Bates Guide to Physical Examination and History Taking, 12th Edition Test bank PDF

If you need any other Test Banks or eTextbooks contact us: [email protected]  1 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test...

If you need any other Test Banks or eTextbooks contact us: [email protected]  1 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 EditionChapter I I1: IOverview: IPhysical IExamination Iand IHistory I Taking I Multiple IChoice 1. For Iwhich Iof Ithe Ifollowing Ipatients Iwould Ia Icomprehensive Ihealth Ihistory Ibe Iappropriate? A) A Inew Ipatient Iwith Ithe Ichief Icomplaint Iof I“I Isprained Imy Iankle” B) An Iestablished Ipatient Iwith Ithe Ichief Icomplaint Iof I“I Ihave Ian Iupper Irespiratory Iinfection” C) A Inew Ipatient Iwith Ithe Ichief Icomplaint Iof I“I Iam Ihere Ito Iestablish Icare” D) A Inew Ipatient Iwith Ithe Ichief Icomplaint Iof I“I Icut Imy Ihand” Ans: IC IChapter: I 01 Page Iand IHeader: I 4, IPatient IAssessment: IComprehensive Ior IFocused Feedback: I This Ipatient Iis Ihere Ito Iestablish Icare, Iand Ibecause Ishe Iis Inew Ito Iyou, Ia Icomprehensive healthI Ihistory Iis Iappropriate. 2. The Icomponents Iof Ithe Ihealth Ihistory Iinclude Iall Iof Ithe Ifollowing Iexcept Iwhich Ione? A) Review Iof Isystems B) Thorax Iand Ilungs C) Present Iillness D) Personal Iand Isocial Iitems Ans: IB IChapter: I 01 Page Iand IHeader: I 4, IPatient IAssessment: IComprehensive Ior IFocused Feedback: I The Ithorax Iand Ilungs Iare Ipart Iof Ithe Iphysical Iexamination, Inot Ipart Iof Ithe Ihealth history.I I The Iothers Ianswers Iare Iall Ipart Iof Ia Icomplete Ihealth Ihistory. 3. Is Ithe Ifollowing Iinformation Isubjective Ior Iobjective? Page 1 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected]  Mr. IM. Ihas Ishortness Iof Ibreath Ithat Ihas Ipersisted Ifor Ithe Ipast I10 Idays; Iit Iis Iworse Iwith Iactivityand I Irelieved Iby Irest. A) Subjective B) Objective Ans: IA IChapter: I 01 Page Iand IHeader: I 6, IDifferences IBetween ISubjective Iand IObjective IData Feedback: I This Iis Iinformation Igiven Iby Ithe Ipatient Iabout Ithe Icircumstances Iof Ihis Ichief complaint.I I It Idoes Inot Irepresent Ian Iobjective Iobservation Iby Ithe Iexaminer. 4. Is Ithe Ifollowing Iinformation Isubjective Ior Iobjective? IMr. IM. Ihas Ia Irespiratory Irate Iof I32 Iand Ia Ipulse Irate Iof I120. A) Subjective B) Objective Ans: IB IChapter: I 01 Page Iand IHeader: I 6, IDifferences IBetween ISubjective Iand IObjective IData Feedback: I This Iis Ia Imeasurement Iobtained Iby Ithe Iexaminer, Iso Iit Iis Iconsidered Iobjective Idata. TheI Ipatient Iis Iunlikely Ito Ibe Iable Ito Igive Ithis Iinformation Ito Ithe Iexaminer. 5. The Ifollowing Iinformation Iis Irecorded Iin Ithe Ihealth Ihistory: I“The Ipatient Ihas Ihad Iabdominal Ipain Ifor I1 Iweek. IThe Ipain Ilasts Ifor I30 Iminutes Iat Ia Itime; Iit Icomes Iand Igoes. IThe Iseverity Iis I7 Ito I9 onI Ia Iscale Iof I1 Ito I10. IIt Iis Iaccompanied Iby Inausea Iand Ivomiting. IIt Iis Ilocated Iin Ithe Imid- Iepigastric Iarea.” Which Iof Ithese Icategories Idoes Iit Ibelong Ito? A) Chief Icomplaint B) Present Iillness C) Personal Iand Isocial Ihistory D) Review Iof Isystems Ans: IB IChapter: I 01 Page Iand IHeader: I 6, IThe IComprehensive IAdult IHealth IHistory Feedback: IThis Iinformation Idescribes Ithe Iproblem Iof Iabdominal Ipain, Iwhich Iis Ithe Ipresent Iillness. IThe Iinterviewer Ihas Iobtained Ithe Ilocation, Itiming, Iseverity, Iand Iassociated If you need any other Test Banks or eTextbooks contact us: [email protected]  3 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 Imanifestations ofI Ithe Ipain. IThe Iinterviewer Iwill Istill Ineed Ito Iobtain Iinformation Iconcerning Ithe Iquality Iof Ithe Ipain, Ithe Isetting Iin Iwhich Iit Ioccurred, Iand Ithe Ifactors Ithat Iaggravate Iand Ialleviate Ithe Ipain. IYou Iwill Inotice Ithat Iit Idoes Iinclude Iportions Iof Ithe Ipertinent Ireview Iof Isystems, Ibut Ibecause Iit Irelates Idirectly Ito Ithe Icomplaint, Iit Iis Iincluded Iin Ithe Ihistory Iof Ipresent Iillness. 6. The Ifollowing Iinformation Iis Irecorded Iin Ithe Ihealth Ihistory: I“The Ipatient Icompleted I8th Igrade. HeI Icurrently Ilives Iwith Ihis Iwife Iand Itwo Ichildren. IHe Iworks Ion Iold Icars Ion Ithe Iweekend. IHe Iworks Iin Ia Iglass Ifactory Iduring Ithe Iweek.” Which Icategory Idoes Iit Ibelong Ito? A) Chief Icomplaint B) Present Iillness C) Personal Iand Isocial Ihistory D) Review Iof Isystems Ans: IC IChapter: I 01 Page Iand IHeader: I 6, IThe IComprehensive IAdult IHealth IHistory Feedback: IPersonal Iand Isocial Ihistory Iinformation Iincludes Ieducational Ilevel, Ifamily Iof Iorigin, Icurrent Ihousehold Istatus, Ipersonal Iinterests, Iemployment, Ireligious Ibeliefs, I military Ihistory, Iand lifestyleI I(including Idiet Iand Iexercise Ihabits; Iuse Iof Ialcohol, Itobacco, Iand/or Idrugs; Iand Isexual Ipreferences Iand Ihistory). IAll Iof Ithis Iinformation Iis Idocumented Iin Ithis Iexample. 7. The Ifollowing Iinformation Iis Irecorded Iin Ithe Ihealth Ihistory: I“I Ifeel Ireally Itired.” WhichI Icategory Idoes Iit Ibelong Ito? A) Chief Icomplaint B) Present Iillness C) Personal Iand Isocial Ihistory D) Review Iof Isystems Ans: IA IChapter: I 01 Page Iand IHeader: I 6, IThe IComprehensive IAdult IHealth IHistory Feedback: I The Ichief Icomplaint Iis Ian Iattempt Ito Iquote Ithe Ipatient's Iown Iwords, Ias Ilong Ias Ithey Iare Isuitable Ito Iprint. IIt Iis Ibrief, Ilike Ia Iheadline, Iand Ifurther Idetails Ishould Ibe Isought Iin Ithe Ipresent illnessI Isection. IThe Iabove Iinformation Iis Ia Ichief Icomplaint. Page 3 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected] If you need any other Test Banks or eTextbooks contact us: [email protected]  8. The Ifollowing Iinformation Iis Irecorded Iin Ithe Ihealth Ihistory: I“Patient Idenies Ichest Ipain, palpitations,I Iorthopnea, Iand Iparoxysmal Inocturnal Idyspnea.” Which Icategory Idoes Iit Ibelong Ito? A) Chief Icomplaint B) Present Iillness C) Personal Iand Isocial Ihistory D) Review Iof Isystems Ans: ID IChapter: I 01 Page Iand IHeader: I 6, IThe IComprehensive IAdult IHealth IHistory Feedback: IReview Iof Isystems Idocuments Ithe Ipresence Ior Iabsence Iof Icommon Isymptoms Irelated toI Ieach Imajor Ibody Isystem. IThe Iabsence Iof Icardiac Isymptoms Iis Ilisted Iin Ithe Iabove Iexample. 9. The Ifollowing Iinformation Iis Ibest Iplaced Iin Iwhich Icategory? “TheI Ipatient Ihas Ihad Ithree Icesarean Isections.” A) Adult Iillnesses B) Surgeries C) Obstetrics/gynecology D) Psychiatric Ans: IB IChapter: I 01 Page Iand IHeader: I 9, IPast IHistory Feedback: IA Icesarean Isection Iis Ia Isurgical Iprocedure. IApproximate Idates Ior Ithe Iage Iof Ithe Ipatient atI Ithe Itime Iof Ithe Isurgery Ishould Ialso Ibe Irecorded. 10. The Ifollowing Iinformation Iis Ibest Iplaced Iin Iwhich Icategory? “The Ipatient Ihad Ia Istent Iplaced Iin Ithe Ileft Ianterior Idescending Iartery I(LAD) Iin I1999.” A) Adult Iillnesses B) Surgeries C) Obstetrics/gynecology D) Psychiatric Ans: IA IChapter: If you need any other Test Banks or eTextbooks contact us: [email protected]  5 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 I01 Page Iand IHeader: I 9, IPast IHistory Feedback: IThe Iadult Iillnesses Icategory Iis Ireserved Ifor Ichronic Iillnesses, Isignificant Ihospitalizations, Isignificant Iinjuries, Iand Isignificant Iprocedures. IA Istent Iis Ia Imajor Iprocedure Ibut doesI Inot Iinvolve Ia Isurgeon. 11. The Ifollowing Iinformation Iis Ibest Iplaced Iin Iwhich Icategory? “The Ipatient Iwas Itreated Ifor Ian Iasthma Iexacerbation Iin Ithe Ihospital Ilast Iyear; Ithe Ipatient Ihas never Ibeen Iintubated.” A) Adult Iillnesses B) Surgeries C) Obstetrics/gynecology D) Psychiatric Ans: IA IChapter: I 01 Page Iand IHeader: I 9, IPast IHistory Feedback: IThis Iis Iinformation Iabout Ia Isignificant Ihospitalization Iand Ishould Ibe Iplaced Iin Ithe Iadult Iillnesses Isection. I If Ithe Ipatient Iis Ibeing Iseen Ifor Ian Iasthma Iexacerbation, Iyou Imay Iconsider placingI Ithis Iinformation Iin Ithe Ipresent Iillness Isection, Ibecause Iit Irelates Ito Ithe Ichief Icomplaint Iat thatI Ivisit. Bates’ IGuide Ito IPhysical IExamination Iand IHistory ITaking, I12th IEdition I Chapter I2: IClinical IReasoning, IAssessment, Iand IRecording IYour IFindings Multiple IChoice 1. A Ipatient Ipresents Ifor Ievaluation Iof Ia Isharp, Iaching Ichest Ipain Iwhich Iincreases Iwith Ibreathing. WhichI Ianatomic Iarea Iwould Iyou Ilocalize Ithe Isymptom Ito? A) Musculoskeletal Page 5 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected] B) Reproductive C) Urinary D) Endocrine Ans: IA IChapter: I 02 Page Iand IHeader: I27, IAssessment Iand IPlan: IThe IProcess Iof IClinical IReasoning Feedback: IChest Ipain Imay Ibe Idue Ito Ia Imusculoskeletal Icondition, Isuch Ias Icostochondritis Ior Iintercostal Imuscle Icramp. I This Iwould Ibe Iworsened Iby Imotion Iof Ithe Ichest Iwall. I Pleuritic Ichest painI Iis Ialso Ia Isharp Ichest Ipain Iwhich Iincreases Iwith Ia Ideep Ibreath. IThis Itype Iof Ipain Ican Ioccur Iwith Iinflammation Iof Ithe Ipleura Ifrom Ipneumonia Ior Iother Iconditions Iand Ipulmonary Iembolus. 2. A Ipatient Icomes Ito Ithe Iemergency Iroom Ifor Ievaluation Iof Ishortness Iof Ibreath. ITo Iwhich anatomicI Iregion Iwould Iyou Iassign Ithe Isymptom? A) Reproductive B) Urinary C) Cardiac D) Hematologic Ans: IC IChapter: I 02 Page Iand IHeader: I27, IAssessment Iand IPlan: IThe IProcess Iof IClinical IReasoning Feedback: ICardiac Idisorders Isuch Ias Icongestive Iheart Ifailure Iare Ithe Imost Ilikely Ion Ithis Ilist Ito Iresult Iin Ishortness Iof Ibreath. I There Iare Icases Iwithin Ithe Iother Icategories Iwhich Imay Ialso Iresult Iin shortnessI Iof Ibreath, Isuch Ias Ianemia Iin Ithe Ihematologic Icategory, Ipregnancy Iin Ithe Ireproductive Icategory, Ior Isepsis Iwith IUTI Iin Ithe Iurinary Icategory. IThis Idemonstrates Ithe I“tension” Iin Iclinical Ireasoning Ibetween Imaking Isure Iall Ipossibilities Iare Icovered, Iwhile Istill Ibeing Iable Ito Ipick Ithe Imost Ilikely Icause. 3. A Ipatient Ipresents Ifor Ievaluation Iof Ia Icough. IWhich Iof Ithe Ifollowing Ianatomic Iregions Ican Ibe responsibleI Ifor Ia Icough? A) Ophthalmologic B) Auditory C) Cardiac D) Endocrine Ans: IC IChapter: I 02 If you need any other Test Banks or eTextbooks contact us: [email protected]  7 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 Page Iand IHeader: I27, IAssessment Iand IPlan: IThe IProcess Iof IClinical IReasoning Feedback: I The Icardiac Isystem Ican Icause Ia Icough Iif Ithe Ipatient Ihas Icongestive Iheart Ifailure. IThis resultsI Iin Ifluid Ibuildup Iin Ithe Ilungs, Iwhich Iin Iturn Ican Icause Ia Icough Ithat Iproduces Ipink, Ifrothy Isputum. I A Iforeign Ibody Iin Ithe Iear Imay Ialso Icause Ia Icough Iby Istimulating IArnold's Ibranch Iof Ithe vagusI Inerve, Ibut Ithis Iis Iless Ilikely Ito Ibe Iseen Iclinically Ithan Iheart Ifailure. 