Physical Examination and Health Assessment Multiple Choice 2024-2025 Questions & Answers, Exams of Health sciences

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Physical Examination and Health Assessment

Multiple Choice 2024-2025 Questions and

Correct Verified Answers. Graded A

A 2-year-old child comes to the clinic for a health examination. A common finding for this age group is: - ANSLordosis A 20-year-old man has indicated that he does not perform a testicular self- examination. One of the facts that should be shard with him is that testicular cancer, although rare, does occur in men: - ANS15 to 34 yrs of age A 54-year-old woman with 5 children has a varicose veins of the lower extremities. Her most characteristic sigs is: - ANSDilated, tortuous superficial bluish vessesls A 64-year-old man has come for a health examination. A normal age realted change in the scrotum would be: - ANSpenduolous scrotum A 65-year-old man has noticed a change in his personality and his ability to understand. He also cries and becomes angry very easily. The cerebral lobe responsible for these behaviors is the __ lobe - ANSFrontal A 70-year-old woman has come for a health examination. Which of the following is a common age related change in the curvature of the spinal column? - ANSKyphosis

A 70-year-old woman reports dry mouth. The most frequent cause of this is: - ANSRelated to medications she may be taking A bimanual technique may be the preferred approach for a woman - ANSWith pendulous breasts A common cause of a conductive hearing loss is: - ANSImpacted cerumen A configuration of individual lesions arranged in circles or arcs, as occurs with ringworm, is described as a: - ANSAnnular lesion A dull percussion note forward of the left midaxillary line is: - ANSIndicative of splenic enlargment A female patient has striae on the abdomen. Which color indicates long-standing striae? - ANSSilvery white A function of the venous system includes: - ANSholding more blood when blood volume increases A known risk factor for venous ulcer development is: - ANSObesity A murmur is heard after S1 and before S2. This murmur would be classified as: - ANSSystolic (possibly benign) A nasal polyp is distinguished from the nasal turbinates by 3 of the following. Which reason is FALSE? - ANSThe polyp is highly vascular.

TRUE : Movable, pale gray color, and nontender a newborn infant has a dark green stool 2 days after birth. How should you interpret this? - ANSThis type of stool would indicate anal patency A patient has a barrel-shaped chest, characterized by: - ANSEwual anteroposterior transverse diameter and ribs being horizontal A patient has blurred peripheral vision. You suspect glaucoma, and test the visual fields. A person with normal vision would see your moving finger temporally at: - ANS90 degrees A patient has soft, moist, fleshy, painless papules around the anus. The examiner suspects this condition is: - ANSHPV A patient is known to be blind in the left eye. What happens to the pupils when the right eye is illuminated by a penlight beam? - ANSBoth pupil constrict A patient states that he has frothy foul-smelling stools that float on the surface of the water in the toilet bowl. What type of stool is this patient describing? - ANSSteatorrhea A patient states that he is frequently constipated, and when he has a bowel movement he has rectal bleeding and pain. He does not feel any mass at his anal opening. "Do I have hemorrhoids, or is there something else wring with me?" The examiner completes a rectal examination and explains that: - ANSthe symptoms are consistent with internal hemorrhoids

A patient with a head injuring has clear, watery drainage from the ear. How should you proceed? - ANSAssess for the presence of glucose in the drainagE A patient's pulse with an amplitude of 3+ indicates: - ANSIncreased, full A pleural friction rub is best detected by: - ANSAuscultation A positive Babinski sign is: - ANSdorsiflexion of the big toe and fanning of all toes A positive Blumberg sign indicates: - ANSperitoneal inflammation A positive Murphy's sign is best described as: - ANSpain felt when taking a deep breath when the examiner's fingers are on the approximate location of the inflamed gallbladder A positive Phalen test and Tinel sign are found in a patient with: - ANSCarpal tunnel syndrome A risk factor for melanoma is: - ANSSkin that freckles or burns before tanning A throbbing, unilateral pain associated with nausea, vomiting, and photophobia is characteristic of: - ANSMigraine headache

A woman has come for an examination because of a missed menstrual period and a positive home pregnancy test. Examination reveals a cervix that appears cyanotic. This is referred to as the: - ANSChadwick sign A woman has come for health care reporting a thick white discharge with intense itching. These symptoms are suggestive of: - ANSCandidiasis A young woman has come for her first gynecologic examination. Because she has not had any children, the examiner exopects the cervical os to appear: - ANSSmooth and circular Abducens - ANSlateral movement of eye Abduction - ANSMoving a limb away from the midline of the body Absence of diaphragmatic excursion occurs with: - ANSPleural effusion or atelectasis of the lower lobes Absense of red pink tones from the oxygenated hemoglobin in blood - ANSPallor Acoustic - ANShearing and equilibrium Adduction - ANSMoving a limb toward the midline of the body Adipose tissue - ANSSubcutaneous layer

