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___ 37. When a patient has not been

Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?

Sensitivity and specificity are not related.

Sensitivity and specificity are inversely correlated.

Sensitivity and specificity are directly correlated.

No test has 100% sensitivity and specificity.

The gold standard test has 100% sensitivity and specificity.

Which medical condition would exclude one from sports participation?

Asthma

Fever

Controlled seizures

HIV-positive status

Sickle cell trait

Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her:

sleep patterns.

salt intake.

aerobic workouts.

menstrual cycles.

family history.

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

Bilateral hips and popliteal angles

Facial bones and cranial nerves V and VII

Cardinal fields of gaze

Oropharynx and thyroid gland placement

Jugular venous pulsation and pressure

Which one of the following patient characteristics is most likely to limit patient reliability during history taking?

Patient s measured IQ is above average.

Patient is alert and oriented to time and place.

Patient is sleep and sensory deprived.

Patient speaks the same language as examiner.

Patient appears emotionally stable.

Functional assessment is most important during the examination of a(n):

adolescent.

infant.

older adult.

young adult.

toddler.

The best way to ease the apprehension of a 3-year-old child before a physical examination is to:

explain that you will be gentle.

have the parents leave the examination room.

let the child hold the stethoscope while you listen.

tell the child he or she will get a lollipop for good behavior.

hand the child a picture book.

An ophthalmoscopic eye examination involves:

lens inspection.

near vision evaluation.

sclera observation.

visual field assessment.

assessing extraocular eye muscles.

When conducting a geriatric assessment, basic activities of daily living (ADLs) include:

bathing.

housekeeping.

medication compliance.

communication skills.

money management.

The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:

all completed forms are distributed.

parental cosignatures are obtained.

the relevant history is obtained.

coordination of follow-ups is reviewed.

a primary care visit will not be required.

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

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.

The examiner-patient relationship should never have priority over strict information gathering.

The greatest risk for potential health problems occurs in which age group?

Newborn

Toddler

School age

Adolescence

Young adult

The sequence of the physical examination should be individualized to:

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

maximize the convenience of the examiner.

improve patient flow.

minimize the time the patient is in the room.

maximize patient movements to assess their mobility.

When you attempt to move a 10-month-old child from his mother s lap to the examination table, he screams loudly. Your best action is to:

move the child to the examination table and proceed matter-of-factly with the examination.

perform the examination while the child is in the mother s lap.

ask the mother to get the child to stop crying.

defer the examination until another day.

have the mother place the child on the examination table.

One of the most important aspects to consider in the orthopedic screening examination is:

muscle contraction.

flexibility.

muscle development.

balance.

symmetry.

The cranial nerves are usually assessed while the patient is in which position?

Left lateral

Supine

Sitting

Prone

Standing

Which patient position facilitates inspection of the chest and shoulders?

Sitting

Supine

Trendelenburg

Prone

Lithotomy

Which of the following factors is not known to affect patient compliance with his or her treatment regimen?

The patient s ability to understand the problem

The value the patient places on resolving the problem

The provider s relationship with the patient

The patient s age and social status

The provider s recognition of the patient s autonomy

Throughout the history and physical examination, the clinician should:

concentrate on emotional issues.

follow an inflexible sequence.

maintain a matter-of-fact demeanor.

deal only with previously identified problems.

evaluate the whole patient.

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

Lithotomy

Prone

Standing

Supine

Sitting

Results Displayed Feedback

Question 1

2 out of 2 points

Which medical condition would exclude one from sports participation?

Question 2

2 out of 2 points

Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her:

Question 3

2 out of 2 points

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

Question 4

2 out of 2 points

Which one of the following patient characteristics is most likely to limit patient reliability during history taking?

Question 5

2 out of 2 points

Functional assessment is most important during the examination of a(n):

Question 6

2 out of 2 points

The best way to ease the apprehension of a 3-year-old child before a physical examination is to:

Question 7

2 out of 2 points

An ophthalmoscopic eye examination involves:

Question 8

2 out of 2 points

When conducting a geriatric assessment, basic activities of daily living (ADLs) include:

Question 9

2 out of 2 points

The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:

Question 10

2 out of 2 points

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

Question 11

2 out of 2 points

The greatest risk for potential health problems occurs in which age group?

Question 12

2 out of 2 points

The sequence of the physical examination should be individualized to:

Question 13

2 out of 2 points

When you attempt to move a 10-month-old child from his mother s lap to the examination table, he screams loudly. Your best action is to:

Question 14

2 out of 2 points

One of the most important aspects to consider in the orthopedic screening examination is:

Question 15

2 out of 2 points

The cranial nerves are usually assessed while the patient is in which position?

Question 16

2 out of 2 points

Which patient position facilitates inspection of the chest and shoulders?

Question 17

2 out of 2 points

Which of the following factors is not known to affect patient compliance with his or her treatment regimen?

Question 18

2 out of 2 points

Throughout the history and physical examination, the clinician should:

Question 19

2 out of 2 points

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

Question 20

2 out of 2 points

Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?