4. A I22-year-old Iadvertising Icopywriter Ipresents Ifor Ievaluation Iof Ijoint Ipain. IThe Ipain Iis Inew, Ilocated Iin Ithe Iwrists Iand Ifingers Ibilaterally, Iwith Isome Isubjective Ifever. IThe Ipatient Idenies Ia Irash; sheI Ialso Idenies Irecent Itravel Ior Icamping Iactivities. IShe Ihas Ia Ifamily Ihistory Isignificant Ifor Irheumatoid Iarthritis. IBased Ion Ithis Iinformation, Iwhich Iof Ithe Ifollowing Ipathologic Iprocesses Iwould Ibe Ithe Imost Icorrect? A) Infectious B) Inflammatory C) Hematologic D) Traumatic Ans: IB IChapter: I 02 Page Iand IHeader: I27, IAssessment Iand IPlan: IThe IProcess Iof IClinical IReasoning Feedback: IThe Idescription Iis Imost Iconsistent Iwith Ian Iinflammatory Iprocess, Ialthough Iall Ithe Iother Ietiologies Ishould Ibe Iconsidered. ILyme Idisease Iis Ian Iinfection Iwhich Icommonly Icauses Iarthritis, Ihemophilia Iis Ia Ihematologic Icondition Iwhich Ican Icause Ibleeding Iin Ithe Ijoints, Iand Itrauma Ican Iobviously Icause Ijoint Ipain. I Your Iclinical Ireasoning Iskills Iare Iimportant Ifor Isorting throughI Iall Iof Ithe Idata Ito Iarrive Iat Ithe Imost Ilikely Iconclusion. 5. A I47-year-old Icontractor Ipresents Ifor Ievaluation Iof Ineck Ipain, Iwhich Ihas Ibeen Iintermittent Ifor Iseveral Iyears. IHe Inormally Itakes Iover-the-counter Imedications Ito Iease Ithe Ipain, Ibut Ithis Itime Ithey haven'tI Iworked Ias Iwell, Iand Ihe Istill Ihas Idiscomfort. IHe Irecently Iwallpapered Ithe Ientire Isecond Ifloor Iin Ihis Ihouse, Iwhich Icaused Ihim Igreat Idiscomfort. IThe Ipain Iresolved Iwith Irest. IHe Idenies Ifever, Ichills, Irash, Iupper Irespiratory Isymptoms, Itrauma, Ior Iinjury Ito Ithe Ineck. IBased Ion Ithis Idescription, Iwhat Iis Ithe Imost Ilikely Ipathologic Iprocess? A) Infectious B) Neoplastic C) Degenerative D) Traumatic Page 7 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected] Ans: IC IChapter: I 02 Page Iand IHeader: I27, IAssessment Iand IPlan: IThe IProcess Iof IClinical IReasoning Feedback: I The Idescription Iis Imost Iconsistent Iwith Idegenerative Iarthritis Iin Ithe Ineck. IThe Ipatient hasI Ihad Iintermittent Isymptoms Iand Ithe Iquestions Iasked Ito Ielicit Ipertinent Inegative Iand Ipositive Ifindings Iare Inegative Ifor Iinfectious, Itraumatic, Ior Ineoplastic Idisease. 6. A I15-year-old Ihigh Ischool Isophomore Icomes Ito Ithe Iclinic Ifor Ievaluation Iof Ia I3-week Ihistory Iof Isneezing; Iitchy, Iwatery Ieyes; Iclear Inasal Idischarge; Iear Ipain; Iand Inonproductive Icough. IWhich isI Ithe Imost Ilikely Ipathologic Iprocess? A) Infection B) Inflammation C) Allergic D) Vascular Ans:I I C Chapter: I 02 Page Iand IHeader: I27, IAssessment Iand IPlan: IThe IProcess Iof IClinical IReasoning Feedback:I I This Idescription Iis Imost Iconsistent Iwith Iallergic Irhinitis. 7. A I19-year-old-college Istudent Ipresents Ito Ithe Iemergency Iroom Iwith Ifever, Iheadache, Iand Ineck pain/stiffness.I IShe Iis Iconcerned Iabout Ithe Ipossibility Iof Imeningococcal Imeningitis. I Several Iof Iher Idorm Imates Ihave Ibeen Ivaccinated, Ibut Ishe Ihasn't Ibeen. IWhich Iof Ithe Ifollowing Iphysical Iexamination Idescriptions Iis Imost Iconsistent Iwith Imeningitis? A) Head Iis Inormocephalic Iand Iatraumatic, Ifundi Iwith Isharp Idiscs, Ineck Isupple Iwith Ifull Irange Iof motionI B) Head Iis Inormocephalic Iand Iatraumatic, Ifundi Iwith Isharp Idiscs, Ineck Iwith Iparaspinous I muscle spasmI Iand Ilimited Irange Iof Imotion Ito Ithe Iright C) Head Iis Inormocephalic Iand Iatraumatic, Ifundi Iwith Iblurred Idisc Imargins, Ineck Itender Ito palpation,I Iunable Ito Iperform Irange Iof Imotion D) Head Iis Inormocephalic Iand Iatraumatic, Ifundi Iwith Iblurred Idisc Imargins, Ineck Isupple Iwith Ifull rangeI Iof Imotion Ans: IC IChapter: I 02 Page Iand IHeader: I27, IAssessment Iand IPlan: IThe IProcess Iof IClinical IReasoning If you need any other Test Banks or eTextbooks contact us: [email protected]  9 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 Feedback: I Blurred Idisc Imargins Iare Iconsistent Iwith Ipapilledema, Iand Ineck Itenderness Iand Ilack Iof Irange Iof Imotion Iare Iconsistent Iwith Ineck Istiffness, Iwhich Iin Ithis Iscenario Iis Ilikely Ito Ibe Icaused byI Imeningeal Iinflammation. ILater, Iyou Iwill Ilearn Iabout IKernig's Iand IBrudzinski's Isigns, Iwhich Iare Ihelpful Iin Itesting Ifor Imeningeal Iirritation Ion Iexamination. 8. A I37-year-old Inurse Icomes Ifor Ievaluation Iof Icolicky Iright Iupper Iquadrant Iabdominal Ipain. IThe painI Iis Iassociated Iwith Inausea Iand Ivomiting Iand Ioccurs I1 Ito I2 Ihours Iafter Ieating Igreasy Ifoods. IWhich Ione Iof Ithe Ifollowing Iphysical Iexamination Idescriptions Iwould Ibe Imost Iconsistent Iwith Ithe diagnosisI Iof Icholecystitis? A) Abdomen Iis Isoft, Inontender, Iand Inondistended, Iwithout Ihepatosplenomegaly Ior Imasses. B) Abdomen Iis Isoft Iand Itender Ito Ipalpation Iin Ithe Iright Ilower Iquadrant, Iwithout Irebound Ior guarding.I C) Abdomen Iis Isoft Iand Itender Ito Ipalpation Iin Ithe Iright Iupper Iquadrant Iwith Iinspiration, Ito Ithe pointI Iof Istopping Iinspiration, Iand Ithere Iis Ino Irebound Ior Iguarding. D) Abdomen Iis Isoft Iand Itender Ito Ipalpation Iin Ithe Imid-epigastric Iarea, Iwithout Irebound Ior guarding.I Ans: IC IChapter: I 02 Page Iand IHeader: I27, IAssessment Iand IPlan: IThe IProcess Iof IClinical IReasoning Feedback: I In Icholecystitis, Ithe Ipain, Iwhich Ioriginates Ifrom Ithe Igallbladder, Iis Ilocated Iin Ithe Iright upperI Iquadrant. ISeverity Iof Ipain Iwith Iinspiration Ithat Iis Isufficient Ito Istop Ifurther Iinhalation Iis Ialso Iknown Ias IMurphy's Isign, Iwhich, Iif Ipresent, Iis Ifurther Iindicative Iof Iinflammation Iof Ithe Igallbladder. 9. A I55-year-old Idata Ientry Ioperator Icomes Ito Ithe Iclinic Ito Iestablish Icare. IShe Ihas Ithe Ifollowing symptoms:I Iheadache, Ineck Ipain, Isinus Icongestion, Isore Ithroat, Iringing Iin Iears, Isharp Ibrief Ichest painsI Iat Irest, Iburning Iabdominal Ipain Iwith Ispicy Ifoods, Iconstipation, Iurinary Ifrequency Ithat Iis Iworse Iwith Icoughing Iand Isneezing, Iand Iswelling Iin Ilegs. IThis Icluster Iof Isymptoms Iis Iexplained by:I A) One Idisease Iprocess B) More Ithan Ione Idisease Iprocess Ans: IB IChapter: I 02 Page 9 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected]  Page Iand IHeader: I 38, IThe IChallenges Iof IClinical IData Feedback: IThe Ipatient Iappears Ito Ihave Iseveral Ipossible Iconditions: Iallergic Irhinitis, Iarthritis, Iconductive Ihearing Iloss, Ipleuritic Ichest Ipains, Iheartburn, Istress Iurinary Iincontinence, Iand Ivenous stasis,I Iamong Iother Iconditions. IAlthough Iwe Ialways Itry, Iit Iis Ivery Idifficult Ito Iassign Iall Iof Ithese symptomsI Ito Ione Icohesive Idiagnosis. 10. A I62-year-old Iteacher Ipresents Ito Ithe Iclinic Ifor Ievaluation Iof Ithe Ifollowing Isymptoms: Ifever, headache,I Isinus Icongestion, Isore Ithroat, Igreen Inasal Idischarge, Iand Icough. IThis Icluster Iof Isymptoms Iis Ibest Iexplained Iby: A) One Idisease Iprocess B) More Ithan Ione Idisease Iprocess Ans: IA IChapter: I 02 Page Iand IHeader: I 38, IThe IChallenges Iof IClinical IData Feedback: IThis Icluster Iof Isymptoms Iis Imost Iconsistent Iwith Isinusitis. IThe Ichance Ithat Iall Iof Ithese Isymptoms Iare Icaused Iby Imultiple Isynchronous Iconditions Iin Ithe Isame Ipatient Iis Imuch Iless thanI Ithe Ipossibility Iof Ihaving Ione Iproblem Iwhich Iaccounts Ifor Iall Iof Ithem. 11. Steve Ihas Ijust Iseen Ia I5-year-old Igirl Iwho Iwheezes Iwhen Iexposed Ito Icats. I The Ipatient's Ifamily Ihistory Iis Ipositive Ifor Iasthma. IYou Ithink Ithe Ichild Imost Ilikely Ihas Iasthma. IWhat Ihave Iyou justI Iaccomplished? A) You Ihave Itested Iyour Ihypothesis. B) You Ihave Ideveloped Ia Iplan. C) You Ihave Iestablished Ia Iworking Idiagnosis. D) You Ihave Icreated Ia Ihypothesis. Ans: ID IChapter: I 02 Page Iand IHeader: I27, IAssessment Iand IPlan: IThe IProcess Iof IClinical IReasoning Feedback: IAs Iyou Igo Ithrough Ia Ihistory Iand Iexamination, Iyou Iwill Istart Ito Igenerate Iideas Ito Iexplain Ithe Ipatient's Isymptoms. I It Iis Ibest Ito Ikeep Ian Iopen Imind Iand Imake Ias Imany Ihypotheses Iasyou I Ican, Ito Iavoid Imissing Ia Ipossibility. I A Icommon Imistake Iis Ito Ilatch Ionto Ione Iidea Itoo Iearly. Once Iyou Ihave Icommitted Iyour Imind Ito Ia Idiagnosis, Iit Iis Idifficult Ito Ichange Ito Ianother. ITo Ithink Iabout Ilooking Ifor Iwheezes Ion Iexamination Iwould Ibe Ian Iexample Iof Itesting Iyour Inew Ihypothesis. StartingI Ia Ipatient Ion Ian Iinhaled Imedicine Iwould Ibe Ia Iplan. IIt Iis Itoo Iearly Ito Icommit Ito Ia Iworking diagnosis,I Igiven Ithe Iamount Iof Iinformation Iyou Ihave Igathered. If you need any other Test Banks or eTextbooks contact us: [email protected]  11 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 12. Ms. IWashington Iis Ia I67-year-old Iwho Ihad Ia Iheart Iattack Ilast Imonth. I Now Ishe Icomplains Iof shortnessI Iof Ibreath Iand Inot Ibeing Iable Ito Isleep Iin Ia Iflat Iposition I(orthopnea). IOn Iexamination Iyou Inote Iincreased Ijugular Ivenous Ipressure, Ian IS3 Igallop, Icrackles Ilow Iin Ithe Ilung Ifields, Iand Iswollen Iankles I(edema). I This Iis Ian Iexample Iof Ia: A) Pathophysiologic Iproblem B) Psychopathologic Iproblem Ans: IA IChapter: I 02 Page Iand IHeader: I 38, IThe IChallenges Iof IClinical IData Feedback: IThis Iis Ian Iexample Iof Ia Ipathophysiologic Iproblem Ibecause IMs. IWashington's Isymptoms Iare Iconsistent Iwith Ia Ipathophysiologic Iprocess. I The Iheart Iattack Ireduced Ithe Iability Iofher I Iheart Ito Ihandle Iher Ivolume Istatus Iand Isubsequently Iproduced Ithe Imany Ifeatures Iof Icongestiveheart I Ifailure. 13. On Ithe Iway Ito Isee Iyour Inext Ipatient, Iyou Iglance Iat Ithe Icalendar Iand Imake Ia Imental Inote Ito Ibuy Ia IMother's IDay Icard. IYour Ipatient Iis IMs. IHernandez, Ia I76-year-old Iwidow Iwho Ilost Iher Ihusband Iin IMay, Itwo Iyears Iago. IShe Icomes Iin Itoday Iwith Ia Iheadaches, Iabdominal Ipain, Iand Igeneral Imalaise. IThis Ihappened Ionce Ibefore, Iabout Ia Iyear Iago, Iaccording Ito Iyour Idetailed Ioffice notes.I I You Ihave Idone Ia Ithorough Ievaluation Ibut Iare Iunable Ito Iarrive Iat Ia Iconsistent Ipicture Ito Itie theseI Isymptoms Itogether. I This Iis Ian Iexample Iof Ia: A) Pathophysiologic Iproblem B) Psychopathologic Iproblem Ans: IB IChapter: I 02 Page Iand IHeader: I 38, IThe IChallenges Iof IClinical IData Feedback: IIt Iis Inot Iuncommon Ifor Ipatients Ito Iexperience Ipsychopathologic Isymptoms Iaround Ithe anniversaryI Iof Ia Itraumatic Ievent. I The Itime Iof Iyear Iand Ithe Ilack Iof Ian Iobvious Iconnection Ibetween IMs. IHernandez's Isymptoms Iwould Imake Iyou Iconsider Ithis Ias Ia Ipossibility. I You Iwill Inote Ithat Ialthough Ithis Imight Ihave Ibeen Ian Iearly Iconsideration Iin Iyour Ihypothesis Igeneration, Iit Iis keyI Ito Iconvince Iyourself Ithat Ithere Iis Inot Ia Iphysiologic Iexplanation Ifor Ithese Isymptoms, Iby Iperforming Ia Icareful Ihistory Iand Iexamination. Page 11 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected]  14. Mr. ILarson Iis Ia I42-year-old Iwidowed Ifather Iof Itwo Ichildren, Iages I4 Iand I11. IHe Iworks Iin Ia Isales Ioffice Ito Isupport Ihis Ifamily. I Recently Ihe Ihas Iinjured Ihis Iback Iand Iyou Iare Ithinking Ihe Iwould Ibenefit Ifrom Iphysical Itherapy, Ithree Itimes Ia Iweek, Ifor Ian Ihour Iper Isession. I What Iwould Ibeyour I Inext Istep? A) Write Ithe Iphysical Itherapy Iprescription. B) Have Iyour Ioffice Istaff Iexplain Idirections Ito Ithe Iphysical Itherapy Icenter. C) Discuss Ithe Iplan Iwith IMr. ILarson. D) Tell IMr. ILarson Ithat Ihe Iwill Ibe Igoing Ito Iphysical Itherapy Ithree Itimes Ia Iweek. Ans: IC IChapter: I 02 Page Iand IHeader: I 30, IDevelop Ia IPlan IAgreeable Ito Ithe IPatient Feedback: I You Ishould Idiscuss Iyour Iproposed Iplan Iwith Ithe Ipatient Ibefore Iimplementing Iit. I In thisI Icase, Iyou Iand IMr. ILarson Iwill Ineed Ito Iweigh Ithe Ibenefit Iof Iphysical Itherapy Iagainst Ithe Iability Ito Iprovide Ifor Ihis Ifamily. IYou Imay Ineed Ito Iconsider Iother Iways Iof Ihelping Ithe Ipatient, Iperhaps Ithrough Iprescribed Iback Iexercises Ihe Ican Ido Iat Ihome. IIt Iis Ia Icommon Imistake Ito Iimplement Ia Iplan Iwithout Icoming Ito Ian Iagreement Iwith Ithe Ipatient Ifirst. 