test bank final

  1. 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.
  2. 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.
  3. Montgomery tubercles are most prominent in the breasts of:
    pregnant women.
  4. Which one of the following techniques is used to detect a torn meniscus?
    McMurray test
  5. Ulnar deviation and boutonniere deformities are characteristic of:
    rheumatoid arthritis.
  6. A pulsation that is diminished to the point of being barely palpable would be graded as:
    1
  7. In the most effective percussion technique of the posterior lung fields, the patient cooperates by:
    folding the arms in front.
  8. When palpating joints, crepitus may occur when:
    irregular bony surfaces rub together
  9. While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:
    alcohol, tobacco, and caffeine use.
  10. Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings.
    systolic pressure drop of more than 15 mm Hg with a pulse rate increase
  11. You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient's neurologic status, you would:
    test the six cardinal points of gaze.
  12. Temporalis and masseter muscles are evaluated by:
    having the patient clench his or her teeth.
  13. Cranial nerve XII may be assessed in an infant by:
    observing the infant suck and swallow.
  14. The reliability of health-related findings and observations is the responsibility of the:
    professional and the patient
  15. Normal changes of the aging brain include:
    diminished perception of touch.
  16. The adnexa of the uterus are composed of the:
    fallopian tubes and ovaries.
  17. Which of the following statements is true regarding the examination of peripheral arteries?
    The pulses are most readily felt over bony prominences.
  18. 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.
  19. Which one of the following is a proper technique for use of a speculum during a vaginal examination?
    Press introitus downward; insert closed speculum obliquely
  20. When is the mental status portion of the neurologic system examination performed?
    Constantly, throughout the entire interaction with a patient
  21. The finger-to-nose test allows assessment of:
    Coordination and fine motor function.
  22. The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg.
    10
  23. Tarry black stool should make you suspect:
    Upper intestinal bleeding.
  24. Anterior cruciate ligament integrity is assessed via the _____ test.
    Lachman
  25. Examination of the patient in the lithotomy, or knee-chest, position includes:
    Palpation of anal sphincter tone
  26. Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
    Older adults.
  27. Which cranial nerves are usually evaluated during the examination of the eyes?
    III and VI
  28. Assessing orientation to person, place, and time helps determine:
    state of consciousness
  29. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:
    one arm overhead and a pillow under her shoulder.
  30. Diabetic peripheral neuropathy will likely produce:
    diminished pain sensation.
  31. Nerves that arise from the brain rather than the spinal cord are called:
    cranial.
  32. Inspection of the scrotum should reveal:
    left scrotal sac lower than the right.
  33. The rectal past medical history of all patients should include inquiry about:
    hemorrhoid surgery
  34. 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.
  35. 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.
    Kernig
  36. 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
  37. The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
    let the child hold the stethoscope while you listen.
  38. 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.
  39. 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 spine radiograph
  40. 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 pregnancy testing
  41. A positive straight leg raise test usually indicates:
    lumbar nerve root irritation.
  42. Bimanual examination of the uterus includes:
    grasping the vaginal wall and pulling it downward
  43. When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
    sensory function.
  44. 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.
  45. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?
    CN XI, spinal accessory
  46. Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
    P wave.
  47. When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:
    presence and form of body parts.
  48. The examiner percusses for diaphragmatic excursion along the:
    scapular line.
  49. An ophthalmoscopic eye examination involves:
    lens inspection
  50. 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+.
  51. 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 use
  52. Recent unilateral inversion of a previously everted nipple suggests:
    cancer.
  53. The physical assessment technique most frequently used to assess joint symmetry is:
    inspection.
  54. 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:
    Mini-Mental State Examination.
  55. Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:
    uremia.
  56. One of the most important aspects to consider in the orthopedic screening examination is:
    symmetry.
  57. When palpating breast tissue, the examiner should use the _____ at each site.
    finger pads, gliding
  58. A red, hot swollen joint in a 40-year-old man should lead you to suspect:
    gout.
  59. It is especially important to test for ankle clonus if:
    deep tendon reflexes are hyperactive.
  60. For purposes of examination and communication of physical findings, the breast is divided into:
    four quadrants plus a tail.
  61. A finding that is indicative of osteoarthritis is:
    Heberden nodes
  62. The foramen ovale should close:
    within minutes of birth.
  63. A cervical polyp usually appears as a:
    bright-red soft protrusion from the endocervical canal
  64. An idiopathic spasm of arterioles in the digits is termed:
    Raynaud disease.
  65. 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.
  66. 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
  67. 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
  68. The presence of cervical motion tenderness may indicate:
    pelvic inflammatory disease.
  69. Palpation of epitrochlear nodes is part of the:
    examination of the upper extremities.
  70. A common finding in markedly obese and pregnant women is:
    lordosis.
  71. A grade IV mitral regurgitation murmur would:
    radiate to the axilla
  72. To assess a cremasteric reflex, the examiner strokes the:
    inner thigh and observes whether the testicle and scrotum rise on the stroked
  73. The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:
    QRS complex.
  74. 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?
    Loss of hair over the extremity
  75. If your patient has nipple discharge, you will most likely need a:
    glass slide and fixative.
  76. An apical PMI palpated beyond the left fifth intercostal space may indicate:
    left ventricular hypertrophy
  77. The Denver II is a tool used to determine:
    whether a child is developing as expected.
  78. To hear diastolic heart sounds, you should ask patients to:
    lie on their left sides.
  79. Your patient's chief complaint is repeated pencil-like stools. Further examination should include:
    digital rectal examination (DRE).
  80. Kawasaki disease is suspected when assessments of a child reveal:
    conjunctival injection, strawberry tongue, and edema of the hands and feet.
  81. Palpation of a normal prostate in an older adult is likely to feel:
    rubbery.
  82. 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 the lung bases
  83. Facial muscle or tongue weakness may result in:
    aphasia.
Author
BodeS
ID
364948
Card Set
test bank final
Description
Updated