Question 1

When assessing the abdomen, one needs to expose the patient

Accepted Answer

A)  from the waist down.
B)  from the pubis to the epigastrium.
C)  from the clavicles to the hips.
D)  at no point during the examination.
E)  in the entirety.

Question 2

Which of the following are examined with the patient in a reclining 45-degree position?

Accepted Answer

A)  Bilateral hips and popliteal angles
B)  Facial bones and cranial nerves V and VII
C)  Cardinal fields of gaze
D)  Oropharynx and thyroid gland placement
E)  Jugular venous pulsation and pressure E

Question 3

A common method of estimating gestational age of a newborn is to assess

Accepted Answer

A)  middle finger length.
B)  creases on the sole of the foot.
C)  umbilical placement.
D)  visual acuity.
E)  creases on the palm of the hand.

Question 4

Examination of the patient in the lithotomy, or knee-chest, position includes

Accepted Answer

A)  inspection for inguinal hernias.
B)  palpation of anal sphincter tone.
C)  percussion of pelvic structures.
D)  stereognosis testing.
E)  percussion of abdominal structures.

Question 5

Throughout the history and physical examination, the clinician should

Accepted Answer

A)  concentrate on emotional issues.
B)  follow an inflexible sequence.
C)  maintain a matter-of-fact demeanor.
D)  deal only with previously identified problems.
E)  evaluate the whole patient.

Question 6

Observation of the child playing in the playroom provides information about which two systems?

Accepted Answer

A)  Dermatologic and cardiovascular
B)  Neurologic and musculoskeletal
C)  Respiratory and ear, nose, and throat
D)  Gastrointestinal and genitourinary
E)  Endocrine and hematopoietic B

Question 7

An ophthalmoscopic eye examination involves

Accepted Answer

A)  lens inspection.
B)  near vision evaluation.
C)  sclera observation.
D)  visual field assessment.
E)  assessing extraocular eye muscles.

Question 8

Which of the following data are not part of your general inspection?

Accepted Answer

A)  Dress and habitus
B)  Sinus tenderness
C)  Gait
D)  Facial expression
E)  Degree of relaxation

Question 9

Functional assessment is most important during the examination of a(n)

Accepted Answer

A)  adolescent.
B)  infant.
C)  older adult.
D)  young adult.
E)  toddler.

Question 10

Which of the following is most likely to enhance examiner reliability?

Accepted Answer

A)  The examiner seeks confirmation from others when necessary.
B)  The examiner is uncomfortable with his or her own skills.
C)  The examiner believes he or she must always be correct.
D)  The examiner prejudges the patient and family.
E)  The examiners use of unselective technology.

Question 11

Proprioception should be assessed while the patient is

Accepted Answer

A)  prone.
B)  supine.
C)  seated.
D)  standing.
E)  left lateral. D

Question 12

The best way to ease the apprehension of a 3-year-old child before a physical examination is to

Accepted Answer

A)  explain that you will be gentle.
B)  have the parents leave the examination room.
C)  encourage child's participation.
D)  tell the child he or she will get a lollipop for good behavior.
E)  hand the child a picture book.

Question 13

Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?

Accepted Answer

A)  Sensitivity and specificity are not related.
B)  Sensitivity and specificity are inversely correlated.
C)  Sensitivity and specificity are directly correlated.
D)  No test has 100% sensitivity and specificity.
E)  The "gold standard" test has 100% sensitivity and specificity.

Question 14

At your first meeting with a patient, it is usually best to say

Accepted Answer

A)  "Let's get to the point."
B)  "I hope you will learn to trust me."
C)  "Let me tell you what I can do for you."
D)  "Tell me about yourself."
E)  "What is the purpose of your visit today?"

Question 15

The cranial nerves are usually assessed while the patient is in which position?

Accepted Answer

A)  Left lateral
B)  Supine
C)  Sitting
D)  Prone
E)  Standing

Question 16

The examination of a newborn should begin with

Accepted Answer

A)  percussion.
B)  palpation.
C)  vital signs.
D)  auscultation.
E)  inspection.

Question 17

As you greet the patient, which examination technique is first implemented?

Accepted Answer

A)  Auscultation
B)  Inspection
C)  Measurements
D)  Palpation
E)  Percussion

Question 18

The greatest risk for potential health problems occurs in which age group?

Accepted Answer

A)  Newborn
B)  Toddler
C)  School age
D)  Adolescence
E)  Young adult

Question 19

To inspect the abdominal muscles, ask the

Accepted Answer

A)  supine patient to raise the head.
B)  standing patient to bend forward.
C)  prone patient to raise the lower legs.
D)  standing patient to stand on tiptoes.
E)  standing patient to lean backward.

Question 20

Which one of the following patient characteristics is most likely to limit patient reliability during history taking?

Accepted Answer

A)  The patient's measured IQ is above average.
B)  The patient is alert and oriented to time and place.
C)  The patient's sensory deprivation
D)  The patient speaks the same language as examiner.
E)  The patient appears emotionally stable.

Exam 24: Putting It All Together

When assessing the abdomen, one needs to expose the patient

Correct AnswerverifiedShow Answer

Which of the following are examined with the patient in a reclining 45-degree position?

Correct AnswerverifiedE

A common method of estimating gestational age of a newborn is to assess

Correct AnswerverifiedShow Answer

Examination of the patient in the lithotomy, or knee-chest, position includes

Correct AnswerverifiedShow Answer

Throughout the history and physical examination, the clinician should

Correct AnswerverifiedShow Answer

Observation of the child playing in the playroom provides information about which two systems?

Correct AnswerverifiedB

An ophthalmoscopic eye examination involves

Correct AnswerverifiedShow Answer

Which of the following data are not part of your general inspection?

Correct AnswerverifiedShow Answer

Functional assessment is most important during the examination of a(n)

Correct AnswerverifiedShow Answer

Which of the following is most likely to enhance examiner reliability?

Correct AnswerverifiedShow Answer

Proprioception should be assessed while the patient is

Correct AnswerverifiedD

The best way to ease the apprehension of a 3-year-old child before a physical examination is to

Correct AnswerverifiedShow Answer

Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?

Correct AnswerverifiedShow Answer

At your first meeting with a patient, it is usually best to say

Correct AnswerverifiedShow Answer

The cranial nerves are usually assessed while the patient is in which position?

Correct AnswerverifiedShow Answer

The examination of a newborn should begin with

Correct AnswerverifiedShow Answer

As you greet the patient, which examination technique is first implemented?

Correct AnswerverifiedShow Answer

The greatest risk for potential health problems occurs in which age group?

Correct AnswerverifiedShow Answer

To inspect the abdominal muscles, ask the

Correct AnswerverifiedShow Answer

Which one of the following patient characteristics is most likely to limit patient reliability during history taking?

Correct AnswerverifiedShow Answer

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B

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D

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