Medical Assessment Quiz: Vital Signs and History Taking

Vertical 1- An auscultatory gap Quiz vertical 1 Questions Bank Select one: a. The sound of increase systolic pressure to a higher pressure point b. Is a period of first Korotkoff sounds during the measurement of blood pressure c. Is a period of diminished or absent Korotkoff sounds during the measurement of blood pressure. d. Has no benefit in recording measurement of blood vessels 2- Apical pulse Select one: a. Counted by placing the stethoscope over the heart b. Counted for 2 minute c. The heart beat normally sounds like a lub-dub, so count the lub as one heartbeat and the dub as another. d. The apical pulse is the most common site used for taking a pulse 3- Approach of history taking includes Select one: a. All of the above b. Gained consent c. Patient is comfortable as possible d. Privacy 4- As regard measuring head circumference which sentence is true? Select one: a. Get the smallest head circumference. b. Let the pivot of tape be at the glabella. c. Use stretchable measuring tape. d. No problem in redundancy of the tape. 5- Causes of central cyanosis is: Select one: a. Arterial or venous obstruction. b. Reduced cardiac output as in severe shock or heart failure due to vasoconstriction and poor peripheral circulation. c. Congenital cyanotic heart disease. d. Redistribution of blood flow as in exposure to cold. 6- Causes of low respiration rate Select one: a. All of answers are correct. b. Obstructive sleep apnea c. Drug overdose d. Head injury e. None of answer is correct. 7- Causes of tachypnea Select one: a. Chronic obstructive pulmonary disease (COPD) b. Asthma c. All of answer are correct. d. Pneumothorax e. Pneumonia 8- Choose the correct answer: Select one: a. Diastolic blood pressure: indicates how much pressure your blood is exerting against your artery walls during heartbeats. b. Diastolic BP is normally controlled by the elasticity of central arteries c. Systolic BP is normally controlled by the stroke volume (COP) d. Systolic BP is normally controlled by peripheral resistance e. Systolic blood pressure: indicates how much pressure your blood is exerting against your artery walls while the heart is resting between beats. 9- Choose the incorrect answer Select one: a. Normal BP is systolic BP is 120 to 139 or diastolic BP is 80 to 89 b. Stage 2 High Blood Pressure (hypertension) is systolic BP is 160 or higher or diastolic BP is 100 or higher c. Prehypertension is systolic BP is 120 to 139 or diastolic BP is 80 to 89 d. Stage 1 High Blood Pressure (hypertension) is systolic BP is 140 to 159 or diastolic BP is 90 to 99 e. Hypertensive crisis (requiring emergency is systolic BP is >180 or diastolic BP is Higher than 110 10- Common sites of measuring temperature : Select one: a. oral , axillary and rectal b. Oral only c. Axillary only d. Rectal and oral only 11- Counting respirations Select one: a. The chest rises during expiration and falls during inspiration b. No problem if the person know you are counting their respirations c. Count for 15 seconds and multiply x 2 d. One respiration consists of one inspiration and one expiration e. None of answer is correct 12- Depressed nasal bridge occur in Select one: a. Down syndrome b. Nasal obstruction c. Foreign body in the nose d. Epistaxis 13- Factors that affect vital signs Select one: a. Exercise and activity b. Emotions: such as anger, fear, anxiety, pain c. Illness d. All of answers are correct e. Age and sex 14- Factors that affect the respiratory rate include Select one: a. All of answer are correct. b. Gender c. Anxiety d. Age e. Exercise 15- Fever is defined as: Select one: a. temperature more 39 °C b. temperature 38 °C or higher. c. Temperature more than 37 °C d. temperature more than 36.5 °C 16- For Proper Positioning of measuring blood vessels Select one: a. Blood pressure checked in one arms, not both b. Blood pressure can be measured while arm covered and not supported c. Only the part of the arm where the blood pressure cuff is fastened needs to be at heart level, not the entire arm. d. One reading in a single office visit is enough to diagnose high blood pressure. e. Blood pressure can be measured at any position regardless stressful condition of the patients. 