Question 1

Which of the following is the most accurate reflection of an individual's food intake?

Accepted Answer

A)  24-hour diet recall 
B)  Food diary 
C)  Computerized nutrient analysis 
D)  Serum protein assay 
A)  24-hour diet recall 
B)  Food diary 
C)  Computerized nutrient analysis 
D)  Serum protein assay

Question 2

The gonads begin to secrete estrogen and testosterone during:

Accepted Answer

A)  infancy. 
B)  puberty. 
C)  pregnancy. 
D)  early adulthood. 
A)  infancy. 
B)  puberty. 
C)  pregnancy. 
D)  early adulthood.

Question 3

Which are signs and symptoms of hydrocephalus? (Select all that apply.)

Accepted Answer

A)  Early closed suture lines 
B)  Hyperreflexia Y 
C)  Irritable, poor feeding Y 
D)  Does not meet expected height and weight 
E)  Difficulty holding head up Y
F) Rapidly increasing head circumference Y 
A)  Early closed suture lines 
B)  Hyperreflexia Y 
C)  Irritable, poor feeding Y 
D)  Does not meet expected height and weight 
E)  Difficulty holding head up Y
F) Rapidly increasing head circumference Y

Question 4

Optimal infant birth weight is difficult for pregnant adolescents to obtain because:

Accepted Answer

A)  they have not completed their own growth spurt. 
B)  there are insufficient uterine supporting structures. 
C)  the amniotic fluid is variable in pregnant adolescents. 
D)  blood volume has not reached adult proportions. 
A)  they have not completed their own growth spurt. 
B)  there are insufficient uterine supporting structures. 
C)  the amniotic fluid is variable in pregnant adolescents. 
D)  blood volume has not reached adult proportions.

Question 5

Which situation poses the most concern?

Accepted Answer

A)  The child whose weight and height ratios have remained at the 50th percentile 
B)  The child whose weight and height ratios have stayed between the 90th and 95th percentiles 
C)  The child whose weight and height ratios have never been above the 50th percentile 
D)  The child whose weight and height ratios have dropped 15 percentiles since the last visit 
A)  The child whose weight and height ratios have remained at the 50th percentile 
B)  The child whose weight and height ratios have stayed between the 90th and 95th percentiles 
C)  The child whose weight and height ratios have never been above the 50th percentile 
D)  The child whose weight and height ratios have dropped 15 percentiles since the last visit

Question 6

Over the past 2 decades, there has been a trend toward:

Accepted Answer

A)  increased osteoporosis. 
B)  preservation of height. 
C)  obesity in older adults. 
D)  preservation of muscle mass. 
A)  increased osteoporosis. 
B)  preservation of height. 
C)  obesity in older adults. 
D)  preservation of muscle mass.

Question 7

Which statement regarding female pubertal changes is true?

Accepted Answer

A)  Most adolescent girls will develop breasts before they develop pubic hair. 
B)  Peak height velocity should occur after menarche. 
C)  Breast asymmetry is an abnormal finding. 
D)  Menarche should occur by Tanner breast stage 2. 
A)  Most adolescent girls will develop breasts before they develop pubic hair. 
B)  Peak height velocity should occur after menarche. 
C)  Breast asymmetry is an abnormal finding. 
D)  Menarche should occur by Tanner breast stage 2.

Question 8

To estimate an individual's frame size, the examiner should measure:

Accepted Answer

A)  skull circumference. 
B)  the length from the olecranon process to the acromion process. 
C)  elbow breadth. 
D)  hip circumference. 
A)  skull circumference. 
B)  the length from the olecranon process to the acromion process. 
C)  elbow breadth. 
D)  hip circumference.

Question 9

A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she:

Accepted Answer

A)  binges and vomits. 
B)  has regular menstrual periods. 
C)  has constipation frequently. 
D)  is cold intolerant. 
A)  binges and vomits. 
B)  has regular menstrual periods. 
C)  has constipation frequently. 
D)  is cold intolerant.

Question 10

During a preventive healthcare visit, Ms. G, an older patient, states that she is getting shorter. She says that her son mentioned that her change in stature became noticeable to him during his last visit with her. Her posture appears straight and aligned. When addressing Ms. G.'s present concerns, it is most important to inquire about:

Accepted Answer

A)  the number of pregnancies. 
B)  her parents' heights. 
C)  a history of scoliosis. 
D)  her usual height and weight. 
A)  the number of pregnancies. 
B)  her parents' heights. 
C)  a history of scoliosis. 
D)  her usual height and weight.