15. You Iare Iseeing Ian Ielderly Iman Iwith Imultiple Icomplaints. I He Ihas Ichronic Iarthritis, Ipain Ifrom anI Iold Iwar Iinjury, Iand Iheadaches. IToday Ihe Icomplains Iof Ithese Ipains, Ias Iwell Ias Idull Ichest Ipain Iunder Ihis Isternum. I What Iwould Ithe Iorder Iof Ipriority Ibe Ifor Iyour Iproblem Ilist? A) Arthritis, Iwar Iinjury Ipain, Iheadaches, Ichest Ipain B) War Iinjury Ipain, Iarthritis, Iheadaches, Ichest Ipain C) Headaches, Iarthritis, Iwar Iinjury Ipain, Ichest Ipain D) Chest Ipain, Iheadaches, Iarthritis, Iwar Iinjury Ipain Ans: ID IChapter: I 02 Page Iand IHeader: I 37, IGenerating Ithe IProblem IList Feedback: I The Iproblem Ilist Ishould Ihave Ithe Imost Iactive Iand Iserious Iproblem Ifirst. I This Inew complaint Iof Ichest Ipain Iis Ialmost Icertainly Ia Ihigher Ipriority Ithan Ihis Iother, Imore Ichronic problems.I 16. You Iare Iexcited Iabout Ia Ipositive Itest Ifinding Iyou Ihave Ijust Inoticed Ion Iphysical Iexamination ofI Iyour Ipatient. I You Igo Ion Ito Ido Imore Iexamination, Ilaboratory Iwork, Iand Idiagnostic Itests, Ionly toI Ifind Ithat Ithere Iis Ino Isign Iof Ithe Idisease Iyou Ithought Iwould Icorrelate Iwith Ithe Ifinding. IThis If you need any other Test Banks or eTextbooks contact us: [email protected]  13 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 same Iexperience Ihappens Iseveral Itimes. I What Ishould Iyou Iconclude? A) I Consider Inot Idoing Ithis Itest Iroutinely. B) Use Ithis Itest Iwhen Iyou Ihave Ia Ihigher Isuspicion Ifor Ia Icertain Icorrelating Icondition. C) Continue Iusing Ithe Itest, Iperhaps Idoing Iless Ilaboratory Iwork Iand Idiagnostics. D) Omit Ithis Itest Ifrom Ifuture Iexaminations. Ans: IC IChapter: I 02 Page Iand IHeader: I 38, IThe IChallenges Iof IClinical IData Feedback: I This Iis Ian Iexample Iof Ia Isensitive Iphysical Ifinding Ithat Ilacks Ispecificity. I This Idoes InotmakeI Ithis Ia Iuseless Itest, Ibecause Ithe Ipurpose Iof Ia Iscreening Iphysical Iis Ito Ifind Idisease. IThis Ifinding Imade Iyou Iconsider Ithe Iassociated Icondition Ias Ione Iof Iyour Ihypotheses, Iand Ithis Iin Iitself Ihas Ivalue. IOther Ipossibilities Iare Ithat Iyou Imay Ibe Idoing Ithe Imaneuver Iincorrectly Ior Iusing Iit Ion Ithe Iwrong Ipopulation. IIt Iis Iimportant Ito Iask Ifor Ihands-on Ihelp Ifrom Iyour Iinstructor Iwhen Iyou Ihave Ia Iquestion Iabout Ia Imaneuver. IMake Isure Ithat Iyour Iinformation Iabout Ithe Imaneuver Icomes Ifrom Ia Ireliable Isource Ias Iwell. I All Iof Ithis Iinformation Ialso Iapplies Ito Ihistory Iquestions. 17. You Iare Igrowing Ifatigued Iof Iperforming Ia Imaneuver Ion Iexamination Ibecause Iyou Ihave Inever foundI Ia Ipositive Iand Iare Iusually Ipressed Ifor Itime. I How Ishould Iyou Inext Iapproach Ithis Imaneuver? A) Use Ithis Itest Iwhen Iyou Ihave Ia Ihigher Isuspicion Ifor Ia Icertain Icorrelating Icondition. B) Omit Ithis Itest Ifrom Ifuture Iexaminations. C) Continue Idoing Ithe Itest, Ibut Irely Imore Iheavily Ion Ilaboratory Iwork Iand Idiagnostics. D) Continue Iperforming Iit Ion Iall Ifuture Iexaminations. Ans: IA IChapter: I 02 Page Iand IHeader: I 38, IThe IChallenges Iof IClinical IData Feedback: IThis Iis Ian Iexample Iof Ia Ispecific Itest Ithat Ilacks Isensitivity. IWith Ithis Iscenario, Iwhen Iyou Ifinally Ifind Ia Ipositive, Iyou Imight Ibe Ivery Icertain Ithat Ia Igiven Icondition Iis Ipresent. IWe Igenerally Idevelop Iour Iexaminations Ito Ifit Iour Iclinical Iexperiences. ISensitive Itests Iare Iperformed routinelyI Ion Ithe Iscreening Iexamination, Iwhile Ispecific Itests Iare Iusually Isaved Ifor Ithe Idetailed Ior I“branched” Iexaminations. IBranched Iexaminations Iare Ifurther Imaneuvers Iwe Ican Iperform Ito Iinvestigate Ipositive Ifindings Ion Iour Iscreening Iexaminations. I Save Ithis Itype Iof Imaneuver Ito confirm Iyour Ihypothesis. I All Iof Ithis Iinformation Ialso Iapplies Ito Ihistory Iquestions. Page 13 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected] 18. You Ihave Irecently Ireturned Ifrom Ia Imedical Imissions Itrip Ito Isub-Saharan IAfrica, Iwhere Iyou Ilearned Ia Igreat Ideal Iabout Imalaria. I You Idecide Ito Iuse Isome Iof Ithe Isame Iquestions Iand Imaneuvers inI Iyour I“routine” Iwhen Iexamining Ipatients Iin Ithe Imidwestern IUnited IStates. IYou Iare Idisappointed Ito Ifind Ithat Idespite Igetting Isome Ipositive Ianswers Iand Ifindings, Ion Ifurther Iworkup, Inone Iof Iyour Ipatients Ihas Imalaria Iexcept Ione, Iwho Irecently Iemigrated Ifrom IGhana. IHow Ishould Iyou Inext Iapproach Ithese Iquestions Iand Imaneuvers? A) Continue Iasking Ithese Iquestions Iin Ia Imore Iselective Iway. B) Stop Iasking Ithese Iquestions, Ibecause Ithey Iare Ilow Iyield. C) Question Ithe Ivalidity Iof Ithe Iquestions. D) Ask Ithese Iquestions Iof Iall Iyour Ipatients. Ans: IA IChapter: I 02 Page Iand IHeader: I 38, IThe IChallenges Iof IClinical IData Feedback: IThe Ipredictive Ivalue Iof Ia Ipositive Ifinding Idepends Iupon Ithe Iprevalence Iof Ia Igiven Idisease Iin Ia Ipopulation. IThe Iprevalence Iof Imalaria Iin Ithe IMidwest Iis Ialmost Izero, Iexcept Iin Ipeople Iimmigrating Ifrom Iareas Iof Ihigh Iprevalence. IYou Iwill Iwaste Itime Iand Iresources Iapplying theseI Iquestions Iand Imaneuvers Ito Iall Ipatients. IIt Iwould Ibe Iwise Ito Icontinue Iapplying Iwhat Iyou Ilearned Ito Ithose Iwho Iare Ifrom Iareas Iof Ihigh Iprevalence Iof Ia Igiven Idisease. ILikewise, Iphysicians fromI IGhana Ishould Inot Iask Iabout Isigns Ior Isymptoms Iof Imultiple Isclerosis, Ias Iit Iis Ifound Ialmost Iexclusively Iin Inorthern Ilatitudes. IYou Iwill Ilearn Ito Itailor Iyour Iexamination Ito Ithe Ipopulation Iyou areI Iserving. Bates’ IGuide Ito IPhysical IExamination Iand IHistory ITaking, I12th EditionChapter I I3: IInterviewing Iand Ithe IHealth IHistory I Multiple IChoice 1. You Iare Irunning Ilate Iafter Iyour Iquarterly Iquality Iimprovement Imeeting Iat Ithe Ihospital Iand Ihave Ijust Igotten Ipaged Ifrom Ithe Inurses' Istation Ibecause Ia Ifamily Imember Iof Ione Iof Iyour Ipatients wants Ito Italk Iwith Iyou Iabout Ithat Ipatient's Icare. IYou Ihave Iclinic Ithis Iafternoon Iand Iare Idouble- Ibooked Ifor Ithe Ifirst Iappointment Itime; Ithree Iother Ipatients Ialso Ihave Iarrived Iand Iare Isitting Iin Ithe waitingI Iroom. IWhich Iof Ithe Ifollowing Idemeanors Iis Ia Ibehavior Iconsistent Iwith Iskilled If you need any other Test Banks or eTextbooks contact us: [email protected]  15 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 interviewing Iwhen Iyou Iwalk Iinto Ithe Iexamination Iroom Ito Ispeak Iwith Iyour Ifirst Iclinic Ipatient? A) I Irritability B) Impatience C) Boredom D) Calm Ans: ID IChapter: I 03 Page Iand IHeader: I 58, IGetting IReady: IThe IApproach Ito Ithe IInterview Feedback: I The Iappearance Iof Icalmness Iand Ipatience, Ieven Iwhen Itime Iis Ilimited, Iis Ithe Ihallmark ofI Ia Iskilled Iinterviewer. 2. Suzanne, Ia I25 Iyear Iold, Icomes Ito Iyour Iclinic Ito Iestablish Icare. IYou Iare Ithe Istudent Ipreparing Ito goI Iinto Ithe Iexamination Iroom Ito Iinterview Iher. IWhich Iof Ithe Ifollowing Iis Ithe Imost Ilogical Isequence Ifor Ithe Ipatient–provider Iinterview? A) Establish Ithe Iagenda, Inegotiate Ia Iplan, Iestablish Irapport, Iand Iinvite Ithe Ipatient's Istory. B) Invite Ithe Ipatient's Istory, Inegotiate Ia Iplan, Iestablish Ithe Iagenda, Iand Iestablish Irapport. C) Greet Ithe Ipatient, Iestablish Irapport, Iinvite Ithe Ipatient's Istory, Iestablish Ithe Iagenda, Iexpand Iand clarifyI Ithe Ipatient's Istory, Iand Inegotiate Ia Iplan. D) Negotiate Ia Iplan, Iestablish Ian Iagenda, Iinvite Ithe Ipatient's Istory, Iand Iestablish Irapport. Ans: IC IChapter: I 03 Page Iand IHeader: I60, ILearning IAbout Ithe IPatient: IThe ISequence Iof Ithe IInterview IFeedback: I This Iis Ithe Imost Iproductive Isequence Ifor Ithe Iinterview. IGreeting Ipatients Iand establishing Irapport Iallows Ithem Ito Ifeel Imore Icomfortable Ibefore I“inviting” Ithem Ito Irelate Itheir story.I IAfter Ihearing Ithe Ipatient's Istory, Itogether Iyou Iestablish Ithe Iagenda Iregarding Ithe Imost Iimportant Iitems Ito Iexpand Iupon. IAt Ithe Iend, Itogether Iyou Inegotiate Ithe Iplan Iof Idiagnosis Iand Itreatment. 3. Alexandra Iis Ia I28-year-old Ieditor Iwho Ipresents Ito Ithe Iclinic Iwith Iabdominal Ipain. IThe Ipain Iis Ia Idull Iache, Ilocated Iin Ithe Iright Iupper Iquadrant, Ithat Ishe Irates Ias Ia I3 Iat Ithe Ileast Iand Ian I8 Iat Ithe Iworst. IThe Ipain Istarted Ia Ifew Iweeks Iago, Iit Ilasts Ifor I2 Ito I3 Ihours Iat Ia Itime, Iit Icomes Iand Igoes, Iand itI Iseems Ito Ibe Iworse Ia Icouple Iof Ihours Iafter Ieating. IShe Ihas Inoticed Ithat Iit Istarts Iafter Ieating Igreasy Ifoods, Iso Ishe Ihas Icut Idown Ion Ithese Ias Imuch Ias Ishe Ican. IInitially Iit Ioccurred Ionce Ia Iweek, butI Inow Iit Iis Ioccurring Ievery Iother Iday. INothing Imakes Iit Ibetter. IFrom Ithis Idescription, Iwhich Iof Page 15 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected] the Iseven Iattributes Iof Ia Isymptom Ihas Ibeen Iomitted? I A) Setting Iin Iwhich Ithe Isymptom Ioccurs B) Associated Imanifestations C) Quality D) Timing Ans: IB IChapter: I 03 Page Iand IHeader: I 65, IThe ISeven IAttributes Iof Ia ISymptom Feedback: IThe Iinterviewer Ihas Inot Irecorded Iwhether Ior Inot Ithe Ipain Ihas Ibeen Iaccompanied Iby nausea,I Ivomiting, Ifever, Ichills, Iweight Iloss, Iand Iso Ion. IAssociated Imanifestations Iare Iadditional symptomsI Ithat Imay Iaccompany Ithe Iinitial Ichief Icomplaint Iand Ithat Ihelp Ithe Iexaminer Ito Istart Irefining Ihis Ior Iher Idifferential Idiagnosis. 4. Jason Iis Ia I41-year-old Ielectrician Iwho Ipresents Ito Ithe Iclinic Ifor Ievaluation Iof Ishortness Iof Ibreath. IThe Ishortness Iof Ibreath Ioccurs Iwith Iexertion Iand Iimproves Iwith Irest. IIt Ihas Ibeen Igoing Ion forI Iseveral Imonths Iand Iinitially Ioccurred Ionly Ia Icouple Iof Itimes Ia Iday Iwith Istrenuous Iexertion; Ihowever, Iit Ihas Istarted Ito Ioccur Iwith Iminimal Iexertion Iand Iis Ihappening Imore Ithan Ia Idozen Itimes perI Iday. IThe Ishortness Iof Ibreath Ilasts Ifor Iless Ithan I5 Iminutes Iat Ia Itime. IHe Ihas Ino Icough, Ichest Ipressure, Ichest Ipain, Iswelling Iin Ihis Ifeet, Ipalpitations, Iorthopnea, Ior Iparoxysmal Inocturnal Idyspnea. Which Iof Ithe Ifollowing Isymptom Iattributes Iwas Inot Iaddressed Iin Ithis Idescription? A) Severity B) Setting Iin Iwhich Ithe Isymptom Ioccurs C) Timing D) Associated Imanifestations Ans: IA IChapter: I 03 Page Iand IHeader: I 65, IThe ISeven IAttributes Iof Ia ISymptom Feedback: IThe Iseverity Iof Ithe Isymptom Iwas Inot Irecorded Iby Ithe Iinterviewer, Iso Iwe Ihave Ino Iunderstanding Ias Ito Ihow Ibad Ithe Isymptom Iis Ifor Ithis Ipatient. I The Ipatient Icould Ihave Ibeen Iasked toI Irate Ihis Ipain Ion Ia I0 Ito I10 Iscale Ior Iused Ione Iof Ithe Iother Istandardized Ipain Iscales Iavailable. This Iallows Ithe Icomparison Iof Ipain Iintensity Ibefore Iand Iafter Ian Iintervention. 