After examining a patient, you make the following notation: Increased respiratory rate, chest expansion decreased on left side, dull to percussion over left lower lobe, breath sounds louder with fine crackles over left lower lobe. These findings are consistent with a diagnosis of: - ANSLobar pneumonia Aids protection by cushioning - ANSSubcutaneous layer An adhesion of the prepuce to the head of the penis, making it impossible to retract, is: - ANSPhimosis An area of thin shiny skin with decreased visibility of normal skin markings is most likely? - ANSAtrophy An older man asks if he is able to father children. In the aging male, when does infertility occur? - ANSThere is no specific age; men may be fertile into their 80s and 90s Anterior and posterior stability are provided to the knee joint by the: - ANSAnterior and posterior cruciate ligaments Any lump found in the breast should be referred for further evaluation. A benign lesion will usually have 3 of the following characteristics. Which one is characteristic of a malignant lesion? - ANSIrregular shape Apex - ANS3 to 4 cm above the inner third of the clavicles Arteriosclerosis is caused by: - ANSloss of elasticity in the walls of the blood vessels

Assessing a patient's skin turgor is done to assess which clinical finding? - ANSDehydration Atrial systole occurs: - ANSDuring ventricular diastole Atrophic skin changes that occur with peripheral arterial insufficiency include: - ANSThin, shiny skin with loss of hair Auscultating the abdomen is begun in the right lower quadrant (RLQ) because: - ANSBowel sounds are always normally present here Auscultating the abdomen is begun in the right lower quadrant (RLQ) because: - ANSBowel sounds are always normally present here Auscultation of the abdomen may reveal bruits of the ___ arteries. - ANSAortic, renal, iliac and femoral Barrel chest - ANSanteroposterior = transverse diameter Base - ANSRests on the diaphragm Basel cell layer - ANSEpidermis Before examining a patient's ear with the otoscope, you would palpate which for tenderness? - ANSPinna, tragus, and mastoid process

Before withdrawing the speculum, the examiner swabs the cervix with a swab soaked in acetic acid. This examination is done to assess for: - ANShuman papillomavirus Bell palsy is characterized by - ANSunilateral paralysis of half of the face bluish color around the lips, hands, fingernails, feet, and toenails - ANSAcrocyanosis Bluish mottled color that signifies decreased perfusion - ANSCyanosis Cephalhematoma is associated with - ANSsubperiosteal hemorrhage Cerebellar function is assessed by which of the following: - ANSCoordination - hopping on one foot Checking for skin temperature is best accomplished by using: - ANSthe dorsal surface of the hands Circumduction - ANSmoving the arm in a circle around the shoulder Collage - ANSDermis Conjunctivitis is associated with: - ANSreddened conjunctiva

Darwin's tubercle indicates: - ANSA congenital, painless nodule at the helix Deep cervical - ANSDeep under the sternomastoid muscle Depression - ANSlowering a body part During a breast examination you detect a mass. Which of the following is most consistent with cancer rather than benign breast disease? - ANSIrregular, poorly defined, fixed During a neurologic examination, the tendon reflex fails to appear. Before striking the tendon again, you used the technique of: - ANSReinforcement During a routine visit, M.B., age 78, asks about small, round, flat, brown macules on the hands. What is your best response after assessing the areas? - ANS"These are the result of sun exposure and do not require treatment" During a visit for a school physical, the 13-year-old girl being examined questions the asymmetry of her breasts. What is the nurse's best response? - ANS"One breast normally grow faster than the other during development." During an inspection of a patient's nares, a deviated septum is noted. What should you do next? - ANSDocument the deviated in the medical record in case the person needs to be suctioned During examination of the scrotum, a normal finding would be that: - ANSThe left testicle hangs lower than the right

During palpation of the testes, the normal finding would be - ANSfirm, rubbery and smooth During the assessment of the spine, the patient would be asked to: - ANSFlex, extend, abduct, and rotate During the examination of a 30-year-old woman, she asks about "the 2 large moles" that are below her left breast. After examining the area, how do you respond? - ANS"This is a normal finding of supernumerary nipples that are not developed" During the examination of a 70 year old man, you note gynecomastia. You would:

