Which of the following assessment findings might lead the examiner to suspect vitamin D deficiency?

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Which of the following assessment findings might lead the examiner to suspect vitamin D deficiency?

Mr.Williams, a 62-year-old patient, presents for a physical examination. You suspect a vitamin D deficiency. Which of the following assessment findings might lead the examiner to suspect vitamin D deficiency? 

Question

Question 1

Mr.Williams, a 62-year-old patient, presents for a physical examination. You suspect a vitamin D deficiency. Which of the following assessment findings might lead the examiner to suspect vitamin D deficiency? 

a. Spinal curvature and bowed legs

b. Night blindness and dry eyes

c. Neuropathy and seizures

d. Nausea and insomnia

Question 2

A college student comes to the student health center complaining of difficulty in concentrating during class and while studying. The diet that would contribute to this problem is one that contains mostly: 

a.fruit and vegetables.

b.lean meat and fish.

c.sandwiches and diet drinks.

d.pasta and chicken.

e.cereal and breads.

Question 3

In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for: 

a. glycogen storage in the liver.
b. normal growth and development.
c. myocardial cell function.
d. building and maintaining tissues.

Question 4

Monitoring a patient’s waist-to-hip ratio provides data concerning: 

a. daily caloric requirements.
b. lung capacity.
c. stomach cancer risk.
d. cardiovascular disease risk.

Question 5

Mr.Jones is a 45-year-old patient who presents for a physical examination. On examination, you note costochondral beading, an enlarged skull, and bowed legs and diagnose him with rickets. A deficiency of which fat-soluble micronutrient can result in rickets? 

a. Vitamin A
b. Vitamin E
c. Vitamin D
d. Vitamin K

Question 6

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: 

a. binges and vomits.
b. has regular menstrual periods.
c. has constipation frequently.
d. is cold intolerant.

Question 7

Mr.Miles is a 45-year-old man who is being evaluated for obesity. Advising Mr.Miles to reduce which macronutrient will produce the greatest calorie reduction per gram? 

a. Carbohydrate
b. Protein
c. Fat
d. All provide the same number of calories per gram.

Question 8

Macronutrients are so named because they: 

a. have high molecular weights.
b. form long chemical chains.
c. tend to increase waist measurements.
d. are required in large amounts. 

Question 9

Bulging of an amber tympanic membrane without mobility is usually associated with: 

a. middle ear effusion.
b. healed tympanic membrane perforation.
c. impacted cerumen in the canal.
d. repeated and prolonged crying cycles.

Question 10

An infant’s auditory canal, compared with an adult’s, is: 

a. short, narrow, and straight.
b. short and curved upward.
c. long, narrow, and curved forward.
d. short and curved downward.

Question 11

An ear auricle with a low-set or unusual angle may indicate chromosomal aberration or: 

a. digestive disorders.
b. skeletal anomalies.
c. renal disorders.
d. heart defects.

Question 12

A 6-month-old who can hear well can be expected to: 

a. exhibit the Moro reflex.
b. stop breathing in response to sudden noise.
c. turn his or her head toward the source of sound.
d. imitate simple words.

Question 13

A hairy tongue with yellowish brown to black elongated papillae on the dorsum: 

a. is indicative of oral cancer.
b. is sometimes seen following antibiotic therapy.
c. usually indicates vitamin deficiency.
d. usually indicates anemia.

Question 14

A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness, you should palpate over the: 

a. sphenoid and frontal sinuses.
b. maxillary and frontal sinuses.
c. maxillary sinuses only.
d. sphenoid sinuses only.

 

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