5. You Iare Iinterviewing Ian Ielderly Iwoman Iin Ithe Iambulatory Isetting Iand Itrying Ito Iget Imore Iinformation Iabout Iher Iurinary Isymptoms. IWhich Iof Ithe Ifollowing Itechniques Iis Inot Ia Icomponent ofI Iadaptive Iquestioning? If you need any other Test Banks or eTextbooks contact us: [email protected]  17 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 A) Directed Iquestioning: Istarting Iwith Ithe Igeneral Iand Iproceeding Ito Ithe Ispecific Iin Ia Imanner thatI Idoes Inot Imake Ithe Ipatient Igive Ia Iyes/no Ianswer B) Reassuring Ithe Ipatient Ithat Ithe Iurinary Isymptoms Iare Ibenign Iand Ithat Ishe Idoesn't Ineed Ito worry Iabout Iit Ibeing Ia Isign Iof Icancer C) Offering Ithe Ipatient Imultiple Ichoices Iin Iorder Ito Iclarify Ithe Icharacter Iof Ithe Iurinary Isymptoms thatI Ishe Iis Iexperiencing D) Asking Iher Ito Itell Iyou Iexactly Iwhat Ishe Imeans Iwhen Ishe Istates Ithat Ishe Ihas Ia Iurinary Itract infectionI Ans: IB IChapter: I 03 Page Iand IHeader: I 68, IBuilding Ia ITherapeutic IRelationship: IThe ITechniques Iof ISkilled InterviewingI Feedback: I Reassurance Iis Inot Ipart Iof Iclarifying Ithe Ipatient's Istory; Iit Iis Ipart Iof Iestablishing rapportI Iand Iempathizing Iwith Ithe Ipatient. 6. Mr. IW. Iis Ia I51-year-old Iauto Imechanic Iwho Icomes Ito Ithe Iemergency Iroom Iwanting Ito Ibe Ichecked Iout Ifor Ithe Isymptom Iof Ichest Ipain. IAs Iyou Ilisten Ito Ihim Idescribe Ihis Isymptom Iin Imore detail,I Iyou Isay I“Go Ion,” Iand Ilater, I“Mm-hmmm.” IThis Iis Ian Iexample Iof Iwhich Iof Ithe Ifollowing skilledI Iinterviewing Itechniques? A) Echoing B) Nonverbal Icommunication C) Facilitation D) Empathic Iresponse Ans: IC IChapter: I 03 Page Iand IHeader: I 68, IBuilding Ia ITherapeutic IRelationship: IThe ITechniques Iof ISkilled InterviewingI Feedback: I This Iis Ian Iexample Iof Ifacilitation. IFacilitation Ican Ibe Iposture, Iactions, Ior Iwords Ithat encourageI Ithe Ipatient Ito Isay Imore. 7. Mrs. IR. Iis Ia I92-year-old Iretired Iteacher Iwho Icomes Ito Iyour Iclinic Iaccompanied Iby Iher Idaughter. IYou Iask IMrs. IR. Iwhy Ishe Icame Ito Iyour Iclinic Itoday. IShe Ilooks Iat Iher Idaughter Iand doesn'tI Isay Ianything Iin Iresponse Ito Iyour Iquestion. IThis Iis Ian Iexample Iof Iwhich Itype Iof Ichallenging Ipatient? Page 17 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected]  A) Talkative Ipatient B) Angry Ipatient C) Silent Ipatient D) Hearing-impaired Ipatient Ans: IC IChapter: I 03 Page Iand IHeader: I75, IAdapting IYour IInterview Ito ISpecific ISituations Feedback: I This Iis Ione Iexample Iof Ia Isilent Ipatient. IThere Iare Imany Ipossibilities Ifor Ithis Ipatient's silence:I Idepression, Idementia, Ithe Imanner Iin Iwhich Iyou Iasked Ithe Iquestion, Iand Iso Ion. 8. Mrs. IT. Icomes Ifor Iher Iregular Ivisit Ito Ithe Iclinic. IShe Iis Ion Iyour Ischedule Ibecause Iher Iregular providerI Iis Ion Ivacation Iand Ishe Iwanted Ito Ibe Iseen. IYou Ihave Iheard Iabout Iher Imany Itimes Ifrom yourI Icolleague Iand Iare Iaware Ithat Ishe Iis Ia Ivery Italkative Iperson. IWhich Iof Ithe Ifollowing Iis Ia Ihelpful Itechnique Ito Iimprove Ithe Iquality Iof Ithe Iinterview Ifor Iboth Ithe Iprovider Iand Ithe Ipatient? A) Allow Ithe Ipatient Ito Ispeak Iuninterrupted Ifor Ithe Iduration Iof Ithe Iappointment. B) Briefly Isummarize Iwhat Iyou Iheard Ifrom Ithe Ipatient Iin Ithe Ifirst I5 Iminutes Iand Ithen Itryto I Ihave Iher Ifocus Ion Ione Iaspect Iof Iwhat Ishe Itold Iyou. C) Set Ithe Itime Ilimit Iat Ithe Ibeginning Iof Ithe Iinterview Iand Istick Iwith Iit, Ino Imatter Iwhat Ioccurs Iin theI Icourse Iof Ithe Iinterview. D) Allow Iyour Iimpatience Ito Ishow Iso Ithat Ithe Ipatient Ipicks Iup Ion Iyour Inonverbal Icue Ithat Ithe appointmentI Ineeds Ito Iend. Ans: IB IChapter: I 03 Page Iand IHeader: I75, IAdapting IYour IInterview Ito ISpecific ISituations Feedback: IYou Ican Ialso Isay, I“I Iwant Ito Imake Isure II Itake Igood Icare Iof Ithis Iproblem Ibecause Iit Iis Ivery Iimportant. I We Imay Ineed Ito Italk Iabout Ithe Iothers Iat Ithe Inext Iappointment. I Is Ithat Iokay Iwithyou?” I IThis Iis Ia Itechnique Ithat Ican Ihelp Iyou Ito Ichange Ithe Isubject Ibut, Iat Ithe Isame Itime, Ivalidatethe I Ipatient's Iconcerns; Iit Ialso Ican Iprovide Imore Istructure Ito Ithe Iinterview. 9. Mrs. IH. Icomes Ito Iyour Iclinic, Iwanting Iantibiotics Ifor Ia Isinus Iinfection. IWhen Iyou Ienter Ithe Iroom, Ishe Iappears Ito Ibe Ivery Iangry. IShe Ihas Ia Iraised Itone Iof Ivoice Iand Istates Ithat Ishe Ihas Ibeen waitingI Ifor Ithe Ipast Ihour Iand Ihas Ito Iget Iback Ito Iwork. IShe Istates Ithat Ishe Iis Iunimpressed Iby Ithe receptionI Istaff, Ithe Inurse, Iand Ithe Iclinic Iin Igeneral Iand Iwants Ito Iknow Iwhy Ithe Ioffice Iwouldn't Icall Iin Ian Iantibiotic Ifor Iher. IWhich Iof Ithe Ifollowing Itechniques Iis Inot Iuseful Iin Ihelping Ito Icalm thisI Ipatient? A) Avoiding Iadmission Ithat Iyou Ihad Ia Ipart Iin Iprovoking Iher Ianger Ibecause Iyou Iwere Ilate If you need any other Test Banks or eTextbooks contact us: [email protected]  19 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 B) Accepting Iangry Ifeelings Ifrom Ithe Ipatient Iand Itrying Inot Ito Iget Iangry Iin Ireturn C) Staying Icalm D) Keeping Iyour Iposture Irelaxed Ans: IA IChapter: I 03 Page Iand IHeader: I75, IAdapting IYour IInterview Ito ISpecific ISituations Feedback: IIn Ithis Iscenario, Ithe Iprovider Iwas I1 Ihour Ilate Iin Iseeing Ithe Ipatient. IThe Iprovider Ishould Iacknowledge Ithat Ihe Iwas Ilate Iand Iapologize Ifor Ithis, Ino Imatter Ithe Ireason Ifor Ibeing Ilate. It Ioften Ihelps Ito Iacknowledge Ithat Ia Ipatient's Ianger Iwith Iyou Iis Iunderstandable Iand Ithat Iyou mightI Ibe Iangry Iin Ia Isimilar Isituation. 10. A I23-year-old Igraduate Istudent Icomes Ito Iyour Iclinic Ifor Ievaluation Iof Ia Iurethral Idischarge. AsI Ithe Iprovider, Iyou Ineed Ito Iget Ia Isexual Ihistory. IWhich Ione Iof Ithe Ifollowing Iquestions Iis Iinappropriate Ifor Ieliciting Ithe Iinformation? A) Are Iyou Isexually Iactive? B) When Iwas Ithe Ilast Itime Iyou Ihad Iintimate Iphysical Icontact Iwith Isomeone, Iand Idid Ithat Icontact includeI Isexual Iintercourse? C) Do Iyou Ihave Isex Iwith Imen, Iwomen, Ior Iboth? D) How Imany Isexual Ipartners Ihave Iyou Ihad Iin Ithe Ilast I6 Imonths? Ans: IA IChapter: I 03 Page Iand IHeader: I 81, ISensitive ITopics IThat ICall IFor ISpecific IApproaches Feedback: IThis Iis Iinappropriate Ibecause Iit Iis Itoo Ivague. IGiven Ithe Icomplaint, Iyou Ishould Iprobably Iassume Ithat Ihe Iis Isexually Iactive. ISometimes Ipatients Imay Irespond Ito Ithis Iquestion Iwith theI Iphrase I“No, II Ijust Ilie Ithere.” I A Ispecific Isexual Ihistory Iwill Ihelp Iyou Ito Iassess Ithis Ipatient's Irisk Ifor Iother Isexually Itransmitted Iinfections. 11. Mr. IQ. Iis Ia I45-year-old Isalesman Iwho Icomes Ito Iyour Ioffice Ifor Ievaluation Iof Ifatigue. IHe Ihas comeI Ito Ithe Ioffice Imany Itimes Iin Ithe Ipast Iwith Ia Ivariety Iof Iinjuries, Iand Iyou Isuspect Ithat Ihe Ihas Ia problemI Iwith Ialcohol. IWhich Ione Iof Ithe Ifollowing Iquestions Iwill Ibe Imost Ihelpful Iin Idiagnosing Ithis Iproblem? A) You Iare Ian Ialcoholic, Iaren't Iyou? B) When Iwas Iyour Ilast Idrink? C) Do Iyou Idrink I2 Ito I3 Ibeers Ievery Iweekend? Page 19 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected]  D) Do Iyou Idrink Ialcohol Iwhen Iyou Iare Isupposed Ito Ibe Iworking? Ans: IB IChapter: I 03 Page Iand IHeader: I 81, ISensitive ITopics IThat ICall Ifor ISpecific IApproaches Feedback: I This Iis Ia Igood Iopening Iquestion Ithat Iis Igeneral Iand Ineutral Iin Itone; Idepending Ion Ithe timing,I Iyou Iwill Ibe Iable Ito Iask Ifor Imore Ispecific Iinformation Irelated Ito Ithe Ipatient's Ilast Idrink. The Iothers Iwill Itend Ito Istifle Ithe Iconversation Ibecause Ithey Iare Iclosed-ended Iquestions. I Answer DI Iimplies Inegative Ibehavior Iand Imay Ialso Ikeep Ithe Iperson Ifrom Isharing Ifreely Iwith Iyou. 12. On Ia Ivery Ibusy Iday Iin Ithe Ioffice, IMrs. IDonelan, Iwho Iis I81 Iyears Iold, Icomes Ifor Iher Iusual Ivisit Ifor Iher Iblood Ipressure. I She Iis Ion Ia Ilow-dose Idiuretic Ichronically Iand Idenies Iany Iside Ieffects. IHer Iblood Ipressure Iis I118/78 Itoday, Iwhich Iis Iwell-controlled. IAs Iyou Iare Iwriting Iher Iscript, Ishe Imentions Ithat Iit Iis Ihard Inot Ihaving Iher Ihusband IBill Iaround Ianymore. IWhat Iwould Iyou doI Inext? A) Hand Iher Ithe Iscript Iand Imake Isure Ishe Ihas Ia I3-month Ifollow-up Iappointment. B) Make Isure Ishe Iunderstands Ithe Iscript. C) Ask Iwhy IBill Iis Inot Ithere. D) Explain Ithat Iyou Iwill Ihave Imore Itime Iat Ithe Inext Ivisit Ito Idiscuss Ithis. Ans: IC IChapter: I 03 Page Iand IHeader: I 81, ISensitive ITopics IThat ICall Ifor ISpecific IApproaches Feedback: ISometimes, Ithe Ipatient's Igreatest Ineed Iis Ifor Isupport Iand Iempathy. IIt Iwould Ibe Iinappropriate Ito Iignore Ithis Icomment Itoday. IShe Imay Ihave Irelied Iheavily Iupon IBill Ifor Icare Iand Imay Ibe Iin Idanger. IShe Imay Ibe Idepressed Iand Ieven Isuicidal, Ibut Iyou Iwill Inot Iknow Iunless Iyou Idiscuss Ithis Iwith Iher. IMost Iimportantly, Iyou Ishould Iempathize Iwith Iher Iby Isaying Isomething Ilike “ItI Imust Ibe Ivery Idifficult Inot Ito Ihave Ihim Iat Ihome” Iand Iallow Ia Ipause Ifor Iher Ito Ianswer. IYou Imay alsoI Iask I“What Idid Iyou Irely Ion Ihim Ito Ido Ifor Iyou?” IOnly Ia Ilife-threatening Icrisis Iwith I another Ipatient Ishould Itake Iyou Iout Iof Iher Iroom Iat Ithis Ipoint, Iand Iyou Imay Ineed Ito Iadjust Iyour Ioffice Ischedule Ito Iallow Iadequate Itime Ifor Iher Itoday. 13. A Ipatient Iis Idescribing Ia Ivery Ipersonal Ipart Iof Iher Ihistory Ivery Iquickly Iand Iin Igreat Idetail. HowI Ishould Iyou Ireact Ito Ithis? A) Write Idown Ias Imuch Ias Iyou Ican, Ias Iquickly Ias Ipossible. B) Ask Iher Ito Irepeat Ikey Iphrases Ior Ito Ipause Iat Iregular Iintervals, Iso Iyou Ican Iget Ialmost Ievery word.I C) Tell Iher Ithat Ishe Ican Igo Iover Ithe Inotes Ilater Ito Imake Isure Ithey Iare Iaccurate. D) Push Iaway Ifrom Ithe Ikeyboard Ior Iput Idown Iyour Ipen Iand Ilisten. If you need any other Test Banks or eTextbooks contact us: [email protected]  21 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 Ans: ID IChapter: I 03 Page Iand IHeader: I 58, IGetting IReady: IThe IApproach Ito Ithe IInterview Feedback: IThis Iis Ia Icommon Ievent Iin Iclinical Ipractice. IIt Iis Imuch Imore Iimportant Ito Ilisten Iactively Iwith Igood Ieye Icontact Iat Ithis Itime Ithan Ito Idocument Ithe Istory Iverbatim. IYou Iwant Ito Iminimize Iinterruption I(e.g., Ianswer IB). IIt Iis Iusually Inot Iappropriate Ito Iask Ia Ipatient Ito Igo Iover Ithe Iwritten Inotes, Ibut Iit Iwould Ibe Ia Igood Iidea Ito Irepeat Ithe Imain Iideas Iback Ito Iher. IYou Ishould Ibe certainI Ishe Ihas Icompleted Iher Istory Ibefore Idoing Ithis. IBy Iputting Idown Iyour Ipen Ior Ipushing Iaway Ifrom Ithe Ikeyboard, Iyou Ilet Ithe Ipatient Iknow Ithat Iher Istory Iis Ithe Imost Iimportant Ithing Ito Iyou Iat Ithis Imoment. 