• ANSReview with the medications for drugs that have gynecomastia as a side effect During the examination of a full-term male newborn, a finding requiring investigation would be: - ANSAn absent testes During the examination of an infant, use a cotton-tipped applicator to stimulate the anal sphincter. The absence of a response suggests a lesion of: - ANSS During the examination of the breasts of a pregnant woman, you would expect to find: - ANSBlue vascular pattern over both breasts During the examination of the genitalia of a 70-year-old woman, a normal finding would be: - ANSThin and sparse pubic hair

During the examination of the lower extremities, you are unable to palpate the popliteal pulse. You should: - ANSProceed with the examination. It is often impossible to palpate this pulse During the otoscopic examination of a child younger than 3 years, the examiner: - ANSPulls the pinna down During transillumination of a scrotum, you note a nontender mass that transilluminates with a red glow. This finding is suggestive of: - ANSHydrocele Elastic tissue - ANSDermis Elevation - ANSraising a body part Ensure smooth, friction-free movement of the heart muscle - ANSPericardial fluid Eversion - ANSmoving the sole of the foot outward at the ankle Examination of the shoulder includes 4 motions. These are: - ANSForward flexion, internal rotation, abduction and external rotation Extension - ANSStraightening a limb at a joint Facial - ANSTasting anterior two thirds of tongue, closing eyes

Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement in undesirable directions are known as: - ANSLigaments Flattenign of the angle between the nail and its bases is: - ANSDescribed as clubbing Flexion - ANSBending a limb at a joint For a woman, history of her mother's health during pregnancy is important. A medication that requires frequent follow-up is - ANSDiethylstilbestrol Glossopharyngeal - ANSPhonation, swallowing, tasting posterior third of tongue Gynecomastia is: - ANSEnlargement of the male breasts H.T. has come to the clinic for a follow-up visit. Six months ago, he was started on a new medication that may cause impotence as a side effect; therefore medication classes explored by the nurse are: - ANSantihypertensives Hematopoiesis takes place in which of the following? - ANSBone marrow Herpes zoster infection (shingles) is characterized by: - ANSLesion on only one side of body; does not cross midline Hyperactive bowel sounds are: - ANShigh pitched, rushing, tinkling, (all of the above)

Hypoglossal - ANSmovement of the tongue Identify the blood vessels that runs diagonally across the sternomastoid muscle - ANSExternal jugular vein If the thyroid gland were enlarged bilaterally, which maneuver would be appropriate for you to assess? - ANSListen for a bruit over the thyroid lobes In examining the ear of an adult, the canal is straightened by pulling the auricle: - ANSUp and back In placing a finger on either side of the cervix and moving it side to side, you are assessing: - ANSCervical motion tenderness Increase in bilirubin in the blood causing a yellow color in the skin - ANSJaundice Inspection of a person's right hand reveals a red swollen area. To further assess for infection, you would palpate the: - ANSEpitrochlear node Intense redness of the skin due to excess blood in the dilated superficial capillaries

• ANSErythema Intermittent claudication includes: - ANSmuscular pain brought on by exercise Inversion - ANSmoving the sole of the foot inward at the ankle

It is normal to palpate a few lymph nodes in the neck of a healthy person. What are the characteristics of these nodes? - ANSMobile, soft, nontender Jugulodigastric - ANSunder the angle of the mandible Kyphosis - ANSexaggerated posterior curvature of the thoracic spine (hunchback) Large round or oval patch of light brown usually present at birth - ANSCafe au lait spot Lateral left - ANSsixth rib, midclavicular line Lateral right - ANSfifth intercostal lower half of body turns red, upper half blanches - ANSHarlequin Ms. T has come for a prenatal visit. She reports dependent edema, varicosities in the legs, and hemorrhoids. What is the best response? - ANS"The symptoms are caused by the pressure of the growing uterus on the veins. they are usual conditions of pregnancy. Muscular pumping chamber - ANSVentricle Muscular wall of the heart - ANSmyocardium