17- History help on diagnosis of patient diseases by Select one: a. 30-40% b. 50-7-% c. 60-80% d. 10-20% 18- History should be: Select one: a. Multiple symptoms should not analyzed b. None of the above c. As in patient words d. Duration of complain is not important 19- History so habits include Select one: a. Pits b. Smoking c. Diet d. All of the above 20- History taking includes Select one: a. All of the above b. Past history c. Chief complain d. Family history 21- History taking is gathering data which is: Select one: a. Both subjective and objective. b. Objective. c. Subjective. d. Personal. 22- Hypertension: Select one: a. Basal blood pressure above 160 6mHg systolic and 100 mmHg diastolic (>160/100 mmHg) b. Basal blood pressure above 180 mmHg systolic and 110 mmHg diastolic (>180/110 mmHg) c. Basal blood pressure above 140 mmHg systolic and 90 mmHg diastolic (>140/90 mmHg) d. Basal blood pressure above 90 mmHg systolic and 60 mmHg diastolic (>90/60 mmHg) e. Basal blood pressure above 110 mmHg systolic and 70 mmHg diastolic (>110/70 mmHg) 23- Hypotension: Select one: a. Blood pressure (less than 90 mm Hg systolic or 60 mm Hg diastolic) b. Blood pressure (less than 180 mm Hg systolic or 140 mm Hg diastolic) c. Blood pressure (less than 120 mm Hg systolic or 80 mm Hg diastolic) d. Blood pressure (less than 140 mm Hg systolic or 100 mm Hg diastolic) e. Blood pressure (less than 160 mm Hg systolic or 110 mm Hg diastolic) 24- Hypothermia is considered when temperature is : Select one: a. Less than 34 °C b. Less than 36 °C c. Less than 37 °C d. Less then 35 °C 25- Importance of the patient age is: Select one: a. It is so important in both diagnosis and treatment plan b. To know if he is trustable or not c. To decide how to deal with him d. To be familiar with him e. None of the above. 26- Large sized head is called: Select one: a. Brachydactyly b. Craniostenosis. c. Microcephaly d. Macrocephaly 27- Normal range of oral temperature is : Select one: a. 36-36.8 °C b. 37.5 -38 °C c. 36.537.2°C d. 38-38.5 °C 28- Normal Respiratory Rates Select one: a. School-age child (6-12 years): 30-50 breaths per minute b. Adult (12-20 breaths per minute) c. Infant (1 to 12 months): 20-30 breaths per minute. d. Toddler (1-2 years): 40-60 breaths per minute. e. Preschooler (3-5 years): 8-14 breaths per minute. 29- Occupation of the patient is important for: Select one: a. Ask him a favor b. Previous diseases c. Occupational hazards d. Familiarity issues e. Economic issues 30- Old and recent history important in Select one: a. Sex & residence b. Age & occupation c. Habits & residence d. Marital state & habits Quiz vertical 2 (1)Large sized head is called a. Microcephaly .b. Craniostenosis c. Macrocephaly d. Brachydactyly : (2)Normal range of oral temperature is a. 37.5 -38 °C b. 38-38.5 °C c. 36-36.8 °C d. 36.5-37.2°C (3)Normal Respiratory Rates .a. Infant (1 to 12 months): 20-30 breaths per minute .b. Preschooler (3-5 years): 8-14 breaths per minute (c. Adult (12-20 breaths per minute .d. Toddler (1-2 years): 40-60 breaths per minute e. School-age child (6-12 years): 30-50 breaths per minute :(4)Occupation of the patient is important for a. Economic issues b. Previous diseases c. Occupational hazards d. Familiarity issues e. Ask him a favor (5)Old and recent history important in a. Marital state & habits b. Age & occupation c. Habits & residence d. Sex & residence (6)One of the manifestations of severe dehydration is a. Dry tongue b. Puffy eyelid c. Edema of lower limbs d. Loss of skin turgor (7)Past history is important as a. Determine if the patient received blood transfusion, previous admission to fever hospital and previous history of operations b. Gives suitable data about chief complain c. All of the above d. It gives data about consanguinity e. None of the above (8)Pathological Causes of tachypnea .a. Drugs overdose such as narcotics b. Hypoventilation c. Heart failure .d. High thyroid level :(9)Pulse rate is affected by many factors such as a. Fevers b. Medications c. Age d. Exercise e. All of answers are correct :(10)Purpura is a. Yellow mucus membrane .b. Big ill-defined deeper cutaneous/subcutaneous bluish discoloration .