A client reports dizziness on her yearly physical exam.
Which of the following tests would be the most appropriate to assess the client's equilibrium?

Romberg test.

Weber test.

Rinne test.

Cover test.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The Romberg test evaluates equilibrium by having the client stand with feet together and eyes closed, observing for swaying or imbalance. It assesses the function of the vestibular system, proprioception, and cerebellar function, making it the most appropriate test for assessing dizziness and equilibrium.

Choice B rationale

The Weber test involves placing a tuning fork on the forehead to evaluate sound lateralization. It assesses hearing loss but not equilibrium, making it less suitable for dizziness assessment.

Choice C rationale

The Rinne test compares air and bone conduction of sound using a tuning fork. While useful for diagnosing conductive hearing loss, it does not assess equilibrium, making it inappropriate for evaluating dizziness.

Choice D rationale

The cover test evaluates eye alignment and muscle function by having the client cover one eye and observe the uncovered eye for movement. It assesses ocular motility but not equilibrium, making it unsuitable for dizziness assessment.

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Correct Answer is A

Explanation

Choice A rationale

The Cover/Uncover test is used to assess the presence of strabismus or eye muscle weakness. During this test, one eye is covered while the other eye is observed for movement. The uncovered eye is then observed when the cover is removed. If there is a misalignment or weakness, the uncovered eye will move to re-establish focus, indicating a problem with eye muscle control.

Choice B rationale

Testing peripheral vision involves assessing the range of vision around the central focus point and is not specifically used to detect eye muscle weakness. It evaluates the function of the retina and optic nerve rather than the eye muscles. This test helps identify issues such as glaucoma or retinal detachment.

Choice C rationale

The Snellen chart test measures visual acuity, specifically how well a person can see at various distances. It is not designed to assess eye muscle strength or alignment. The test involves reading letters of different sizes from a chart placed at a standard distance.

Choice D rationale

The Weber test is an auditory test used to assess hearing loss by placing a vibrating tuning fork on the forehead or middle of the head. It helps determine whether hearing loss is conductive or sensorineural in nature. This test does not provide information about eye muscle function or alignment.

A. More prone to injury and calcifications than other locations in the breast. B. Where most of the suspensory ligaments attach. C. The largest quadrant of the breast. D. The location of most breast tumors.

Correct Answer is D

Explanation

Choice A rationale

While the upper outer quadrant can be prone to injury and calcifications, this is not the primary reason for its importance in breast examinations. Calcifications can occur in various parts of the breast and are often detected through mammography rather than physical examination.

Choice B rationale

Suspensory ligaments, also known as Cooper's ligaments, provide structural support to the breast. They attach to the skin and the underlying pectoral fascia. However, these ligaments are distributed throughout the breast and are not confined to the upper outer quadrant.

Choice C rationale

The upper outer quadrant is not the largest quadrant of the breast. All quadrants have relatively similar sizes. Therefore, the size of the quadrant is not the reason for its importance in breast examinations.

Choice D rationale

The upper outer quadrant of the breast is the most common location for breast tumors. This is because a significant portion of the breast tissue, including the axillary tail (an extension of breast tissue into the armpit), is located in this quadrant. Therefore, careful examination of this area is crucial for early detection of breast cancer.

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A client reports dizziness on her yearly physical exam.Which of the following tests would be the most appropriate to assess the client's equilibrium?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

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A client reports dizziness on her yearly physical exam.
Which of the following tests would be the most appropriate to assess the client's equilibrium?