Normal cervical notes are: - ANSsmaller than 1 cm Normal chest - ANSElliptic shape with an anteroposterior to transverse diameter in the ratio of 1: Normal stool is described as: - ANSbrown in color and soft in consistency Occipital - ANSAt the base of the skull Oculomotor - ANSextraocular movement, pupil constriction, down and inward movement of the eye Olfactory - ANSSmell On auscultating a patient, you note a coarse, low-pitched sound during both inspiration and expiration. This patient reports pain with breathing. These findings are consistent with: - ANSPleural friction rub On examination, the infant's fontanels should feel: - ANSFirm, slightly concave, and well defined On examining a patient's nails, you note that the angle of the nail base is > degrees and that the nail base feels spongy to palpation. These findings are consistent with: - ANSCongenital heart disease and COPD One of the causes of visual impairment in aging adults includes: - ANSGlaucoma

Optic - ANSVision Oral malignancies are most likely to develop: - ANSin the mucosal "gutter" under the tongue Patients who have Parkinsons disease usually have which of the following characteristic styles of speech? - ANSslow, monotonous Pectus carinatum - ANSforward protrusion of the sternum with ribs sloping back at either side Pectus excavatum - ANSsunken sternum and adjacent cartilages PERRLA - ANSpupils equal, round, reactive to light and accommodation Posterior apex - ANSC Posterior auricular - ANSSuperficial to the mastoid process Posterior cervical - ANSin the posterior triangle along the edge of the trapezius muscle Preauricular - ANSIn front of the ear Pronation - ANSturning the forearm so that the palm is down

pronation and supination of the hand and forearm are the result of the articulation of the - ANSRadius and ulna Prostatic hypertrophy occurs frequently in older men. The symptoms that may indicate this problem are: - ANSStraining, loss of force, and sense of residual urine Protraction - ANSmoving a body part forward and parallel to the ground Providing resistance while the patient shrugs his or her shoulders is a test of which cranial nerve? - ANSXI (11) Pulse oximetry measures - ANSArterial oxygen saturation of hemoglobin Raynaud phenomenon occurs: - ANSIn hands and feet as a result of exposure to cold, vibration and stress Reservoir for holding blood - ANSAtrium Retraction - ANSmoving a body part backward and parallel to the ground Right upper quadrant tenderness may indicate pathologu ion the - ANSLiver, pancreas or ascending colon Rotation - ANSmoving the head around a central axis

S1 is best heard at the _____ of the heart, whereas S2 is loudest at the _____ of the heart. S1 coincides with the pulse in the _____ and coincides with the ______ wave if the patient is on an ECG monitor. - ANS1) Apex = S

2. Base = S
3. S1 coinsides with the pulse in the carotid artery and coincides with the R wave if the patient is on a ECG monitor Select the best description of bronchovesicular breath sounds. - ANSModerate- pitched, inspiration equal to expiration Select the best description of the anal canal - ANS3.8 cm long outlet of the gastrointestinal tract Select the best description of the tricuspid valve: - ANSRight atrioventricular valve Select the best description of the uterus - ANSpear-shaped, thick-walled organ flattened anteroposteriorly Select the sequence of techniques used during an examination of the abdomen. - ANSinspection, auscultation, percussion, palpation Semile tremors may resemble parkinsonism, except that senile tremors do not include: - ANSRigidity and weakness of voluntary movement Sensorineural hearing loss may be related to: - ANSgradual nerve degeneration Shifting dullness is a test for: - ANSAscites

Spinal - ANSmovement of trapezius and sternomastoid muscles Stratum corneum - ANSEpidermis Submandibular - ANShalfway between the angle and the tip of the mandible Submental - ANSBehind the tip of the mandible Superficial cervical - ANSoverlying the sternomastoid muscle Supination - ANSturning the forearm so that the palm is up Supraclavicular - ANSabove and behind the clavicle Tenderness during abdominal palpating is expected when palpating the: - ANSSigmoid colon The "A" in the ABCDE rule for skin cancer stands for: - ANSAsymmetry The 6 eye muscles that control eye movement are innervated by cranial nerves: - ANSIII, IV, VI the absence of bowel sounds is established after listening for: - ANS5 full minutes

The best description of the secretion of the eccrine glands - ANSDilute saline solution the bulge sign is a test for - ANSswelling in the suprapatellar pouch The congenital displacement of the urethral meatus to the inferior surface of the penis is: - ANSHypospadias The control of body temp is located in: - ANShypothalamus The correct description of the left lung - ANSnarrower than the right lung with two lobes The cover test is used to assess for: - ANSMuscle weakness The cremasteric response: - ANSis positive when the ipsilateral testicle elevates on stroking of the inner aspect of the thigh The examiner is going to inspect and palpate for a hernia. During this examination, the man is instructed to: - ANSbear down when the examiner's finger is at the inguinal canal The examiner is has estimated the jugular venous pressure. Identify the finding that is abnormal - ANSPatient elevated to 45 degrees, internal jugular vein pulsation at 4 cm above sternal angle

