What clinical finding in a funduscopic examination is indicative of increased intracranial pressure?

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jarvis physical examination and health assessment 9th edition test bank Questions

Question 1 of 5

What clinical finding in a funduscopic examination is indicative of increased intracranial pressure?

Correct Answer: B

Rationale: The correct answer is B: Indistinct disk edge. Increased intracranial pressure causes papilledema, resulting in swelling and elevation of the optic disk. This leads to a blurred or indistinct disk edge. Pulsating veins (choice A) are seen in conditions like arteriovenous malformations, not specifically indicative of increased intracranial pressure. Clear disk edge (choice C) and normal retinal appearance (choice D) are not consistent with the findings associated with increased intracranial pressure.

Question 2 of 5

Why is it important to inquire about the age of the first period when taking a sexual history from female patients?

Correct Answer: B

Rationale: The correct answer is B because knowing the age of the first period can give insight into the patient's reproductive health and potential risks. Early or late onset of menstruation can be indicators of hormonal imbalances, reproductive disorders, or potential fertility issues. This information is crucial for assessing the patient's overall gynecological health and guiding appropriate interventions. Choice A is incorrect because the age of the first period is not directly related to determining the patient's current level of physical fitness. Choice C is incorrect because the age of the first period does not indicate the patient's dietary habits. Choice D is incorrect because the age of the first period is relevant to sexual health assessments as it provides valuable information about the patient's reproductive health.

Question 3 of 5

Which scientist is credited with the discovery of X-rays, and in what year did this discovery occur?

Correct Answer: B

Rationale: The correct answer is B: Wilhelm Conrad Roentgen in 1895. Roentgen discovered X-rays by accident while experimenting with cathode rays. He noticed a glow from a nearby screen even though it was covered, leading to the discovery of X-rays. Marie Curie is known for her work on radioactivity, not X-rays. Thomas Edison is famous for inventing the light bulb and phonograph, not X-rays. Albert Einstein is known for his work on the theory of relativity, not the discovery of X-rays.

Question 4 of 5

Upon arriving at a scene where a patient has been involved in a minor car accident, she reports feeling faint and states that she has a history of diabetes. Given this information, what is the primary concern that the patient is expressing?

Correct Answer: A

Rationale: The correct answer is A: Her blood sugar levels are likely unstable. Given the patient's history of diabetes and feeling faint after a minor car accident, the primary concern is hypoglycemia, which can occur due to stress or delayed food intake. Symptoms may include feeling faint, weakness, and confusion. It is important to address this immediately as untreated hypoglycemia can lead to serious complications. Choice B is incorrect as a headache is not typically a primary concern for a diabetic patient feeling faint. Choice C is incorrect as hypertension is not directly related to the symptoms described. Choice D is incorrect as nausea is not a typical symptom of hypoglycemia in this context. It is crucial to focus on the patient's diabetic history and potential hypoglycemia in this scenario.

Question 5 of 5

When applying the SAMPLE mnemonic, which of the following statements from the patient would be classified under the letter 'M' for medications?

Correct Answer: D

Rationale: Step 1: The 'M' in the SAMPLE mnemonic stands for Medications, which focuses on the current and past medications the patient is taking. Step 2: Choice D, "I take Metformin for my diabetes," directly provides information about a medication the patient is currently taking. Step 3: This statement is relevant to the patient's medical history and helps in understanding their current health condition. Summary: Choice D is correct as it specifically addresses the patient's medication (Metformin for diabetes), while the other choices provide information related to headaches (A), allergies (B), and surgical history (C), which do not fall under the 'M' category for medications.

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