Question 11

Round face, preauricular fat, hyperpigmentation, and "buffalo hump" in the posterior cervical area are associated with:

Accepted Answer

A)  infantile hydrocephalus. 
B)  acromegaly. 
C)  Cushing syndrome. 
D)  achondroplasia. 
A)  infantile hydrocephalus. 
B)  acromegaly. 
C)  Cushing syndrome. 
D)  achondroplasia.

Question 12

Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet?

Accepted Answer

A)  Ascorbic acid 
B)  Vitamin B12 
C)  Folate 
D)  Fiber 
A)  Ascorbic acid 
B)  Vitamin B12 
C)  Folate 
D)  Fiber

Question 13

Healthy term babies generally double their birth weight by what age?

Accepted Answer

A)  3 months 
B)  5 months 
C)  9 months 
D)  12 months 
A)  3 months 
B)  5 months 
C)  9 months 
D)  12 months

Question 14

By 10 to 12 years of age, lymphatic tissues are about:

Accepted Answer

A)  25% of adult size. 
B)  50% of adult size. 
C)  the same as adult size. 
D)  twice the size of those in the adult. 
A)  25% of adult size. 
B)  50% of adult size. 
C)  the same as adult size. 
D)  twice the size of those in the adult.

Question 15

The upper-to-lower segment ratio should be calculated:

Accepted Answer

A)  bimonthly for the first year of life. 
B)  annually for the first 5 years. 
C)  only when a child is suspected of having a growth problem or unusual body proportions. 
D)  in children of first-generation immigrants. 
A)  bimonthly for the first year of life. 
B)  annually for the first 5 years. 
C)  only when a child is suspected of having a growth problem or unusual body proportions. 
D)  in children of first-generation immigrants.

Question 16

Gender-specific skeletal differences first occur during:

Accepted Answer

A)  the second stage of fetal development. 
B)  late infancy. 
C)  early childhood. 
D)  adolescence. 
A)  the second stage of fetal development. 
B)  late infancy. 
C)  early childhood. 
D)  adolescence.

Question 17

Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient?

Accepted Answer

A)  Iron 
B)  Thiamin 
C)  Calcium 
D)  Fat 
A)  Iron 
B)  Thiamin 
C)  Calcium 
D)  Fat

Question 18

How much of the weight gained during a normal pregnancy is accounted for by the fetus?

Accepted Answer

A)  Less than 5 pounds 
B)  6 to 8 pounds 
C)  9 to 12 pounds 
D)  13 to 30 pounds 
A)  Less than 5 pounds 
B)  6 to 8 pounds 
C)  9 to 12 pounds 
D)  13 to 30 pounds

Question 19

Milestone achievements are data most likely to appear in the history of:

Accepted Answer

A)  adolescents. 
B)  infants. 
C)  school-age children. 
D)  young adults. 
A)  adolescents. 
B)  infants. 
C)  school-age children. 
D)  young adults.

Exam 8: Growth, Measurement, and Nutrition

Which of the following is the most accurate reflection of an individual's food intake?

The gonads begin to secrete estrogen and testosterone during:

Which are signs and symptoms of hydrocephalus? (Select all that apply.)

Optimal infant birth weight is difficult for pregnant adolescents to obtain because:

Which situation poses the most concern?

Over the past 2 decades, there has been a trend toward:

Which statement regarding female pubertal changes is true?

To estimate an individual's frame size, the examiner should measure:

A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she:

Round face, preauricular fat, hyperpigmentation, and "buffalo hump" in the posterior cervical area are associated with:

Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet?

Healthy term babies generally double their birth weight by what age?

By 10 to 12 years of age, lymphatic tissues are about:

The upper-to-lower segment ratio should be calculated:

Gender-specific skeletal differences first occur during:

Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient?

How much of the weight gained during a normal pregnancy is accounted for by the fetus?

Milestone achievements are data most likely to appear in the history of:

The History and Interviewing Process

Cultural Competency

Examination Techniques and Equipment

Clinical Reasoning

Documentation

Vital Signs and Pain Assessment

Mental Status

Skin, Hair, and Nails

Lymphatic System

Head and Neck

Eyes

Ears, Nose, and Throat

Chest and Lungs

Heart

Blood Vessels

Breasts and Axillae

Abdomen

Female Genitalia

Male Genitalia

Anus, Rectum, and Prostate

Musculoskeletal System

Neurologic System

Sports Participation Evaluation

Putting it All Together

Emergency or Life-Threatening Situations

Filters