(c. Small well defined, intracutaneous (flea bite like d. Patchy Hypopigmentation (11)Radial pulse a. Must be taken with exposing the person b. Count the pulse for 5 seconds and multiply by 10 c. Place only one fingers of one hand against the radial artery d. The radial artery is on the brachial fossa e. Is the most common site used for taking a pulse (12)Regarding adult pulse rate a. Tachycardia is heart rate above 60 b. Tachycardia is heart rate below 60 c. Bradycardia is heart rate over 100 .d. Normal adult pulse rate is: 60 to 100 beats per min e. Bradycardia is heart rate below 100 (13)Regarding respiratory rate for adult a. Hypoventilation is fast and deep respirations b. Hyperventilation is slow and shallow respirations c. Apnea is shortness of breath or difficulty in breathing .d. Normal respiratory rate for adult is 12 – 20 breaths per min e. Dyspnea is no breathing :(14)Regarding to past history, Physician should ask about a. Complain analysis b. None of the above c. Similar condition d. Weakness and fatigue :(15)Residence of the patient is important for a. Economic issues b. Endemic diseases c. Legal issues d. Familiarity issues e. None of the above :(16)Sex of the patient is important for a. Men are more trustable b. C and D c. Some diseases are common in certain sex d. Treatment plan differ according to sex e. Women lies a lot (17)Socio economic history help us in a. Neoplastic diseases b. Congenital diseases c. Auto immune diseases d. Communicable diseases :(18)Special habits we should ask about a. Smoking b. Alcohol intake c. Marijuana intake d. All of the above e. Addiction (19)The benefit of the name in personal history a. Differentiate between patients in same room b. All of the above c. Medico legal d. Familure with the patient :(20)The complaint may be .a. None of the above .b. Single symptom .c. Multiple symptoms .d. Single or multiple :(21)The complaint should be in .a. Relative words .b. Physician words .c. Patient own words .d. Another language :(22)The following can cause fever a. All of the above b. Leukemia , lymphoma .c. Post-transfusion d. Rheumatic fever e. Viral and bacterial Infectious (23)The preferred type of questions in identifying the reason for :consultation is .a. Closed questions .b. Indirect questions .c. Open questions .d. Leading question :(24)Vital signs include .a. The face, head, neck and hands examination b. Pulse, Blood pressure, Respiratory rate and Temperature .c. Weight, Height and head circumference d. Color: Pallor , Cyanosis and jaundice :(25)Vital signs include a. Respirations b. All of answers are correct c. Pulse d. Temperature e. Blood pressure :(26)We look for Clubbing in a. Face b. Mouth c. Fingers and toes d. Neck (27)We may ask about religious state of the patient in the personal :history this is important especially in a. Chest diseases b. Pediatrics c. Psychiatry d. Surgery e. None of the above ?(28)What is the most accurate method of calculating a respiratory rate .a. Counting the number of respiratory cycles in 3 minute .b. Counting the number of respiratory cycles in 1 minute .c. Counting the number of respiratory cycles in 2 minute .d. Counting the number of respiratory cycles in 4 minute .e. Counting the number of respiratory cycles in 5 minute :(29)Which of the following is not an item of the personal history a. Residence b. Complaint c. Special habits d. Age e. Sex (30)Which type of questions used to clarify and focus on aspects of the ?complaint .a. Open questions .b. Direct questions .c. Leading questions .d. Closed questions