14. You Iarrive Iat Ithe Ibedside Iof Ian Ielderly Iwoman Iwho Ihas Ihad Ia Istroke, Iaffecting Iher Ientire Iright Iside. IShe Icannot Ispeak I(aphasia). IYou Iare Isupposed Ito Iexamine Iher. I You Inotice Ithat Ithe Ilast Iexaminer Ileft Iher Isocks Iat Ithe Ibottom Iof Ithe Ibed, Iand Ialthough Isensitive Iareas Iare Icovered Ibya I Isheet, Ithe Iblanket Iis Iheaped Iby Iher Ifeet Iat Ithe Ibottom Iof Ithe Ibed. I What Iwould Iyou Ido Inext? A) Carry Iout Iyour Iexamination, Ifocusing Ion Ithe Ineurologic Iportion, Iand Ithen Icover Iher Iproperly. B) Carry Iout Iyour Iexamination Iand Ilet Ithe Inurse Iassigned Ito Iher I“put Iher Iback Itogether.” C) Put Iher Isocks Iback Ion Iand Icover Iher Icompletely Ibefore Ibeginning Ithe Ievaluation. D) Apologize Ifor Ithe Ilast Iexaminer Ibut Ilet Ithe Inext Iexaminer Idress Iand Icover Iher. Ans: IC IChapter: I 03 Page Iand IHeader: I 58, IGetting IReady: IThe IApproach Ito Ithe IInterview Feedback: IIt Iis Icrucial Ito Imake Ian Ieffort Ito Imake Ia Ipatient Icomfortable. IIn Ithis Iscenario, Ithe Ipatient Ican Ineither Ispeak Inor Imove Iwell. I Take Ia Imoment Ito Iimagine Iyourself Iin Iher Isituation. I Asa I Imatter Iof Irespect Ias Iwell Ias Icomfort, Iyou Ishould Icover Ithe Ipatient Iappropriately Iand Iconsider Ireturning Ia Ilittle Ilater Ito Ido Iyour Iexamination Iif Iyou Ifeel Ishe Iis Icold. IWhile Iit Iis Iher Inurse's Ijob Itokeep I Iher Icomfortable, Iit Iis Ialso Iyour Iresponsibility, Iand Iyou Ishould Ido Iwhat Iyou Ican. IIt Iis Iunacceptable Ito Ileave Ithe Ipatient Iin Ithe Isame Istate Iin Iwhich Iyou Ifound Iher. 15. When Iyou Ienter Iyour Ipatient's Iexamination Iroom, Ihis Iwife Iis Iwaiting Ithere Iwith Ihim. I Which ofI Ithe Ifollowing Iis Imost Iappropriate? A) Ask Iif Iit's Iokay Ito Icarry Iout Ithe Ivisit Iwith Iboth Ipeople Iin Ithe Iroom. B) Carry Ion Ias Iyou Iwould Iordinarily. I The Ipermission Iis Iimplied Ibecause Ihis Iwife Iis Iin Ithe Iroom withI Ihim. C) Ask Ihis Iwife Ito Ileave Ithe Iroom Ifor Ireasons Iof Iconfidentiality. D) First Iask Ihis Iwife Iwhat Ishe Ithinks Iis Igoing Ion. Page 21 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected] Ans: IA IChapter: I 03 Page Iand IHeader: I 60, ILearning IAbout Ithe IPatient: IThe ISequence Iof Ithe IInterview Feedback: IEven Iin Isituations Iinvolving Ipeople Ivery Ifamiliar Iwith Ieach Iother, Iit Iis Iimportant Ito Irespect Iindividual Iprivacy. IThere Iis Ino Iimplicit Iconsent Imerely Ibecause Ihe Ihas Iallowed Ihis Iwife toI Ibe Iin Ithe Iroom Iwith Ihim. IOn Ithe Iother Ihand, Iit Iis Iinappropriate Ito Iassume Ithat Ihis Iwife I should leaveI Ithe Iroom. IRemember, Ithe Ipatient Iis Ithe Ifocus Iof Ithe Ivisit, Iso Iit Iwould Ibe Iappropriate Ito Iallow Ihim Ito Icontrol Iwho Iis Iin Ithe Iroom Iwith Ihim Iand I inappropriate Ito Iaddress Ihis Iwife Ifirst. Although Iyour Iduty Iis Ito Ithe Ipatient, Iyou Imay Iget Ioptimal Iinformation Iby Ioffering Ito Ispeak Ito bothI Ipeople Iconfidentially. I This Isituation Iis Ianalogous Ito Ian Iadolescent's Ivisit. 16. A Ipatient Icomplains Iof Iknee Ipain Ion Iyour Iarrival Iin Ithe Iroom. I What Ishould Iyour Ifirst sentence Ibe Iafter Igreeting Ithe Ipatient? A) How Imuch Ipain Iare Iyou Ihaving? B) Have Iyou Iinjured Ithis Iknee Iin Ithe Ipast? C) When Idid Ithis Ifirst Ioccur? D) Could Iyou Iplease Idescribe Iwhat Ihappened? Ans: ID IChapter: I 03 Page Iand IHeader: I 60, ILearning IAbout Ithe IPatient: IThe ISequence Iof Ithe IInterview Feedback: IWhen Ilooking Iinto Ia Icomplaint, Iit Iis Ibest Ito Istart Iwith Ian Iinvitation Ifor Ithe Ipatient Ito Itell Iyou Iin Ihis Ior Iher Iown Iwords. IMore Ispecific Iquestions Ishould Ibe Iused Ilater Iin Ithe Iinterview Ito fillI Iin Iany Igaps. 17. You Ihave Ijust Iasked Ia Ipatient Ihow Ihe Ifeels Iabout Ihis Iemphysema. I He Ibecomes Isilent, Ifolds hisI Iarms Iacross Ihis Ichest Iand Ileans Iback Iin Ihis Ichair, Iand Ithen Ireplies, I“It Iis Iwhat Iit Iis.” IHow Ishould Iyou Irespond? A) “You Iseem Ibothered Iby Ithis Iquestion.” B) “Next, II Iwould Ilike Ito Italk Iwith Iyou Iabout Iyour Ismoking Ihabit.” C) “Okay, Ilet's Imove Ion Ito Iyour Iother Iproblems.” D) “You Ihave Iadopted Ia Ipractical Iattitude Itoward Iyour Iproblem.” Ans: IA IChapter: I 03 Page Iand IHeader: I 60, ILearning IAbout Ithe IPatient: IThe ISequence Iof Ithe IInterview If you need any other Test Banks or eTextbooks contact us: [email protected]  23 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 IFeedback: I You Ihave Iastutely Inoted Ithat Ithe Ipatient's Ibody Ilanguage Ichanged Iat Ithe Itime Iyou askedI Ithis Iquestion, Iand Idespite Ithe Ipatient's Iresponse, Iyou Isuspect Ithere Iis Imore Ibeneath Ithe surface.I IMaybe Ihe Iis Iafraid Iof Ibeing Ibrowbeaten Iabout Ihis Ismoking, Imaybe Ia Irelative Ihas Irecently Idied Ifrom Ithis Idisorder, Ior Imaybe Ia Ifriend Itold Ihim I20 Iyears Iago Ithat Ihe Iwould eventually Iget Iemphysema. IRegardless, Iby Isharing Iyour Iobservation Iand Ileaving Ia Ipause, Ihe mayI Ibegin Ito Italk Iabout Isome Iissues Iwhich Iare Ivery Iimportant Ito Ihim. 18. A Ipatient Itells Iyou Iabout Iher Iexperience Iwith Iprolonged Itherapy Ifor Iher Ibreast Icancer. I Youcomment, I I“That Imust Ihave Ibeen Ia Ivery Itrying Itime Ifor Iyou.” I What Iis Ithis Ian Iexample Iof? A) Reassurance B) Empathy C) Summarization D) Validation Ans: ID IChapter: I 03 Page Iand IHeader: I 68, IBuilding Ia ITherapeutic IRelationship: IThe ITechniques Iof ISkilled InterviewingI Feedback: IThis Iis Ian Iexample Iof Ivalidation Ito Ilegitimize Iher Iemotional Iexperience. I“Now Ithat Iyou Ihave Ihad Iyour Itreatment, Iyou Ishould Inot Ihave Iany Ifurther Itroubles” Iis Ian Iexample Iof Ireassurance. I“I Iunderstand Iwhat Iyou Iwent Ithrough Ibecause II Iam Ia Icancer Isurvivor Imyself” Iis Ian exampleI Iof Iempathy. I“So, Iyou Ihave Ihad Ia Ilumpectomy Iand Imultiple Iradiation Itreatments” Iis Ian exampleI Iof Isummarization Ias Iapplied Ito Ithis Ivignette. 19. You Iare Iperforming Ia Iyoung Iwoman's Ifirst Ipelvic Iexamination. IYou Imake Isure Ito Itell Iher Iverbally Iwhat Iis Icoming Inext Iand Iwhat Ito Iexpect. IThen Iyou Icarry Iout Ieach Imaneuver Iof Ithe Iexamination. IYou Ilet Iher Iknow Iat Ithe Ioutset Ithat Iif Ishe Ineeds Ia Ibreak Ior Iwants Ito Istop, Ithis Iis Ipossible. IYou Iask Iseveral Itimes Iduring Ithe Iexamination, I“How Iare Iyou Idoing, IBrittney?” IWhat areI Iyou Iaccomplishing Iwith Ithese Itechniques? A) Increasing Ithe Ipatient's Isense Iof Icontrol B) Increasing Ithe Ipatient's Itrust Iin Iyou Ias Ia Icaregiver C) Decreasing Iher Isense Iof Ivulnerability D) All Iof Ithe Iabove Ans: ID Page 23 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected]  Chapter: I I 03 Page Iand IHeader: I 68, IBuilding Ia ITherapeutic IRelationship: IThe ITechniques Iof ISkilled InterviewingI Feedback: IThese Itechniques Iminimize Ithe Ieffects Iof Itransitions Iduring Ian Iexamination Iand empowerI Ithe Ipatient. IEspecially Iduring Ia Isensitive Iexamination, Iit Iis Iimportant Ito Igive Ithe patientI Ias Imuch Icontrol Ias Ipossible. 20. When Iusing Ian Iinterpreter Ito Ifacilitate Ian Iinterview, Iwhere Ishould Ithe Iinterpreter Ibe positioned?I A) Behind Iyou, Ithe Iexaminer, Iso Ithat Ithe Ilips Iof Ithe Ipatient Iand Ithe Ipatient's Inonverbal Icues Ican beI Iseen B) Next Ito Ithe Ipatient, Iso Ithe Iexaminer Ican Imaintain Ieye Icontact Iand Iobserve Ithenonverbal I Icues Iof Ithe Ipatient C) Between Iyou Iand Ithe Ipatient Iso Iall Iparties Ican Imake Ithe Inecessary Iobservations D) In Ia Icorner Iof Ithe Iroom Iso Ias Ito Iprovide Iminimal Idistraction Ito Ithe Iinterview Ans: IB IChapter: I 03 Page Iand IHeader: I75, IAdapting IYour IInterview Ito ISpecific ISituations Feedback: IInterpreters Iare Iinvaluable Iin Iencounters Iwhere Ithe Iexaminer Iand Ipatient Ido Inot Ispeak theI Isame Ilanguage, Iincluding Iencounters Iwith Ithe Ideaf. I It Ishould Ibe Inoted Ithat Ideaf Ipeople Ifrom different Iregions Iof Ithe Iworld Iuse Idifferent Isign Ilanguages. IThe Ipriority Iis Ifor Iyou Ito Ihave Ia Igood viewI Iof Ithe Ipatient. IRemember Ito Iuse Ishort, Isimple Iphrases Iwhile Ispeaking Idirectly Ito Ithe Ipatient andI Iask Ithe Ipatient Ito Irepeat Iback Iwhat Ihe Ior Ishe Iunderstands. Bates’ IGuide Ito IPhysical IExamination Iand IHistory ITaking, I12th IEdition Chapter I4: IBeginning Ithe IPhysical IExamination: IGeneral ISurvey, IVital ISigns, Iand IPain Multiple IChoice 1. A I15-year-old Ihigh Ischool Isophomore Iand Iher Imother Icome Ito Iyour Iclinic Ibecause Ithe Imother isI Iconcerned Iabout Iher Idaughter's Iweight. IYou Imeasure Iher Idaughter's Iheight Iand Iweight Iand If you need any other Test Banks or eTextbooks contact us: [email protected]  25 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 obtain Ia IBMI Iof I19.5 Ikg/m2. IBased Ion Ithis Iinformation, Iwhich Iof Ithe Ifollowing Iis Iappropriate? I A) Refer Ithe Ipatient Ito Ia Inutritionist Iand Ia Ipsychologist Ibecause Ithe Ipatient Iis Ianorexic. B) Reassure Ithe Imother Ithat Ithis Iis Ia Inormal Ibody Iweight. C) Give Ithe Ipatient Iinformation Iabout Iexercise Ibecause Ithe Ipatient Iis Iobese. D) Give Ithe Ipatient Iinformation Iconcerning Ireduction Iof Ifat Iand Icholesterol Iin Iher Idiet Ibecause sheI Iis Iobese. Ans: IB IChapter: I 04 Page Iand IHeader: I 104, IHealth IPromotion Iand ICounseling Feedback: IThe Ipatient Ihas Ia Inormal IBMI; Ithe Irange Ifor Ia Inormal IBMI Iis I18.5 Ito I24.9 Ikg/m2. IYou Imay Ibe Iable Ito Igive Ithe Ipatient Iand Iher Imother Ithe Ilower Ilimit Iof Inormal Iin Ipounds Ifor Iher daughter'sI Iheight, Ior Iinstruct Iher Iin Ihow Ito Iuse Ia IBMI Itable. 2. A I25-year-old Iradio Iannouncer Icomes Ito Ithe Iclinic Ifor Ian Iannual Iexamination. IHis IBMI Iis I26.0 kg/mI 2. IHe Iis Iconcerned Iabout Ihis Iweight. IBased Ion Ithis Iinformation, Iwhat Iis Iappropriate Icounsel Ifor Ithe Ipatient Iduring Ithe Ivisit? A) Refer Ithe Ipatient Ito Ia Inutritionist Ibecause Ihe Iis Ianorexic. B) Reassure Ithe Ipatient Ithat Ihe Ihas Ia Inormal Ibody Iweight. C) Give Ithe Ipatient Iinformation Iabout Ireduction Iof Ifat, Icholesterol, Iand Icalories Ibecause Ihe Iis overweight.I D) Give Ithe Ipatient Iinformation Iabout Ireduction Iof Ifat Iand Icholesterol Ibecause Ihe Iis Iobese. Ans: IC IChapter: I 04 Page Iand IHeader: I 104, IHealth IPromotion Iand ICounseling Feedback: IThe Ipatient Ihas Ia IBMI Iin Ithe Ioverweight Irange, Iwhich Iis I25.0 Ito I29.9 Ikg/m2. IIt Iis Iprudent Ito Igive Ihim Iinformation Iabout Ireducing Icalories, Ifat, Iand Icholesterol Iin Ihis Idiet Ito Ihelp preventI Ifurther Iweight Igain. 3. A I30-year-old Isales Iclerk Icomes Ito Iyour Ioffice Iwanting Ito Ilose Iweight; Iher IBMI Iis I30.0 Ikg/m2. WhatI Iis Ithe Imost Iappropriate Iamount Ifor Ia Iweekly Iweight Ireduction Igoal? A).5 Ito I1 Ipound Iper Iweek B) 1 Ito I2.5 Ipounds Iper Iweek C) 2.5 Ito I3.5 Ipounds Iper Iweek Page 25 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected] D) 3.5 Ito I4.5 Ipounds Iper Iweek Ans: IA IChapter: I 04 Page Iand IHeader: I 104, IHealth IPromotion Iand ICounseling Feedback: IBased Ion Ithe INIH IObesity IGuidelines, Ithis Iis Ithe Iweekly Iweight Iloss Igoal Ito Istrive Ifor toI Imaintain Ilong-term Icontrol Iof Iweight. IMore Irapid Iweight Iloss Ithan Ithis Idoes Inot Iresult Iin Ia Ibetter Ioutcome Iat Ione Iyear. 