera observation.

visual field assessment.

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Question 16

Multiple Choice

Palpation of the epitrochlear nodes is part of the:

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examination of the upper extremities.

assessment of the chest and thorax.

palpation of the abdomen.

examination of the head and neck.

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Question 17

Multiple Choice

Which are examined with the patient in a reclining 45-degree position?

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Bilateral hips and popliteal angles

Facial bones and cranial nerves V and VII

Jugular venous pulsation and pressure

Oropharynx and thyroid gland placement

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Question 18

Multiple Choice

Which patient position facilitates inspection of the chest and shoulders?

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Sitting

Supine

Trendelenburg

Prone

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Question 19

Multiple Choice

When assessing the abdomen, the examiner needs to expose the patient:

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from the waist down.

from the pubis to the epigastrium.

in entirety.

at no point during the examination.

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Question 20

Multiple Choice

To inspect the abdominal muscles, ask the:

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supine patient to raise their head.

standing patient to bend forward.

prone patient to raise their lower legs.

standing patient to stand on tiptoes.

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