HESI Health Assessment Practice Test 2026 – All-in-One Study Guide for Exam Success!

Question: 1 / 400

What assessment finding would indicate Paget's disease in a patient?

Positive Macewen sign

Premature closure of the sagittal suture

Headache and vertigo

Paget's disease is a chronic disorder that can lead to enlarged and deformed bones due to abnormal bone remodeling. The correct answer, indicating an assessment finding associated with Paget's disease, notably pertains to features like headaches and vertigo, which can arise from the thickening of the skull or involvement of cranial structures that encroach on the brain and affect neurological function.

Patients with Paget's disease may experience such symptoms primarily because of increased pressure or changes in the shape of the skull that may affect associated neural components. Headaches can result from increased intracranial pressure due to bony overgrowth, while vertigo could be linked to changes in the inner ear or structures closely associated with balance.

Other findings mentioned, such as the Macewen sign, typically indicate increased intracranial pressure and may not be specific to Paget's disease. Similarly, the premature closure of the sagittal suture refers to a separate condition known as craniosynostosis, which is not related to Paget's. Elongated head with a heavy eyebrow ridge is a presentation more commonly seen in conditions like acromegaly, which is also distinct from Paget’s disease.

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Elongated head with a heavy eyebrow ridge

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