Kennedy Test Bank Answers Symptoms and Syndromes Chapter 5

Chapter 5 Symptoms and Syndromes

Multiple Choice

1. Geriatric assessments can be challenging for the health-care provider due to delay of

recognition and/or reporting of symptoms by the patient. Which of the following best describes what is used by health-care providers to address this differential?

1. Clinical decision-making tools.

2. When symptoms were noticed.

3. Change in function and impact of symptoms.

4. Symptoms from comorbidities.

2. Which of the following terms refers to conditions that have multiple underlying factors

and may involve multiple organs?

1. Multifaceted syndrome

2. Aging syndrome

3. CFM syndrome

4. Geriatric syndrome

3. Mrs. Rizzo is an 80-year-old Caucasian female who is presenting symptoms of chest pain,

weakness, and lightheadedness. Which of the following may be a possible differential diagnosis of her symptoms?

1. Ischemic colitis

2. Spinal cord compression

3. Diabetic neuropathy

4. Costochondritis

4. Steven is a 65-year-old male diagnosed with Parkinson’s disease. He is taking anti-

Parkinson’s drugs, calcium supplements, and NSAIDs for his joint pain. Which of the following

conditions could be caused by his medications?

1. Constipation

2. Hematuria

3. Headache

4. Chest pain

5. Which of the following statements best describes “cough”?

1. It is a sign of a life-threatening condition.

2. It is often isolated to the respiratory system.

3. It is often isolated to the immune system.

4. It is often associated with acid reflux.

6. Tina is a 60-year-old female presenting symptoms of coughing, shortness of breath, and

purulent sputum. She is being treated with antibiotics, use of a nebulizer, and oral steroids.

Which of the following conditions could be her diagnosis?

1. Bacterial pneumonia

2. Acute bronchitis

3. Chronic bronchitis

4. GERD

7. Reduction of pain is the main goal for patients suffering from acute joint pain. The mnemonic PRICE is a helpful reminder of the treatment when this occurs. What does the “E” in PRICE stand for?

1. Elevation

2. Emergency

3. Elastic

4. Electrical

8. A patient complains of dry, irritated, and itchy skin that has not been relieved with over-the-counter medications. On examination, the patient is also found to present cholestasis and jaundice. From which of the following conditions may the patient be suffering?

1. Lice

2. Scabies

3. Pruritus

4. Lichenification

Multiple Response

9. Mr. Thomas noticed tremors in his right hand 2 years ago and attributed this to his elbow

injury from a fall. The tremors have gradually worsened, and he now has tremors under his lip,

some gait problems, and occasional stomach spasms. His wife has recently noticed these things

and suggested he have a medical consultation. Which of the following reasons might Mr. Thomas have had for ignoring these symptoms? Select all that apply.

1. Fear of loss of independence

2. Fear of doctors

3. Symptoms do not interfere with functions

4. Attributes symptoms to the aging process

5. Lack of transportation

10. Mrs. Lee is experiencing moderate pain in her right leg and having difficulty sitting down

on and standing up from a chair. She reports no other symptoms. Which of the following should be included in the assessment? Select all that apply.

1. Thorough medication history

2. Precipitating factors

3. Character of symptom

4. Family history

5. Social history

11. When a patient is suffering from constipation, the clinician evaluates the etiology and

contributing factors. Which of the following diagnoses are being ruled out in these evaluations?

Select all that apply.

1. DVT

2. Fecal impaction

3. IBS

4. Botulism toxin

5. Bowel incontinence

12. Dizziness is an imprecise word used by patients to describe various subjective conditions.

Care must be taken to establish what the patient means by dizziness in order to determine a

diagnosis. Which of the following etiologies could be the cause of dizziness? Select all that

apply.

1. Medications

2. Otolaryngologic conditions

3. Exercise

4. Psychiatric conditions

5. Hypothyroidism

13. Joint pain is a condition that is caused by joint damage or injury that can interfere with

movement. From which of the following etiologies may joint pain arise? Select all that apply.

1. Bursitis

2. Muscle spasm

3. Gout

4. Fractured humerus

5. Muscle strain

14. Which of the following are the focus questions when assessing patients with pruritus? Select all that apply.

1. Did it come on suddenly or gradually?

2. How do you characterize the sensation?

3. What did you eat yesterday?

4. Is there anything that makes it worse or better?

5. What is the consistency of your bowel movements?

15. Wandering in older adults can occur with disorientation or cognitive impairment and is

characterized as locomotion in a seemingly aimless pattern. From which of the following

conditions can wandering arise? Select all that apply.

1. Pneumonia

2. Delirium

3. Mood disorder

4. Dementia

5. Vertigo

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