Randall Johnson, an 80-year-old man with a history of high blood pressure and hypothyroidism, presents with ongoing dizziness. What is the most likely cause of his dizziness?- Skildor

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bates physical assessment test bank Questions

Question 1 of 5

Randall Johnson, an 80-year-old man with a history of high blood pressure and hypothyroidism, presents with ongoing dizziness. What is the most likely cause of his dizziness?

A. Orthostatic hypotension B. Benign positional paroxysmal vertigo C. Overcontrol of thyroid D. M�ni�re disease

Correct Answer: A

Rationale: Orthostatic hypotension is the most likely cause of dizziness in this patient with high blood pressure and hypothyroidism.

Question 2 of 5

The lymphatic ducts drain into the:

A. Arterial system B. Venous system C. Vertebral bodies of the spine D. Shoulder

Correct Answer: B

Rationale: The lymphatic ducts drain into the venous system, specifically at the junction of the subclavian and internal jugular veins.

Question 3 of 5

A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL system to document her maternal status:

A. Gravida 4 para 1114 B. Gravida 4, para 1314 C. Gravida 3, para 1114 D. Gravida 3, para 1112

Correct Answer: A

Rationale: TPAL system: Gravida (pregnancies), Para (full-term, preterm, abortions, living children).

Question 4 of 5

A 7-year-old child has been diagnosed with acute sinusitis. The drug class that should be avoided is:

A. Antihistamines B. Expectorants C. Decongestants D. Nasal steroids

Correct Answer: A

Rationale: Antihistamines should be avoided in children with sinusitis, as they can dry secretions and worsen symptoms.

Question 5 of 5

George Hall is a 91-year-old man. If the physician agrees with his daughter and does not inform George of bad news, which ethical principle might this violate?

A. Paternalism B. Autonomy C. Authenticity D. None of the above

Correct Answer: B

Rationale: Autonomy is violated when the patient is not informed about his medical condition.

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An 84-year-old male with a history of stroke without residual deficit, systolic heart failure, and type 2 diabetes presents to clinic for follow-up. He is independently living in a retirement community and still works part-time on a golf course. He currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID (twice a day), furosemide 20 mg BID, and lisinopril 10 mg daily. He reports his last colonoscopy was 8 years ago, with no abnormality. He reports he is sexually active with men and women, engaging in receptive oral, receptive anal, and penetrative sex. He states he has had over three sexual partners in the last year with intermittent condom use.

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