Question 1 of 5

A 42-year-old florist comes to your office, complaining of chronic constipation for the last 6 months. She has had no nausea, vomiting, or diarrhea and no abdominal pain or cramping. She denies any recent illnesses or injuries. She denies any changes to her diet or exercise program. She is on no new medications. During the review of systems you note that she has felt fatigued, had some weight gain, has irregular periods, and has cold intolerance. Her past medical history is significant for one vaginal delivery and two cesarean sections. She is married, has three children, and owns a flower shop. She denies tobacco, alcohol, or drug use. Her mother has type 2 diabetes and her father has coronary artery disease. There is no family history of cancers. On examination she appears her stated age. Her vital signs are normal. Her head, eyes, ears, nose, throat, and neck examinations are normal. Her cardiac, lung, and abdominal examinations are also unremarkable. Her rectal occult blood test is negative. Her deep tendon reflexes are delayed in response to a blow with the hammer, especially the Achilles tendons. What is the best choice for the cause of her constipation?

A. Large bowel obstruction B. Irritable bowel syndrome C. Rectal cancer D. Hypothyroidism

Question 2 of 5

Which of the following events occurs at the start of diastole?

A. Closure of the tricuspid valve B. Opening of the pulmonic valve C. Closure of the aortic valve D. Production of the first heart sound (S )

Question 3 of 5

To hear a soft murmur or bruit, which of the following may be necessary?

A. Asking the patient to hold her breath B. Asking the patient in the next bed to turn down the TV C. Checking your stethoscope for air leaks D. All of the above

Question 4 of 5

You ask a patient to draw a clock. He fills in all the numbers on the right half of the circle. What do you suspect?

A. Hemianopsia B. Fatigue C. Oppositional defiant disorder D. Depression

Question 5 of 5

Which area of the arm drains to the epitrochlear nodes?

A. Ulnar surface of the forearm and hand, little and ring fingers, and ulnar middle finger B. Radial surface of the forearm and hand, thumb and index fingers, and radial middle finger C. Ulnar surface of the forearm and hand; second, third, and fourth fingers D. Radial surface of the forearm and hand; second, third, and fourth fingers

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Health Assessment and Physical Examination Test Bank

Skildor

ATI RN

ATI RN