1. Examination of the patient in the lithotomy, or knee-chest, position
includes:
The examiner can inspect the external and internal female genitalia
... [Show More] and perform rectal
examination to assess and palpate anal sphincter tone
2. To spread the breast tissue evenly over the chest wall, you should ask the woman to
lie supine with:One arm over her head and a pillow under her shoulder.
3. An apical PMI palpated beyond the left fifth intercostal space may indicate: left
ventricular hypertrophy.
4. Breath odors may clue the examiner to certain underlying metabolic conditions. The
odor of ammonia on the breath may signify:ammonia-like suggests uremia, a renal
condition; cinnamon- tuberculosis; musty fish or clover hepatic -failure; sweet and
fruity - diabetic ketoacidosis; and foul or feculent- intestinal obstruction.
5. Which cranial nerves are usually evaluated during the examination of the eyes?III
Oculomotor Motor, IV Trochlear, VI Abducens.
6. Loss of immediate and recent memory with retention of remote memory
suggests:Dementia
7. Recent unilateral inversion of a previously everted nipple suggests:Cancer
8. A parent is advised to restrict contact or collision sports participation for their child.
An example of a sport in which this child could participate is:Hockey or diving.
6512 Final Exam 1
9. You are performing a two-point discrimination test as part of a well physical
examination. The area with the ability to discern two points in the shortest distance is
the:Fingertips.
10. A red, hot swollen joint in a 40-year-old man should lead you to suspect:Gout
11. Normal changes of the aging brain include:Diminished touch and pain
12. An examiner has rotated a brush several times into the cervical os. The brush was
withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative.
Which type of specimen requires this technique for collection?Cytology Smear
13. During a routine prenatal visit, Ms. T. was noted as having dependent edema,
varicosities of the legs, and hemorrhoids. She expressed concern about these
symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic
veins and her inferior vena cava. You would further explain that these findings:Are
usual conditions during a pregnancy.
14. You are examining Mr. S., a 79-year-old diabetic man complaining of claudication.
Which of the following physical findings is consistent with the diagnosis of arterial
occlusion?
An individual or a patient with peripheral artery disease of claudication will have thin
skin with localized pallor and cyanosis, a loss of body warmth in the affected area and
loss of hair over the extremities.
15. The Mini-Mental State Examination should be administered for the patient
who:Getting lost in familiar territory is a sign of possible cognitive impairment.
16. The physical assessment technique most frequently used to assess joint symmetry
is:Inspection
17. Throughout the history and physical examination, the clinician should:The clinician
should evaluate the whole patient including physical, emotional and social needs.
18. Inquiry about nocturnal muscle spasms would be most significant when taking the
musculoskeletal history of:Older adults
19. The foramen ovale should close:At birth when the lungs become functional.
20. Palpation of a normal prostate in an older adult is likely to feel:Rubbery
21. You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The
patient is apathetic and has disturbed thoughts and language patterns. The nurse
recognizes this behavior pattern as consistent with a diagnosis of:Schizophrenia
22. While collecting personal and social history data from a woman complaining of breast
discomfort, you should question her regarding:Alcohol, tobacco and caffeine.
23. The Mini-Mental State Examination:estimate cognitive changes quantitatively.
24. Postural hypotension is defined as a when the patient stands, compared with sitting
or supine readings.Blood pressure dropped more than 20 mm Hg in systolicand
more than 10 mm Hg in diastolic.
25. You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her
feet together and arms at her sides. She loses her balance. Ms. Q. has a
positive:Romberg Sign
26. The reliability of health-related findings and observations is the responsibility of
the:professional and patient.
27. When you attempt to move a 10-month-old child from his mother's lap to the
examination table, he screams loudly. Your best action is to:Perform the examination
while the child is in the mother’s lap.
28. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight
and cannot be easily retracted. You should: Inquire about previous penile infections.
29. For purposes of examination and communication of physical findings, the breast is
divided into:Four quadrants plus a tail
30. While examining a 30-year-old woman, you note that one breast is slightly larger than
the other. In response to this finding, you should:Note the finding in the patient’s
chart.