The examiner is palpating the apical impulse. Which is a normal-sized impulse? - ANSApproximately 1 x 2 cm The examiner measures a patient's leg for length discrepancy. Which is a normal finding? - ANSwithin 1 cm of each other The examiner notes small, round, white, shiny papules on the hard palate and gums of a 2-month-old infant. What is the significance of this finding? - ANSThis is nomral findoing called Epstein pearls The examiner records "positive consensual light reflex." This indicates: - ANSSimultaneous constriction of the other pupil when one eyes is exposed to bright light The frenulum is the: - ANSmidline fold of tissue that connects the tongue to the floor of the mouth The function of the nasal turbinates is to: - ANSWarm the inhaled air The function of the pulmonic valve is to: - ANSGuard the opening between the right atrium and the right ventricle The gastrocolic reflex is: - ANSperistaltic wave The Glasgow Coma Scale (GCS) is divided into three areas. They include: - ANSEye opening, motor response to stimuli, and verbal response

The hearing receptors are located in which region? - ANSCochlea The isthmus of the thyroid gland lies just below the: - ANSCricoid cartilage The Landau reflex in the infant is seen when: - ANSthe baby raises her or his head and arches the back, as in a swan dive The largest salivary gland is located: - ANSwithin the cheeks in front of the ear The left upper quadrant (LUQ) contains that: - ANSSpleen The manubriosternal angle is: - ANSthe articulation of the manubrium and the body of the sternum The medical record indicates that a person has an injury to Broca's area. When meeting this person, you expect: - ANSDifficulty speaking The normal range of liver span in the right midclavicular line is the adult is: - ANS6 to 12 cm The nurse auscultates the pulmonic valve area in which region? - ANSSecond left interspace The opening of an adult's parotid gland (Stensen's duct) is opposite to: - ANSLower 2nd molar

The palpebral fissure is: - ANSOpen space between the eyelids The precordium is: - ANSThe area on the anterior chest overlying the heart and great vessels The reservoirs for storing milk in the breast are: - ANSlactiferous sinuses The second heart sound is the result of: - ANSClosing of the aortic and pulmonic valves The sensation of vertigo may indicate: - ANSpathology in the semicircular canals The stethoscope bell should be pressed lightly against the skin so that: - ANSThe bell does not act as a diaphragm The thickening and yellowing of the lens due to aging is described as: - ANSSenile cataract The tonsil are graded as 3+. The tonsils would be - ANSTouching the uvula Thin later of endothelial tissue that lines the inner surface of the heart chambers and valves - ANSEndocardium Tiny, punctate red macules and papules on the cheeks, trunk, chest, back, and buttocks - ANSErythema toxicum

To assess for early jaundice, you will assess: - ANSSclera and hard palate To elicit the Babinski reflex - ANSstroke the lateral aspect of the sole of the foot from heel to across the ball To insert the speculum as comfortably as possible, the examiner: - ANSpresses the introitus down with one hand and inserts the blades obliquely with the other To screen for deep vein thrombosis, you would: - ANSmeasure the widest point with a tape measure To test for stereognosis, you would: - ANSplace a coin in the person's hand and ask him or her to identify it To use the technique of egophony, ask the patient to: - ANSSay "eeee" each time the stethoscope is moved tough, fibrous, double-walled sac that surrounds and protects the heart - ANSPericardium Transient mottling on trunk and extermities - ANSCutis marmorata Trigeminal - ANSmastication and sensation of face, scalp, cornea Trochlear - ANSdown and inward movement of the eye

Uniformly thin - ANSEpidermis Using the otoscope, the tympanic membrane is visualized. The color of a normal membrane is: - ANSPearl gray Vaginal lubrication during intercourse is produced by: - ANSBartholin glands Vagus - ANStalking, swallowing, and sensory information from pharynx and carotid sinus Visual acuity is assessed with: - ANSSnellen eye chart What does the notation in a health record indicating the patient is a "G2 P3 Ab0" mean? - ANSThe woman has been pregnant twice with 3 children (twins and another child), and all her children are living What is the cause of the red reflex? - ANSlight reflecting from the retina What is the most common site of breast tumors? - ANSupper outer quadrant What is the most common site of nose bleeds? - ANSKiesselbach plexus What problems are associated with smoking and the use of oral contraceptives? - ANSThrombophlebitis and pulmonary emboli