4. A I67-year-old Iretired Ijanitor Icomes Ito Ithe Iclinic Iwith Ihis Iwife. IShe Ibrought Ihim Iin Ibecause Ishe isI Iconcerned Iabout Ihis Iweight Iloss. IHe Ihas Ia Ihistory Iof Ismoking I3 Ipacks Iof Icigarettes Ia Iday Ifor I30 years,I Ifor Ia Itotal Iof I90 Ipack-years. IHe Ihas Inoticed Ia Idaily Icough Ifor Ithe Ipast Iseveral Iyears, Iwhich heI Istates Iis Iproductive Iof Isputum. IHe Icame Iinto Ithe Iclinic Iapproximately I1 Iyear Iago, Iand Iat Ithat Itime Ihis Iweight Iwas I140 Ipounds. IToday, Ihis Iweight Iis I110 Ipounds. Which Ione Iof Ithe Ifollowing Iquestions Iwould Ibe Ithe Imost Iimportant Ito Iask Iif Iyou Isuspect Ithat Ihe hasI Ilung Icancer? A) Have Iyou Itried Ito Iforce Iyourself Ito Ivomit Iafter Ieating Ia Imeal? B) Do Iyou Ihave Iheartburn/indigestion Iand Idiarrhea? C) Do Iyou Ihave Ienough Ifood Ito Ieat? D) Have Iyou Itried Ito Ilose Iweight? Ans: ID IChapter: I 04 Page Iand IHeader: I 102, IThe IHealth IHistory Feedback: I This Iis Iimportant: IIf Ithe Ipatient Ihasn't Itried Ito Ilose Iweight, Ithen Ithis Iweight Iloss Iis inadvertentI Iand Iposes Iconcern Ifor Ia Ineoplastic Iprocess, Iespecially Igiven Ihis Ismoking Ihistory. 5. Common Ior Iconcerning Isymptoms Ito Iinquire Iabout Iin Ithe IGeneral ISurvey Iand Ivital Isigns includeI Iall Iof Ithe Ifollowing Iexcept: A) Changes Iin Iweight B) Fatigue Iand Iweakness C) Cough D) Fever Iand Ichills Ans: IC IChapter: I 04 Page Iand IHeader: I 102, IThe IHealth IHistory Feedback: I This Isymptom Iis Imore Iappropriate Ito Ithe Irespiratory Ireview Iof Isystems. If you need any other Test Banks or eTextbooks contact us: [email protected]  27 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 6. You Iare Ibeginning Ithe Iexamination Iof Ia Ipatient. IAll Iof Ithe Ifollowing Iareas Iare Iimportant Ito observeI Ias Ipart Iof Ithe IGeneral ISurvey Iexcept: A) Level Iof Iconsciousness B) Signs Iof Idistress C) Dress, Igrooming, Iand Ipersonal Ihygiene D) Blood Ipressure Ans: ID IChapter: I 04 Page Iand IHeader: I 109, IThe IGeneral ISurvey Feedback: I Blood Ipressure Iis Ia Ivital Isign, Inot Ipart Iof Ithe IGeneral ISurvey. 7. A I55-year-old Ibookkeeper Icomes Ito Iyour Ioffice Ifor Ia Iroutine Ivisit. IYou Inote Ithat Ion Ia Iprevious visitI Ifor Itreatment Iof Icontact Idermatitis, Iher Iblood Ipressure Iwas Ielevated. IShe Idoes Inot Ihave Iprior elevatedI Ireadings Iand Iher Ifamily Ihistory Iis Inegative Ifor Ihypertension. IYou Imeasure I her I blood I pressure I in Iyour Ioffice Itoday. IWhich Iof Ithe Ifollowing Ifactors Ican Iresult Iin Ia Ifalse Ihigh Ireading? A) Blood Ipressure Icuff Iis Itightly Ifitted. B) Patient Iis Iseated Iquietly Ifor I10 Iminutes Iprior Ito Imeasurement. C) Blood Ipressure Iis Imeasured Ion Ia Ibare Iarm. D) Patient's Iarm Iis Iresting, Isupported Iby Iyour Iarm Iat Iher Imid-chest Ilevel Ias Iyou Istand Ito Imeasure theI Iblood Ipressure. Ans: IA IChapter: I 04 Page Iand IHeader: I 114, IThe IVital ISigns Feedback: IA Iblood Ipressure Icuff Ithat Iis Itoo Itightly Ifitted Ican Iresult Iin Ia Ifalse Ihigh Ireading. IThe Iother Ianswers Iare Iimportant Ito Iobserve Ito Iobtain Ian Iaccurate Iblood Ipressure Ireading. I JNC-7 Ialso mentionsI Ithe Iimportance Iof Ihaving Ithe Iback Isupported Iwhen Iobtaining Iblood Ipressure Iin Ithe Isitting Iposition. Page 27 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected] 8. A I49-year-old Itruck Idriver Icomes Ito Ithe Iemergency Iroom Ifor Ishortness Iof Ibreath Iand Iswelling inI Ihis Iankles. IHe Iis Idiagnosed Iwith Icongestive Iheart Ifailure Iand Iadmitted Ito Ithe Ihospital. IYou Iare theI Istudent Iassigned Ito Ido Ithe Ipatient's Icomplete Ihistory Iand Iphysical Iexamination. IWhen Iyou Ipalpate Ithe Ipulse, Iwhat Ido Iyou Iexpect Ito Ifeel? A) Large Iamplitude, Iforceful B) Small Iamplitude, Iweak C) Normal D) Bigeminal Ans: IB IChapter: I 04 Page Iand IHeader: I 114, IThe IVital ISigns Feedback: ICongestive Iheart Ifailure Iis Icharacterized Iby Idecreased Istroke Ivolume Ior Iincreased peripheralI Ivascular Iresistance, Iwhich Iwould Iresult Iin Ia Ismall-amplitude, Iweak Ipulse. ISubtle Idifferences Iin Iamplitude Iare Iusually Ibest Idetected Iin Ilarge Iarteries Iclose Ito Ithe Iheart, Ilike Ithe Icarotid Ipulse. I You Imay Inot Ibe Iable Ito Inotice Ithese Iin Iother Ilocations. 9. An I18-year-old Icollege Ifreshman Ipresents Ito Ithe Iclinic Ifor Ievaluation Iof Igastroenteritis. IYou Imeasure Ithe Ipatient's Itemperature Iand Iit Iis I104 Idegrees IFahrenheit. IWhat Itype Iof Ipulse Iwould Iyou expectI Ito Ifeel Iduring Ihis Iinitial Iexamination? A) Large Iamplitude, Iforceful B) Small Iamplitude, Iweak C) Normal D) Bigeminal Ans: IA IChapter: I 04 Page Iand IHeader: I 114, IThe IVital ISigns Feedback: IFever Iresults Iin Ian Iincreased Istroke Ivolume, Iwhich Iresults Iin Ia Ilarge-amplitude, Iforceful Ipulse. ILater Iin Ithe Icourse Iof Ithe Iillness, Iif Idehydration Iand Ishock Iresult, Iyou Imay Iexpect smallI Iamplitude Iand Iweak Ipulses. 10. A I25-year-old Itype I1 Idiabetic Iclerk Ipresents Ito Ithe Iemergency Iroom Iwith Ishortness Iof Ibreath andI Istates Ithat Ihis Iblood Isugar Iwas I605 Iat Ihome. IYou Idiagnose Ithe Ipatient Iwith Idiabetic Iketoacidosis. IWhat Iis Ithe Iexpected Ipattern Iof Ibreathing? A) Normal B) Rapid Iand Ishallow C) Rapid Iand Ideep D) Slow Ans: IC If you need any other Test Banks or eTextbooks contact us: [email protected]  29 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 IChapter: I 04 Page Iand IHeader: I 114, IThe IVital ISigns Feedback: I This Iis Ithe Iexpected Irate Iand Idepth Iin Idiabetic Iketoacidosis. I The Ibody Iis Itrying Ito Irid itselfI Iof Icarbon Idioxide Ito Icompensate Ifor Ithe Iacidosis. IThis Iis Iknown Ias IKussmaul's Ibreathing Iand Iis Iseen Iin Iother Icauses Iof Iacidosis Ias Iwell. 11. Mrs. ILenzo Iweighs Iherself Ievery Iday Iwith Ia Ivery Iaccurate Ibalance-type Iscale. IShe Ihas Inoticed Ithat Iover Ithe Ipast I2 Idays Ishe Ihas Igained I4 Ipounds. I How Iwould Iyou Ibest Iexplain Ithis? A) Attribute Ithis Ito Isome Iovereating Iat Ithe Iholidays. B) Attribute Ithis Ito Iwearing Idifferent Iclothing. C) Attribute Ithis Ito Ibody Ifluid. D) Attribute Ithis Ito Iinstrument Iinaccuracy. Ans: IC IChapter: I 04 Page Iand IHeader: I 102, IThe IHealth IHistory Feedback: IThis Iamount Iof Iweight Iover Ia Ishort Iperiod Ishould Imake Ione Ithink Iof Ibody Ifluid Ichanges. IYou Imay Iconsider Ia Ikidney Iproblem Ior Iheart Ifailure Iin Iyour Idifferential. IThe Iother Ireasons Ishould Ibe Iconsidered Ias Iwell, Ibut Ithis Iamount Iof Iweight Igain Iover Ia Ishort Iperiod Iusually indicatesI Icauses Iother Ithan Iexcessive Icaloric Iintake. IA Irule Iof Ithumb Ifor Idieters Iis Ithat Ian Ienergy excessI Iof I3500 Icalories Iwill Icause Ia I1-pound Iweight Igain, Iif Ithe Iincrease Iis Ito Ibe Iattributed Ito Ifood Iintake. 12. Mr. ICurtiss Ihas Ia Ihistory Iof Iobesity, Idiabetes, Iosteoarthritis Iof Ithe Iknees, IHTN, Iand Iobstructive Isleep Iapnea. IHis IBMI Iis I43 Iand Ihe Ihas Ibeen Idiscouraged Iby Ihis Idifficulty Iin Ilosing weight.I I He Iis Ialso Idiscouraged Ithat Ihis Igoal Iweight Iis I158 Ipounds Iaway. I What Iwould Iyou Itell him?I A) “When Iyou Iget Idown Ito Iyour Igoal Iweight, Iyou Iwill Ifeel Iso Imuch Ibetter.” B) “Some Ipeople Iseem Ito Ibe Iable Ito Ilose Iweight Iand Iothers Ijust Ican't, Ino Imatter Ihow Ihard Ithey try.”I C) “We Iare Icoming Iup Iwith Inew Imedicines Iand Imethods Ito Itreat Iyour Iconditions Ievery Iday.” D) “Even Ia Iweight Iloss Iof I10% Ican Imake Ia Inoticeable Iimprovement Iin Ithe Iproblems Iyou mention.”I Ans: ID IChapter: I 04 Page 29 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected]  Page Iand IHeader: I 104, IHealth IPromotion Iand ICounseling Feedback: IMany Ipatients Itrying Ito Ichange Ia Ihabit Iare Ioverwhelmed Iby Ihow Ifar Ithey Iare Ifrom Itheir Igoal. IAs Ithe Iproverb Isays: I“A Ijourney Iof Ia Ithousand Imiles Ibegins Iwith Ione Istep.” IMany Ipatients Ifind Iit Iempowering Ito Iknow Ithat Ithey Ican Iachieve Ia Ismall Igoal, Isuch Ias Ia Iloss Iof I1 Ipound perI Iweek. IThey Imust Ibe Ireminded Ithat Ithis Iprocess Iwill Itake Itime Iand Ithat Islow Iweight Iloss Iis Imore Isuccessful Ilong-term. IResearch Ihas Ishown Ithat Isignificant Ibenefits Ioften Icome Iwith Ieven Ia 10I % Iweight Iloss. 13. Jenny Iis Ione Iof Iyour Ifavorite Ipatients Iwho Iusually Ishares Ia Ijoke Iwith Iyou Iand Iis Inattily Idressed. IToday Ishe Iis Idressed Iin Iold Ijeans, Ilacks Imakeup, Iand Iavoids Ieye Icontact. ITo Iwhat Ido youI Iattribute Ithese Ichanges? A) She Iis Ilacking Isleep. B) She Iis Ifatigued Ifrom Iwork. C) She Iis Irunning Iinto Ifinancial Idifficulty. D) She Iis Idepressed. Ans: ID IChapter: I 04 Page Iand IHeader: I 109, IThe IGeneral ISurvey Feedback: IIt Iis Iimportant Ito Iuse Iall Iof Iyour Iskills Iand Imemory Iof Ian Iindividual Ipatient Ito Iguide Iyour Ithought Iprocess. IShe Iis Inot Idescribed Ias Isleepy. IWork Ifatigue Iwould Imost Ilikely Inot Icause avoidanceI Iof Ieye Icontact. I Financial Idifficulties Iwould Inot Inecessarily Ideplete Ia Inice Iwardrobe. IIt Iis Imost Ilikely Ithat Ishe Iis Idepressed Ior Iin Ianother Itype Iof Idifficulty. 14. You Iare Iseeing Ian Iolder Ipatient Iwho Ihas Inot Ihad Imedical Icare Ifor Imany Iyears. IHer Ivital Isigns Itaken Iby Iyour Ioffice Istaff Iare: IT I37.2, IHR I78, IBP I118/92, Iand IRR I14, Iand Ishe Idenies Ipain. YouI Inotice Ithat Ishe Ihas Isome Ihypertensive Ichanges Iin Iher Iretinas Iand Iyou Ifind Imild Iproteinuria Ion Ia Iurine Itest Iin Iyour Ioffice. I You Iexpected Ithe IBP Ito Ibe Ihigher. I She Iis Inot Ion Iany Imedications.What I Ido Iyou Ithink Iis Icausing Ithis IBP Ireading, Iwhich Idoesn't Icorrelate Iwith Ithe Iother Ifindings? A) It Iis Icaused Iby Ian I“auscultatory Igap.” B) It Iis Icaused Iby Ia Icuff Isize Ierror. C) It Iis Icaused Iby Ithe Ipatient's Iemotional Istate. D) It Iis Icaused Iby Iresolution Iof Ithe Iprocess Iwhich Icaused Iher Iretinopathy Iand Ikidney Iproblems. Ans: I A Chapter: I 04 Page Iand IHeader: I 114, IThe IVital ISigns Feedback: I The Iblood Ipressure Iis Iunusual Iin Ithis Icase Iin Ithat Ithe Isystolic Ipressure Iis Inormal Iwhile theI Idiastolic Ipressure Iis Ielevated. IEspecially Iwith Ithe Iretinal Iand Iurinary Ifindings, Iyou Ishould If you need any other Test Banks or eTextbooks contact us: [email protected]  31 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 Iconsider Ithat Ithe IBP Imay Ibe Imuch Ihigher Iand Ithat Ian Iauscultatory Igap Iwas Imissed. IThis Ican Ibe Iavoided Iby Ichecking Ifor Iobliteration Iof Ithe Iradial Ipulse Iwhile Ithe Icuff Iis Iinflated. IAlthough Ia Ilarge Icuff Ican Icause Ia Islightly Ilower IBP Ion Ia Ipatient Iwith Ia Ismall Iarm, Ithis Idoes Inot Iaccount Ifor Ithe Ielevated IDBP. IEmotional Iupset Iusually Icauses Ielevation Iof Ithe IBP. I Although Ia Iprocess Iwhich Icaused Ithe Iretinopathy Iand Ikidney Iproblems Imay Ihave Iresolved, Ileaving Ithese Ifindings, Iit Iis Ia Idangerous Iassumption Ithat Ithis Iis Ithe Isole Icause Iof Ithe Iproblems Iseen Iin Ithis Ipatient. 