31. When is the mental status portion of the neurologic system examination performed?
Continually throughout the entire interaction with the patient.
32. You are conducting a clinical breast examination for your 30-year-old patient. Her
breasts are symmetrical with bilateral, multiple tender masses that are freely moveable
with well-defined borders. You recognize that these symptoms and assessment
findings are consistent with:Fibrocystic changes.
33. At your first meeting with a patient, it is usually best to say:Take your time and ask
open ended questions to ensure that the patient has the opportunity to report accurate.
34. A patient you are seeing in the emergency department for chest pain is suspected of
having a myocardial infarction. During the health history interview of his family
history, he relates that his father had died of "heart trouble." The most important
follow-up question you should pose is which of the following?What age what was
your father at the time of his death.
35. A 23-year-old white woman has come to the clinic because she has missed two
menstrual periods. She states that her breasts have enlarged and that her nipples have
turned a darker color. Your further response to this finding is to:Suggest a pregnancy
test.
36. Temporalis and masseter muscles are evaluated by:Having the patient clench his or
her teeth.
37. Your older clinic patient is being seen today as a follow-up for a 2-day history of
pneumonia. The patient continues to have a productive cough, shortness of breath, and
lethargy and has been spending most of the day lying in bed. You should begin the
chest examination by:auscultating lung bases
Because the patient has consolidation and has been recumbent and fatigued, the most
appropriate first step is to listen to the lung bases before the patient gets exhausted.
The lung bases would be the most likely sites for adventitious sounds
38. A grade IV mitral regurgitation murmur would: radiate to the axilla (radiates from the
apex to base or to left axilla).
39. To hear diastolic heart sounds, you should ask patients to:lie on their left side.
40. Assessing orientation to person, place, and time helps determine:state of
consciousness.
41. Your patient's chief complaint is repeated pencil-like stools. Further examination
should include:a digital rectal exam.
42. Which one of the following is a proper technique for use of a speculum during a
vaginal examination?Press the introitus downward, insert the closed speculum
obliquely.
43. If your patient has nipple discharge, you will most likely need a:glass slide and a
fixative.
44. Cranial nerve XII may be assessed in an infant by:Observing the infant suck and
swallow.
45. The difference in blood pressure readings between the right and the left arms is
considered normal up to mm Hg.By as much as 10 mm Hg and seems to be
higher in the right arm.
46. During chest assessment, you note the patient's voice quality while auscultating the
lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the
e's sound like a’s. This sound is indicative of:lung consolidation.
47. Kawasaki disease is suspected when assessments of a child reveal:conjunctival
injection, strawberry tongue, and edema of the hands and feet.
48. The Denver II is a tool used to determine:whether the child is developing fine and
gross motor, language, personal, and social skills as expected according to the .child’s
age
49. Montgomery tubercles are most prominent in the breasts of:pregnant women
50. Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the
spread of the stimulus through the atria is the:P wave.
51. Which of the following statements is true regarding the examination of peripheral
arteries? The pulses are most readily felt over arteries that lie over bones.
52. When palpating breast tissue, the examiner should use the at each site.Finger
pads.
53. A common finding in markedly obese and pregnant women is:Lordosis
54. Inspection of the scrotum should reveal:The left scrotal sac is lower than the right.
55. When conducting a geriatric assessment, basic activities of daily living (ADLs)
include:Basic ADL’s include bathing, dressing, toileting, ambulating and feeding.
56. A patient in the deepest coma would be scored a on the Glasgow Coma Scale.3
57. If pitting edema is unilateral, you would suspect occlusion of a:major vein
58. In the adult, the apical impulse should be most visible when the patient is in what
position?Upright.
