## Beginning the Physical Examination General Survey and Vital Signs Multiple Choice

1. A 15-year-old high-school student presents to your office for a sports physical He is 65 inches in height and weighs 250 pounds. His BMI falls in which category?

(A) Underweight

(B) Normal weight

(C) Overweight

2. A 16-year-old sophomore presents to the clinic for a sports physical; she is accompanied by her mother. She is involved in gymnastics and has been since age 5. In addition to training for the gymnastics team, she runs 10 miles per day. She is proud of her athleticism and states that she is still too fat and wants to lose more weight. You note that her BMI is 15. She denies eating excessively or making herself vomit. The patient's mother states she barely eats. This patient is at risk for which medical problem?

(A) Obesity

(B) Bulimia

(D) Not at risk; normal adolescence

3. A 38-year-old landscape designer presents to the clinic to be evaluated for a cough. His vital signs show a temperature of 103°F, a pulse of 120, and a blood pressure of 88/55. His respiratory rate is 28. He appears to have labored breathing. All of these indicators are signs of

(A) Pain from the cough

(C) Respiratory distress

4. A 20-year-old college junior presents to the clinic for a physical; he is going to be a camp counselor for the summer. He is healthy and exercises regularly. His BMI is 22. You take his blood pressure and obtain a value of 160/100. Which of the following is the most likely reason for the unexpected blood pressure measurement?

(A) The width of the inflatable bladder of the cuff was 40% of the upper arm circumference

(B) The length of the inflatable bladder was 50% of the upper arm circumference

(C) The aneroid sphygmomanometer was calibrated just prior to measuring this patient's blood pressure

(D) The patient had sat for 15 minutes prior to the measurement of his blood pressure

5. A 22-year-old social worker comes into the clinic for a routine checkup. His blood pressure is 155/102. In each of his previous visits, including one 2 weeks ago for treatment of an upper respiratory infection, his blood pressure has been 130s/80s. He has no family history of high blood pressure. He has no symptoms of headache, blurred vision, or chest pain. What is the most likely reason for his blood pressure being elevated today?

(A) He sat down for 10 minutes prior to this measurement being obtained

(B) He drank a cup of coffee 10 minutes prior to his blood pressure measurement

(C) His arm was bare when the blood pressure was measured

(D) He was seated and his arm was supported a little above his waist when the measurement was obtained

6. A 58-year-old college professor presents to your clinic to establish care. In taking vital signs, you feel the patient's radial pulse. The pulse pressure is diminished, and the pulse feels weak and small. The upstroke feels a little slow, and the peak is prolonged. You immediately suspect that this patient may have which of the following diagnoses?

(A) Hypertrophic cardiomyopathy

(B) Premature atrial contractions

(C) Severe aortic stenosis

(D) Constrictive pericarditis

## Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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