15. Despite Ihaving Ihigh IBP Ireadings Iin Ithe Ioffice, IMr. IKelly Itells Iyou Ithat Ihis Ireadings Iat Ihome Iare Imuch Ilower. I He Ichecks Ithem Itwice Ia Iday Iat Ithe Isame Itime Iof Iday Iand Ihas Ikept Ia Ilog. IHow Ido youI Irespond? A) You Idiagnose I“white Icoat Ihypertension.” B) You Iassume Ihe Iis Iquite Inervous Iwhen Ihe Icomes Ito Iyour Ioffice. C) You Iquestion Ithe Iaccuracy Iof Ihis Imeasurements. D) You Iquestion Ithe Iaccuracy Iof Iyour Imeasurements. Ans: IC IChapter: I 04 Page Iand IHeader: I 114, IThe IVital ISigns Feedback: I It Iis Inot Iuncommon Ito Isee Idifferences Iin Ia Ipatient's Ihome Imeasurements Iand Iyour Iown Iin Ithe Ioffice. I Presuming Ithat Ithis Iis I“white Icoat Ihypertension” Ican Ibe Idangerous Ibecause Ithis Icondition Iis Inot Iusually Itreated. IThis Iallows Ifor Ithe Ieffects Iof Ia Imissed Idiagnosis Iof Ihypertension Ito Igo Iunchecked. IIt Iis Ialso Ivery Idifficult Ito Ijudge Iif Ia Ipatient Iis Ioutwardly Inervous. YouI Ishould Ialways Iconsider Ithat Iyour Imeasurements Iare Inot Iaccurate Ias Iwell, Ibut Ithe Ifact Ithat Iyou Iand Iyour Istaff Iare Iwell-trained Iand Iperform Ithis Iprocedure Ion Ihundreds Iof Ipatients Ia Iweek Imakes Ithis Iless Ilikely. IIdeally, Iyou Iwould Iask Ithe Ipatient Ito Ibring Iin Ihis IBP Iequipment Iand Itake Ia simultaneousI Ireading Iwith Iyou Ito Imake Isure Ithat Ihe Iis Igetting Ian Iaccurate Ireading. 16. You Iare Iobserving Ia Ipatient Iwith Iheart Ifailure Iand Inotice Ithat Ithere Iare Ipauses Iin Ihis Ibreathing. IOn Icloser Iexamination, Iyou Inotice Ithat Iafter Ithe Ipauses Ithe Ipatient Itakes Iprogressively deeperI Ibreaths Iand Ithen Iprogressively Ishallower Ibreaths, Iwhich Iare Ifollowed Iby Ianother Iapneic Ispell. I The Ipatient Iis Inot Iin Iany Idistress. I You Imake Ithe Idiagnosis Iof: A) Ataxic I(Biot's) Ibreathing B) Cheyne-Stokes Irespiration C) Kussmaul's Irespiration D) COPD Iwith Iprolonged Iexpiration Page 31 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected] Ans: IB IChapter: I 04 Page Iand IHeader: I 119, IRespiratory IRate Iand IRhythm Feedback: ICheyne-Stokes Irespiration Ican Ibe Iseen Iin Ipatients Iwith Iheart Ifailure Iand Iis Iusually Inota I Isign Iof Ian Iimmediate Iproblem. IAtaxic Ibreathing Iis Ivery Iirregular Iin Irhythm Iand Idepth Iand Iis Iseen Iwith Ibrain Iinjury. IKussmaul's Irespiration Iis Iseen Iin Ipatients Iwith Ia Imetabolic Iacidosis, Ias Ithey Iare Itrying Ito Irid Itheir Ibodies Iof Icarbon Idioxide Ito Icompensate. IRespirations Iin ICOPD Iare Iusually Iregular Iand Iare Inot Iusually Iassociated Iwith Iapneic Iepisodes. 17. Mr. IGarcia Icomes Ito Iyour Ioffice Ifor Ia Irash Ion Ihis Ichest Iassociated Iwith Ia Iburning Ipain. I Even aI Ilight Itouch Icauses Ithis Iburning Isensation Ito Iworsen. I On Iexamination, Iyou Inote Ia Irash Iwith Ismall Iblisters I(vesicles) Ion Ia Ibackground Iof Ireddened Iskin. IThe Irash Ioverlies Ian Ientire Irib Ion Ihis rightI Iside. I What Itype Iof Ipain Iis Ithis? A) Idiopathic Ipain B) Neuropathic Ipain C) Nociceptive Ior Isomatic Ipain D) Psychogenic Ipain Ans: IB IChapter: I 04 Page Iand IHeader: I 121, IAcute Iand IChronic IPain Feedback: IThis Ivignette Iis Iconsistent Iwith Ia Idiagnosis Iof Iherpes Izoster, Ior Ishingles. I This Iis Icaused Iby Ireemergence Iof Idormant Ivaricella I(chickenpox) Iviruses Ifrom IMr. IGarcia's Inerve Iroot. IThe Icharacteristic Iburning Iquality Iwithout Ia Ihistory Iof Ian Iactual Iburn Imakes Ione Ithink Iof Ineuropathic Ipain. IIt Iwill Imost Ilikely Iremain Ifor Imonths Iafter Ithe Irash Ihas Iresolved. IThere Iis Ino Ievidence Iof Iphysical Iinjury Iand Ithis Iis Ia Ipeculiar Idistribution, Imaking Inociceptive Ipain Iless Ilikely. ThereI Iis Ino Ievidence Iof Ia Ipsychogenic Ietiology Ifor Ithis, Iand Ithe Ipresence Iof Ia Irash Imakes Ithis Ipossibility Iless Ilikely Ias Iwell. IBecause Iof Iyour Iastute Idiagnostic Iabilities, Ithe Ipain Iis Inot Iidiopathic. 18. A I50-year-old Ibody Ibuilder Iis Iupset Iby Ia Iletter Iof Idenial Ifrom Ihis Ilife Iinsurance Icompany. IHe isI Ivery Ilean Ibut Ihas Igained I2 Ipounds Iover Ithe Ipast I6 Imonths. I You Ipersonally Iperformed Ihis Ihealth Iassessment Iand Ifound Ino Iproblems Iwhatsoever. IHe Isays Ihe Iis Iclassified Ias I“high Irisk” Ibecause Iof Iobesity. I What Ishould Iyou Ido Inext? A) Explain Ithat Ieven Ismall Iamounts Iof Iweight Igain Ican Iclassify Iyou Ias Iobese. B) Place Ihim Ion Ia Ihigh-protein, Ilow-fat Idiet. If you need any other Test Banks or eTextbooks contact us: [email protected]  33 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 C) Advise Ihim Ito Iincrease Ihis Iaerobic Iexercise Ifor Icalorie Iburning. D) Measure Ihis Iwaist. Ans: I D Chapter: I 04 Page Iand IHeader: I 104, IHealth IPromotion Iand ICounseling Feedback: IThe Ipatient Imost Ilikely Ihad Ia Ihigh IBMI Ibecause Iof Iincreased Imuscle Imass. IIn Ithis Isituation, Iit Iis Iimportant Ito Imeasure Ihis Iwaist. IIt Iis Imost Ilikely Iunder I40 Iinches, Iwhich Imakes Iobesity Iunlikely I(even Ito Ian Iinsurance Icompany). IIt Iis Iimportant Ithat Iyou Ipersonally Icontact Ithe companyI Iand Iexplain Iyour Ireasoning. IBe Iprepared Ito Iback Iyour Iargument Iwith Idata. IA Ispecial Idiet Iis Iunlikely Ito Ibe Iof Imuch Iuse, Iand Imore Iaerobic Iexercise, Iwhile Iprobably Ia Igood Iidea Ifor Imost, Iis Iredundant Ifor Ithis Iindividual. 19. Ms. IWright Icomes Ito Iyour Ioffice, Icomplaining Iof Ipalpitations. I While Ichecking Iher Ipulse Iyou noticeI Ian Iirregular Irhythm. IWhen Iyou Ilisten Ito Iher Iheart, Ievery Ifourth Ibeat Isounds Idifferent. IIt Isounds Ilike Ia Itriplet Irather Ithan Ithe Iusual I“lub Idup.” IHow Iwould Iyou Idocument Iyour Iexamination? A) Regular Irate Iand Irhythm B) Irregularly Iirregular Irhythm C) Regularly Iirregular Irhythm D) Bradycardia Ans: IC IChapter: I 04 Page Iand IHeader: I 119, IHeart IRate Iand IRhythm Feedback: IBecause Ithis Iunusual Ibeat Ioccurs Ievery Ifourth Iset Iof Iheart Isounds, Iit Iis Iregularly Iirregular. IThis Iis Imost Iconsistent Iwith Iventricular Ipremature Icontractions I(or IVPCs). IThis Iis Igenerally Ia Icommon Iand Ibenign Irhythm. IAn Iirregularly Iirregular Irhythm Iis Ia Iclassic Ifinding Iin Iatrial Ifibrillation. I The Irhythm Iis Ivery Irandom Iin Icharacter. I Bradycardia Irefers Ito Ithe Irate, Inot Ithe rhythm.I Bates’ IGuide Ito IPhysical IExamination Iand IHistory ITaking, I12th EditionChapter I I5: IBehavior Iand IMental IStatus I Page 33 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected]  Multiple IChoice 1. A I19-year-old Icollege Istudent, ITodd, Iis Ibrought Ito Iyour Iclinic Iby Ihis Imother. IShe Iis Iconcerned Ithat Ithere Iis Isomething Iseriously Iwrong Iwith Ihim. IShe Istates Ifor Ithe Ipast I6 Imonths Ihis Ibehavior Ihas Ibecome Ipeculiar Iand Ihe Ihas Iflunked Iout Iof Icollege. ITodd Idenies Iany Irecent Iillness Ior Iinjuries. HisI Ipast Imedical Ihistory Iis Iremarkable Ionly Ifor Ia Ibroken Ifoot. IHis Iparents Iare Iboth Ihealthy. IHe Ihas Ia Ipaternal Iuncle Iwho Ihad Isimilar Isymptoms Iin Icollege. IThe Ipatient Iadmits Ito Ismoking Icigarettes Iand Idrinking Ialcohol. IHe Ialso Iadmits Ito Imarijuana Iuse Ibut Inone Iin Ithe Ilast Iweek. IHe Idenies Iusing Iany Iother Isubstances. IHe Idenies Iany Ifeelings Iof Idepression Ior Ianxiety. IWhile Ispeaking Iwith ITodd Iand Ihis Imother Iyou Ido Ia Icomplete Iphysical Iexamination, Iwhich Iis Iessentially normal.I IWhen Iyou Iquestion Ihim Ion Ihow Ihe Iis Ifeeling, Ihe Isays Ithat Ihe Iis Ivery Iworried Ithat IMicrosoft Ihas Istolen Ihis Isoftware Ifor Icreating Ia Ibetter Ibrowser. IHe Itells Iyou Ihe Ihas Iseen Ia Iblack Ivan Iin Ihis Ineighborhood Iat Inight Iand Ihe Iis Isure Ithat Iit Iis Ifull Iof Icomputer Itech Iworkers Istealing Ihis Iwork Ithrough Ispecial Igamma Iwaves. IYou Iask Ihim Iwhy Ihe Ibelieves Ithey Iare Itrying Ito Isteal Ihis programs.I IHe Ireplies Ithat Ithe Itechnicians Ihave Ibeen Itelepathing Itheir Iintents Idirectly Iinto Ihis Ihead. IHe Isays Ihe Ihears Ithese Iconversations Iat Inight Iso Ihe Iknows Ithis Iis Ihappening. ITodd's Imother thenI Itells Iyou, I“See, II Itold Iyou I. I. I. Ihe's Icrazy. IWhat Ido II Ido Iabout Iit?” While Iarranging Ifor Ia Ipsychiatry Iconsult, Iwhat Ipsychotic Idisorder Ido Iyou Ithink ITodd Ihas? A) Schizoaffective Idisorder B) Psychotic Idisorder Idue Ito Ia Imedical Iillness C) Substance-induced Ipsychotic Idisorder D) Schizophrenia Ans: ID IChapter: I 05 Page Iand IHeader: I 162, ITable I5–4 Feedback: ISchizophrenia Igenerally Ioccurs Iin Ithe Ilate Iteens Ito Iearly I20s. IIt Ioften Iis Iseen Iin Iother Ifamily Imembers, Ias Iin Ithis Icase. ISymptoms Imust Ibe Ipresent Ifor Iat Ileast I6 Imonths Iand Imust Ihave Iat Ileast Itwo Ifeatures Iof I(1) Idelusions I(e.g., IMicrosoft Iis Iafter Ihis Iprograms), I(2) Ihallucinations I(e.g., Itechnicians Isending Itelepathic Isignals), I(3) Idisorganized Ispeech, I(4) Idisorganized Ibehavior, andI I(5) Inegative Isymptoms Isuch Ias Ia Iflat Iaffect. 2. A I24-year-old Isecretary Icomes Ito Iyour Iclinic, Icomplaining Iof Idifficulty Isleeping, Isevere Inightmares, Iand Iirritability. IShe Istates Iit Iall Ibegan I6 Imonths Iago Iwhen Ishe Iwent Ito Ia Ifast Ifood Irestaurant Iat Imidnight. IWhile Ishe Iwas Iwaiting Iin Iher Icar Ia Iman Ientered Ithrough Ithe Ipassenger Idoor Iand Iput Ia Igun Ito Iher Ihead. IHe Ihad Iher Idrive Ito Ia Iremote Iarea, Iwhere Ihe Itook Iher Imoney Iand Ithreatened Ito Ikill Iher. IWhen Ithe Igun Ijammed Ihe Ipanicked Iand Iran Ioff. IEver Isince Ithis Ioccurred If you need any other Test Banks or eTextbooks contact us: [email protected]  35 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 I the Ipatient Ihas Ibeen Ihaving Ithese Isymptoms. IShe Istates Ishe Ijumps Iat Ievery Inoise Iand Irefuses Ito Idrive Iat Inight. IShe Istates Iher Ianxiety Ihas Ihad Isuch Ia Imarked Iinfluence Ion Iher Ijob Iperformance Isheis I Iafraid Ishe Iwill Ibe Ifired. IShe Idenies Iany Irecent Iillnesses Ior Iinjuries. IHer Ipast Imedical Ihistory Iis Iunremarkable. IOn Iexamination Iyou Ifind Ia Inervous Iwoman Iappearing Iher Istated Iage. IHer Iphysicalex I amination Iis Iunremarkable. IYou Irecommend Imedication Iand Icounseling. What Ianxiety Idisorder Ito Iyou Ithink Ithis Iyoung Iwoman Ihas? A) Specific Iphobia B) Acute Istress Idisorder C) Post-traumatic Istress Idisorder D) Generalized Ianxiety Idisorder Ans: IC IChapter: I 05 Page Iand IHeader: I 161, ITable I5–3 Feedback: IPost-traumatic Istress Idisorder Iis Ithe Ifearful Iresponse I(nightmares, Iavoidance Iof Iareas, Iirritability) Ito Ian Ievent Ithat Ioccurred Iat Ileast I1 Imonth Iprior Ito Ipresentation. IThe Ipatient's Ifears Iand reactionsI Icause Imarked Idistress Iand Iimpair Isocial Iand Ioccupational Ifunctions. 3. A I75-year-old Ihomemaker Ibrings Iher I76-year-old Ihusband Ito Iyour Iclinic. IShe Istates Ithat I4 Imonths Iago Ihe Ihad Ia Istroke Iand Iever Isince Ishe Ihas Ibeen Ifrustrated Iwith Ihis Iproblems Iwith Icommunication. IThey Iwere Iat Ia Irestaurant Iafter Ichurch Ione ISunday Iwhen Ihe Isuddenly Ibecame Iquiet. IWhen Ishe Irealized Isomething Iwas Iwrong Ihe Iwas Itaken Ito Ithe Ihospital Iby IEMS. IHe Ispent I2 Iweeks Iin Ithe Ihospital Iwith Iright-sided Iweakness Iand Idifficulty Ispeaking. IAfter Ihospitalization Ihe Iwas Iin Ia Irehab Icenter, Iwhere Ihe Iregained Ithe Iability Ito Iwalk Iand Imost Iof Ithe Iuse Iof Ihis Iright Ihand. HeI Ialso Ibegan Ito Ispeak Imore, Ibut Ishe Isays Ithat Imuch Iof Ithe Itime I“he Idoesn't Imake Iany Isense.” IShe Igives Ian Iexample Ithat Iwhen Ishe Ireminded Ihim Ithe Icar Ineeded Ito Ibe Iserviced Ihe Itold Iher I“I Iwill Ichange Ithe IKool-Aid Iout Iof Ithe Isink Imyself Iwith Ithe Iludrip.” IShe Isays Ithat Ithese Isayings Iare Ibecoming Ifrustrating. IShe Iwants Iyou Ito Itell Iher Iwhat Iis Iwrong Iand Iwhat Iyou Ican Ido Iabout Iit. IWhile Iyou Iwrite Iup Ia Iconsult Ito Ineurology, Iyou Idescribe Ithe Isyndrome Ito Iher. What Itype Iof Iaphasia Idoes Ihe Ihave? A) Wernicke's Iaphasia B) Broca's Iaphasia C) Dysarthria Ans: IA IChapter: I 05 Page Iand IHeader: I 145, ITechniques Iof IExamination Page 35 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected] Feedback: IWith IWernicke's Iaphasia Ithe Ipatient Ican Ispeak Ieffortlessly Iand Ifluently, Ibut Ihis Iwords oftenI Imake Ino Isense. IWords Ican Ibe Imalformed Ior Icompletely Iinvented. IWernicke's Iarea Iis Ifound onI Ithe Itemporal Ilobes. 