59. A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is
not painful upon palpation. The left inguinal canal is without masses. The mass does
transilluminate with a penlight. This collection of symptoms is consistent
with:hydrocele
60. You are conducting a preparticipation physical examination for a 10-year-old girl with
Down syndrome who will be playing basketball. She has slight torticollis and mild
ankle clonus. What additional diagnostic testing would be required for her?Cervical
radiographs
61. Anterior cruciate ligament integrity is assessed via the_Lachmanstest.
62. The strength of the trapezius muscle is evaluated by having the patient:push her head
against the examiner’s hand.
63. It is especially important to test for ankle clonus if:deep tendon reflexes are
hyperactive.
64. Diabetic peripheral neuropathy will likely produce:decreased pain sensation
65. To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?
patellar
66. Breath sounds normally heard over the trachea are called:bronchial
67. Tarry black stool should make you suspect:upper gastrointestinal bleed
68. The checkout station for pre-participation physical evaluation (PPE) is critical because
at this point:plan follow ups
69. Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of
severe, acute chest pain. Her mother reports that Nancy, apart from occasional colds,
Nancy is not prone to respiratory problems. What potential risk factor is most
important to assess with regards to Nancy's current problem?Cocaine
70. The best way to ease the apprehension of a 3-year-old child before a physical
examination is to: let him hold the stethoscope during the exam
71. To assess a cremasteric reflex, the examiner strokes the: lightly stroking the inner
thigh
72. The goals of pre-participation sports evaluation include:determining the risk of injury
or death during sports participation.
73. Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a
stress fracture. You should question this patient about her:menstrual cycles
74. One of the most important aspects to consider in the orthopedic screening examination
is:symmetry
75. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN),
requires further evaluation?XI
76. While interviewing a 70-year-old female clinic patient, she tells you that she takes
ginkgo biloba and St. John's wort. You make a short note to check for results of
the:MMSE
77. Part of the screening orthopedic component of the examination includes evaluating
the person while he or she is: duck walking.
78. Which one of the following techniques is used to detect a torn meniscus?McMurray
79. Which medical condition would exclude a person from sports participation?fever
80. The musculoskeletal examination should begin when:the patient enters the
examination room
81. The spread of the impulse through the ventricles (ventricular depolarization) is
depicted on the ECG as the:QRS
82. The examiner percusses for diaphragmatic excursion along the:scapular line
83. Functional assessment is most important during the examination of a(n):
84. You are conducting an examination of Mr. Curtis's heart and blood vessels and
auscultate a grade III murmur. The intensity of this murmur is: moderately loud
85. When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the
examination table. He involuntarily flexes his hips and knees. To confirm your
suspicions associated with this positive test, you would also perform a test for the
sign.
86. Bimanual examination of the uterus includes: using two hands and external and
internal exam?
87. The finger-to-nose test allows assessment of:coordination and find motor skills.
88. A pulsation that is diminished to the point of being barely palpable would be graded
as:1
89. As Mr. B. enters the room, you observe that his gait is wide based and he staggers
from side to side while swaying his trunk. You would document Mr. B.'s pattern as:
cerebellar ataxia
90. In the most effective percussion technique of the posterior lung fields, the patient
cooperates by:crossing arms in front
91. When assessing superficial pain, touch, vibration, and position perceptions, you are
testing:sensory
92. Which portion of the physical examination is best done with the patient standing?
Spinal
93. Ulnar deviation and boutonniere deformities are characteristic of: Rheumatoid
arthritis
94. The family history for a patient with joint pain should include information about
siblings with:genetic disorders
95. When the Goodenough-Harris Drawing Test is administered to a child, the evaluator
principally observes the:Presence and form of body parts.
96. A positive straight leg raise test usually indicates:Nerve root irritation (L4L5 S1)
97. You are assessing Mr. Z.'s fluid volume status as a result of heart failure. If your finger
depresses a patient's edematous ankle to a depth of 6 mm, you should record this
pitting as:4+
98. An idiopathic spasm of arterioles in the digits is termed:Raynaud’s
99. Nerves that arise from the brain rather than the spinal cord are called:cranial
100.A cervical polyp usually appears as a:bright red, soft protrusion from the
endocervical canal. [Show Less]