Additional Quiz questions:

____ 41. Which of the following is true regarding the relationship between the examiner and the patient?

____ 2. An examiner might be able to help a patient who seems uncomfortable with close contact during an examination by

____ 3. At your first meeting with a patient, it is usually best to say

____ 4. Which one of the following patient characteristics is most likely to limit patient reliability during history taking?

____ 5. Which of the following is most likely to enhance examiner reliability?

____ 6. The reliability of health-related findings and observations is the responsibility of the

____ 7. Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?

____ 8. As you greet the patient, which examination technique is first implemented?

____ 9. Which of the following data are not part of your general inspection?

____ 10. The sequence of the physical examination should be individualized to

____ 11. According to the usual examination procedure, you would first assist your patient to assume which position?

____ 12. An ophthalmoscopic eye examination involves

____ 13. The cranial nerves are usually assessed while the patient is in which position?

____ 14. Which of the following are examined with the patient in a reclining 45-degree position?

____ 15. Which patient position facilitates inspection of the chest and shoulders?

____ 16. When assessing the abdomen, one needs to expose the patient

____ 17. To inspect the abdominal muscles, ask the

____ 18. Proprioception should be assessed while the patient is

____ 19. Examination of the patient in the lithotomy, or knee-chest, position includes

____ 20. Which portion of the physical examination is best done with the patient standing?

____ 21. The greatest risk for potential health problems occurs in which age group?

____ 22. A common method of estimating gestational age of a newborn is to assess

____ 23. To promote your examination time with a cooperative child, your approach to the examination should be to

____ 24. When conveying “bad” or distasteful news to the patient and family, it is best to

____ 25. The examination of a newborn should begin with

____ 26. The best way to ease the apprehension of a 3-year-old child before a physical examination is to

____ 27. In crying infants, it is often difficult to

____ 28. When you attempt to move a 10-month-old child from his mother’s lap to the examination table, he screams loudly. Your best action is to

____ 29. Observation of the child playing in the playroom provides information about which two systems?

____ 30. When conducting a geriatric assessment, basic activities of daily living (ADLs) include

____ 31. Functional assessment is most important during the examination of a(n)

____ 32. Throughout the history and physical examination, the clinician should

____ 33. Which of the following is not assessed in a newborn’s Apgar score?

____ 2. Which one of the following examiner behaviors would help minimize your patient’s dissatisfaction?

____ 3. An examiner might be able to help a patient who seems uncomfortable with close contact during an examination by:

____ 4. When performing a history and physical assessment, the examiner should:

____ 5. The examiner should develop a demeanor that is exemplified by which one of the following behaviors?

____ 6. At your first meeting with a patient, it is usually best to say:

____ 7. Which one of the following patient characteristics is most likely to limit patient reliability during history taking?

____ 8. Which of the following is most likely to enhance examiner reliability?

____ 9. The reliability of health-related findings and observations is the responsibility of the:

____ 10. Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?

____ 11. As you greet the patient, which examination technique is first implemented?

____ 12. Which of the following data are not part of your general inspection?

____ 13. The sequence of the physical examination should be individualized to:

____ 14. According to the usual examination procedure, you would first assist your patient to assume which position?

____ 15. An ophthalmoscopic eye examination involves:

____ 16. Palpation of the epitrochlear nodes is part of the:

____ 17. Which of the following are examined with the patient in a reclining 45-degree position?

____ 18. Which patient position facilitates inspection of the chest and shoulders?

____ 19. When assessing the abdomen, the examiner needs to expose the patient:

____ 20. To inspect the abdominal muscles, ask the:

____ 21. Proprioception should be assessed while the patient is:

____ 22. Examination of the patient in the lithotomy, or knee-chest, position includes:

____ 23. Which portion of the physical examination is best done with the patient standing?

____ 24. The greatest risk for potential health problems occurs in which age group?

____ 25. A common method for estimating gestational age of a newborn is to assess:

____ 26. To promote a child’s cooperation during your examination, your approach to the examination should be to:

____ 27. Which of the following cannot be assessed in the crying infant:

____ 28. The Ballard Gestational Age Test is completed within 36 hours of birth to:

____ 29. Mrs. Kia has brought her newborn infant in for a 2-week examination. The examination of the newborn should begin with:

____ 30. The best way to ease the apprehension of a 3-year-old child before a physical examination is to:

____ 31. In crying infants, it is often difficult to:

____ 32. When you attempt to move a 10-month-old child from his mother’s lap to the examination table, he screams loudly. Your best action is to:

____ 33. When conducting a geriatric assessment, keep in mind that basic activities of daily living (ADLs) include:

____ 34. When interviewing a disabled patient, it is best to speak to:

____ 35. Functional assessment is most important during the examination of a(n):

____ 36. Which of the following factors is not known to affect patient compliance with his or her treatment regimen?

____ 37. When a patient has not been compliant with instructions, an examiner should:

____ 38. Observation of the child playing in the playroom provides information about which two systems?

____ 39. Throughout the history and physical examination, the clinician should:

____ 40. For a routine physical examination, all the following equipment is necessary except:

____ 41. The cranial nerves are usually assessed while the patient is in which position?

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