4. A I32-year-old Iwhite Ifemale Icomes Ito Iyour Iclinic, Icomplaining Iof Ioverwhelming Isadness. IShe saysI Ifor Ithe Ipast I2 Imonths Ishe Ihas Ihad Icrying Iepisodes, Idifficulty Isleeping, Iand Iproblems Iwith Iovereating. IShe Isays Ishe Iused Ito Igo Iout Iwith Iher Ifriends Ifrom Iwork Ibut Inow Ishe Ijust Iwants Ito Igo homeI Iand Ibe Iby Iherself. IShe Ialso Ithinks Ithat Iher Iwork Iproductivity Ihas Ibeen Idropping Ibecause Ishe Ijust Iis Itoo Itired Ito Icare Ior Iconcentrate. IShe Idenies Iany Ifeelings Iof Iguilt Ior Iany Isuicidal Iideation. IShe Istates Ithat Ishe Ihas Inever Ifelt Ithis Iway Iin Ithe Ipast. IShe Idenies Iany Irecent Iillness Ior injuries. IHer Ipast Imedical Ihistory Iconsists Iof Ian Iappendectomy Iwhen Ishe Iwas Ia Iteenager; Iotherwise, Ishe Ihas Ibeen Ihealthy. IShe Iis Isingle Iand Iworks Ias Ia Iclerk Iin Ia Imedical Ioffice. IShe Idenies Itobacco, Ialcohol, Ior Iillegal Idrug Iuse. IHer Imother Ihas Ihigh Iblood Ipressure Iand Iher Ifather Ihas Ihad Ia Ihistory Iof Imental Iillness. IOn Iexamination Iyou Isee Ia Iwoman Iappearing Iher Istated Iage Iwho Iseems Iquite Isad. IHer Ifacial Iexpression Idoes Inot Ichange Iwhile Iyou Italk Ito Iher Iand Ishe Imakes littleI Ieye Icontact. IShe Ispeaks Iso Isoftly Iyou Icannot Ialways Iunderstand Iher. IHer Ithought Iprocesses andI Icontent Iseem Iunremarkable. What Itype Iof Imood Idisorder Ido Iyou Ithink Ishe Ihas? A) Dysthymic Idisorder B) Manic I(bipolar) Idisorder C) Major Idepressive Iepisode Ans: IC IChapter: I 05 Page Iand IHeader: I 160, ITable I5–2 Feedback: IMajor Idepression Ioccurs Iin Ia Iperson Iwith Ia Ipreviously Inormal Istate Iof Imood. IThe Isymptoms Ioften Iconsist Iof Ia Icombination Iof Isadness, Idecreased Iinterest, Isleeping Iproblems I(insomnia Ior Ihypersomnia), Ieating Iproblems I(decreased Ior Iincreased Iappetite), Ifeelings Iof Iguilt, Idecreased Ienergy, Idecreased Iconcentration, Ipsychomotor Ichanges I(retardation Ior Iagitation), Iand Ia preoccupationI Iwith Ithoughts Iof Ideath Ior Isuicide. IThere Imust Ibe Iat Ileast Ifive Isymptoms Ifor Ia Idiagnosis Iof Imajor Idepression. IThis Ipatient Ihas Isix: I(1) Isadness, I(2) Itrouble Isleeping, I(3) Iovereating, I(4) Ifatigue, I(5) Idifficulty Iwith Iconcentration, Iand I(6) Ino Iinterest Iin Idoing Ithings. 5. A I27-year-old Iwoman Iis Ibrought Ito Iyour Ioffice Iby Iher Imother. IThe Imother Itells Iyou Ithat Iher Idaughter Ihas Ibeen Ischizophrenic Ifor Ithe Ilast I8 Iyears Iand Iis Istarting Ito Idecompensate Idespite Imedication. IThe Ipatient Istates Ithat Ishe Ihas Ibeen Itaking Iher Iantipsychotic Iand Ishe Iis Idoing Ijust Ifine. IHer Imother Iretorts Ithat Iher Idaughter Ihas Ibecome Iquite Iparanoid. IWhen Iasked Iwhy, Ithe If you need any other Test Banks or eTextbooks contact us: [email protected]  37 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 Imother Igives Ian Iexample Iabout Ithe Imailman. IShe Isays Ithat Iher Idaughter Igoes Iand Igets Ithe Imail Ievery Iday Iand Ithen Imicrowaves Ithe Iletters. IThe Ipatient Iagrees Ithat Ishe Idoes Ithis Ibut Ionly Ibecause sheI Isees Ithe Imailman Iflipping Ithrough Ithe Ienvelopes Iand Ishe Iknows Ihe's Iputting Ianthrax Ion Ithe Iletters. IHer Imother Iturns Ito Iher Iand Isays, I“He's Ionly Isorting Ithe Imail!” Which Ibest Idescribes Ithe Ipatient's Iabnormality Iof Iperception? A) Illusion B) Hallucination C) Fugue Istate Ans: IA IChapter: I 05 Page Iand IHeader: I 145, ITechniques Iof IExamination Feedback: IAn Iillusion Iis Imerely Ia Imisinterpretation Iof Ireal Iexternal Istimuli. IIn Ithis Icase, Ithe Imailman Iis Ilooking Ithrough Ithe Iletters Ibefore Ihe Iputs Ithem Iin Ithe Ibox. IThe Imother Icorrectly Iassumes Ihe Iis Isorting Ithe Imail Ibut Iher Ischizophrenic Idaughter Iattributes Ihis Iactions Ito Ibeing Ipart ofI Ia Inefarious Ibioterrorism Iplot. 6. A I22-year-old Iman Iis Ibrought Ito Iyour Ioffice Iby Ihis Ifather Ito Idiscuss Ihis Ison's Imental Ihealth Idisorder. IThe Ipatient Iwas Idiagnosed Iwith Ischizophrenia I6 Imonths Iago Iand Ihas Ibeen Itaking Imedication Isince. IThe Ifather Istates Ithat Ihis Ison's Idose Iisn't Ihigh Ienough Iand Iyou Ineed Ito Iraise Iit. HeI Istates Ithat Ihis Ison Ihas Ibeen Ihearing Ithings Ithat Idon't Iexist. IYou Iask Ithe Iyoung Iman Iwhat Iis Igoing Ion Iand Ihe Itells Iyou Ithat Ihis Ifather Iis Ijust Ijealous Ibecause Ihis Isister Italks Ionly Ito Ihim. IHis Ifather Iturns Ito Ihim Iand Isays, I“Son, Iyou Iknow Iyour Isister Idied I2 Iyears Iago!” IHis Ison Ireplies I“Well, Ishe Istill Italks Ito Ime Iin Imy Ihead Iall Ithe Itime!” Which Ibest Idescribes Ithis Ipatient's Iabnormality Iof Iperception? A) Illusion B) Hallucination C) Fugue Istate Ans: IB IChapter: I 05 Page Iand IHeader: I 145, ITechniques Iof IExamination Feedback: IA Ihallucination Iis Ia Isubjective Isensory Iperception Iin Ithe Iabsence Iof Ireal Iexternal Istimuli. IThe Ipatient Ican Ihear, Isee, Ismell, Itaste, Ior Ifeel Isomething Ithat Idoes Inot Iexist Iin Ireality. IIn thisI Icase, Ihis Isister Ihas Ipassed Iaway Iand Icannot Ibe Ispeaking Ito Ihim, Ialthough Iin Ihis Imind Ihe Ican hearI Iher. I This Iis Ian Iexample Iof Ian Iauditory Ihallucination, Ibut Ihallucinations Ican Ioccur Iwith Iany ofI Ithe Ifive Isenses. Page 37 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected]  7. A I26-year-old Iviolinist Icomes Ito Iyour Iclinic, Icomplaining Iof Ianxiety. IHe Iis Ia Ifirst Ichair Iviolinist Iin Ithe Ilocal Isymphony Iorchestra Iand Ihas Istarted Ihaving Isymptoms Iduring Iperformances, suchI Ias Isweating, Ishaking, Iand Ihyperventilating. IIt Ihas Igotten Iso Ibad Ithat Ihe Ihas Ithought Iabout Igiving Iup Ihis Ifirst Ichair Istatus Iso Ihe Idoes Inot Ihave Ito Iplay Ithe Isolo Iduring Ione Iof Ithe Imovements. HeI Isays Ithat Ihe Inever Ihas Ithese Isymptoms Iduring Irehearsals Ior Iwhen Ihe Iis Ipracticing. IHe Idenies Ihaving Iany Iof Ithese Isymptoms Iat Iany Iother Itime. IHis Ipast Imedical Ihistory Iis Iunremarkable. IHe Idenies Iany Itobacco Iuse, Idrug Iuse, Ior Ialcohol Iabuse. IHis Iparents Iare Iboth Ihealthy. IOn Iexamination youI Isee Ia Iyoung Iman Iwho Iappears Iworried. IHis Ivital Isigns Iand Iphysical Iexamination Iare Iunremarkable. What Itype Iof Ianxiety Idisorder Ibest Idescribes Ihis Isituation? A) Panic Idisorder B) Specific Iphobia C) Social Iphobia D) Generalized Ianxiety Idisorder Ans: IC IChapter: I 05 Page Iand IHeader: I 161, ITable I5–3 Feedback: I Social Iphobia Iis Ia Imarked, Ipersistent Ifear Iof Isocial Ior Iperformance Isituations. 8. A I23-year-old Iticket Iagent Iis Ibrought Iin Iby Iher Ihusband Ibecause Ihe Iis Iconcerned Iabout Iher Irecent Ibehavior. IHe Istates Ithat Ifor Ithe Ilast I2 Iweeks Ishe Ihas Ibeen Icompletely Iout Iof Icontrol. IHe Isays Ithat Ishe Ihasn't Ishowered Iin Idays, Istays Iawake Imost Iof Ithe Inight Icleaning Itheir Iapartment, Iand Ihas Irun Iup Iover I$1,000 Ion Itheir Icredit Icards. IWhile Ihe Iis Italking, Ithe Ipatient Iinterrupts Ihim Ifrequently Iand Ideclares Ithis Iis Iall Iuntrue Iand Ishe Ihas Inever Ibeen Iso Ihappy Iand Ifulfilled Iin Iher Iwhole Ilife. IShe Ispeaks Ivery Iquickly, Ichanging Ithe Isubject Ioften. IAfter Ia Ilonger Ithan Inormal Iinterview Iyou Ifind Iout Ishe Ihas Ihad Ino Irecent Iillnesses Ior Iinjuries. IHer Ipast Imedical Ihistory Iis Iunremarkable. IBoth Iher Iparents Iare Ihealthy Ibut Ithe Ihusband Ihas Iheard Irumors Iabout Ian Iaunt Iwithsimilar I Isymptoms. IShe Iand Iher Ihusband Ihave Ino Ichildren. IShe Ismokes Ione Ipack Iof Icigarettes Ia Iday I(although Ishe Ihas Ibeen Ichain-smoking Iin Ithe Ilast I2 Iweeks), Idrinks Ifour Ito Isix Idrinks Ia Iweek, Iand Ismokes Imarijuana Ioccasionally. IOn Iexamination Ishe Iis Ivery Iloud Iand Ioutspoken. IHer Iphysical Iexamination Iis Iunremarkable. Which Imood Idisorder Idoes Ishe Imost Ilikely Ihave? A) Major Idepressive Iepisode B) Manic Iepisode C) Dysthymic Idisorder Ans: IB If you need any other Test Banks or eTextbooks contact us: [email protected]  39 Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 IChapter: I 05 Page Iand IHeader: I 160, ITable I5–2 Feedback: IMania Iconsists Iof Ia Ipersistently Ielevated Imood Ifor Iat Ileast I1 Iweek Iwith Isymptoms Isuch Ias Iinflated Iself-esteem, Idecreased Ineed Ifor Isleep, Ipressured Ispeech, Iracing Ithoughts, Iand Iinvolvement Iin Ihigh-risk Iactivities I(such Ias Idrug Iuse, Ispending Isprees, Iand Iindiscriminate Isexual activity).I IIn Ithis Icase, Ithe Ipatient Ihas Iracing Ithoughts Iand Ipressured Ispeech, Ihas Ia Idecreased I need for I Isleep, Iand Iis Iengaging Iin Ihigh-risk Iactivities I(spending Isprees). 9. A I72-year-old IAfrican-American Imale Iis Ibrought Ito Iyour Iclinic Iby Ihis Idaughter Ifor Ia Ifollow- Iup Ivisit Iafter Ihis Irecent Ihospitalization. IHe Ihad Ibeen Iadmitted Ito Ithe Ilocal Ihospital Ifor Ispeech Iproblems Iand Iweakness Iin Ihis Iright Iarm Iand Ileg. IOn Iadmission Ihis IMRI Ishowed Ia Ismall Istroke. IThe Ipatient Iwas Iin Irehab Ifor I1 Imonth Ifollowing Ihis Iinitial Ipresentation. IHe Iis Inow Iwalking Iwith Ia walkerI Iand Ihas Igood Iuse Iof Ihis Iarm. IHis Idaughter Icomplains, Ihowever, Ithat Ieveryone Iis I still I having Itrouble Icommunicating Iwith Ithe Ipatient. IYou Iask Ithe Ipatient Ihow Ihe Ithinks Ihe Iis Idoing. IAlthough Iit Iis Ihard Ifor Iyou Ito Imake Iout Ihis Iwords Iyou Ibelieve Ihis Ianswer Iis I“well I. I. I. Ifine I. I. I. Idoing I. I. I. Iokay.” IHis Iprior Imedical Ihistory Iinvolved Ihigh Iblood Ipressure Iand Icoronary Iartery Idisease. IHe Iis Ia Iwidower Iand Iretired Ihandyman. IHe Ihas Ithree Ichildren Iwho Iare Ihealthy. IHe Idenies tobacco,I Ialcohol, Ior Idrug Iuse. IHe Ihas Ino Iother Icurrent Isymptoms. IOn Iexamination Ihe Iis Iin Ino Iacute Idistress Ibut Idoes Iseem Iembarrassed Iwhen Iit Itakes Ihim Iso Ilong Ito Ianswer. IHis Iblood Ipressure Iis I150/90 Iand Ihis Iother Ivital Isigns Iare Inormal. IOther Ithan Ihis Iweak Iright Iarm Iand Ileg Ihis physical Iexamination Iis Iunremarkable. WhatI Idisorder Iof Ispeech Idoes Ihe Ihave? A) Wernicke's Iaphasia B) Broca's Iaphasia C) Dysarthria Ans: IB IChapter: I 05 Page Iand IHeader: I 145, ITechniques Iof IExamination Feedback: IIn IBroca's Iaphasia Ipatients Iarticulate Ivery Islowly Iand Iwith Ia Igreat Ideal Iof Ieffort. INouns, Iverbs, Iand Iimportant Iadjectives Iare Iusually Ipresent Iand Ionly Ismall Igrammatical Iwords Iare droppedI Ifrom Ispeech. IBroca's Iarea Iis Ion Ithe Ilateral Iportion Iof Ithe Ifrontal Ilobes. Page 39 of 227 If you need any other Test Banks or eTextbooks contact us: [email protected] 10. A I35-year-old Istockbroker Icomes Ito Iyour Ioffice, Icomplaining Iof Ifeeling Itired Iand Iirritable. IShe Ialso Isays Ishe Ifeels Ilike Inothing Iever Igoes Iher Iway Iand Ithat Inothing Igood Iever Ihappens. IWhen youI Iask Iher Ihow Ilong Ishe Ihas Ifelt Ithis Iway Ishe Il