Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care (7th Edition,) Joyce E. Dains All Chapters

Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care (7th Edition,) Joyce E. Dains All Chapters

On abdominal examination as the clinician presses on the right upper quadrant to assess liver size, jugular vein distension becomes obvious. Hepatojugular reflux is indicative of: A. Acute hepatitis B. Right ventricular failure C. Cholecystitis D. Left ventricular failure 12. Your patient demonstrates positive shifting dullness on percussion of the abdomen. This is indicative of: A. Cholecystitis B. Appendicitis C. Ascites D. Hepatitis 13. Your 44-year-old female patient complains of right upper quadrant pain. Her skin and sclera are yellow, and she has hyperbilirubinemia and elevated liver enzymes. The clinician should suspect: A. Acute pancreatitis B. Biliary duct obstruction C. Acute hepatitis D. Atypical appendicitis 14. The most common cause of acute pancreatitis is: A. Trauma B. Hepatitis virus A C. Hyperlipidemia D. Alcohol abuse 15. Your patient with pancreatitis has a Ranson rule score of 8. The clinician should recognize that this is a risk of: A. Pleural involvement B. Alcoholism C. High mortality D. Bile duct obstruction 16. Your patient complains of left upper quadrant pain, fever, extreme fatigue, and spontaneous bruising. The clinician should recognize that these symptoms are often related to: A. Hematopoetic disorders B. Hepatomegaly C. Esophageal varices D. Pleural effusion 17. A 16-year-old patient presents with sore throat, cervical lymphadenopathy, fever, extreme fatigue, and left upper A. Diverticulitis B. Appendicitis C. Colon cancer quadrant pain. The physical examination reveals splenomegaly. The clinician should recognize the probability of: A. Bacterial endocarditis B. Infectious mononucleosis C. Pneumonia with pleural effusion D. Pancreatic cancer 18. Your patient complains of lower abdominal pain, anorexia, extreme fatigue, unintentional weight loss of 10 pounds in last 3 weeks, and you find a positive hemoccult on digital rectal examination. Laboratory tests show iron deficiency anemia. The clinician needs to consider: D. Peptic ulcer disease 19. Which of the following is the most common cause of heartburn-type epigastric pain? A. Decreased lower esophageal sphincter tone B. Helicobacteria pylori infection of stomach C. Esophageal spasm D. Excess use of NSAIDs 20. A 22-year-old female enters the emergency room with complaints of right lower quadrant abdominal pain, which has been worsening over the last 24 hours. On examination of the abdomen, there is a palpable mass and rebound tenderness over the right lower quadrant. The clinician should recognize the importance of: A. Digital rectal examination B. Endoscopy C. Ultrasound D. Pelvic examination 21. The major sign of ectopic pregnancy is: A. Sudden onset of severe epigastric pain B. Amenorrhea with unilateral lower quadrant pain C. Lower back and rectal pain D. Palpable abdominal mass 22. When ruptured ectopic pregnancy is suspected, the following procedure is most important: A. Culdocentesis B. CT scan C. Abdominal x-ray D. Digital rectal examination 23. The majority of colon cancers are located in the: A. Transverse colon B. Cecum C. Rectosigmoid region D. Ascending colon 24. The following symptom(s) in the patient’s history should raise the clinician’s suspicion of colon cancer: A. Alternating constipation and diarrhea B. Narrowed caliber of stool C. Hematochezia D. All of the above 25. A patient presents to the emergency department with nausea and severe, colicky back pain that radiates into the groin. When asked to locate the pain, he points to the right costovertebral angle region. His physical examination is unremarkable. Which of the following lab tests is most important for the diagnosis? A. Urinalysis B. Serum electrolyte levels C. Digital rectal exam D. Lumbar x-ray 26. Your 34-year-old female patient complains of a feeling of “heaviness” in the right lower quadrant, achiness, and bloating. On pelvic examination, there is a palpable mass in the right lower quadrant. Urine and serum pregnancy tests are negative. The diagnostic tool that would be most helpful is: A. Digital rectal exam B. Transvaginal ultrasound C. Pap smear D. Urinalysis