Adult exam

Question 1

General Survey

Answer 1

Apparent state of health 
signs of distress
skin color 
posture 
activity
gait 
hygiene 
facial expression, manner, speech 
state of awareness and mental status.

Question 2

Motor system

Gait

Answer 2

Tandem walking 
Heel-toe walking 
toe walking 
heel walking 
standing on one knee (bend down) 
hopping on one foot 
inspection of the back

Question 3

Spine and lower extremities

Answer 3

spine 
trapezius and paravertebral muscle
ROM of the back 
inspection of legs
Archilles tendon
Upper arm drift
 - romberg 
 -upper arm extremities drift.

Question 4

Upper & Lower Extremities

Answer 4

finge nails
Hands & arms for temperature, turgor, and texture
Radial pulses
Epitrochlear nodes
Palpation of the joints
ROM
Muscle stregnth of upper and lower extremities.
Rapid alternating movement (coordination of fingers)
point to point movement (two arm out then alternatively touch the nose)
sharp and dull sensation
stereognosis (put object in one hand and tell me what it is)
Two point discrimination
extinction (pull to where I touch you)
DTR
position sensation
vibratory sensation

Question 5

Face & Head

Answer 5

Inspection of face, head, hair, and scalp 
skull 
frontal & maxillary sinuses 
temporal pulses 
temporal-mandibular joint

Question 6

CN 5

Answer 6

Masseter muscle strengh
Corneal blink reflex
light touch sensation

Question 7

CN7

Answer 7

symmetry of facial movements (funny faces, smile, puckle up )

Observe brow for symmetry on upward gaze
Test cn7 by attempting to open eyes against resistance show teeth smile purse lips and puff out cheeks

Question 8

Neck

Answer 8

cervical lymph nodes
supraclavicular, & infraclavicular nodes
ROM
CN 11
-strength testing (turn head on side and push against the provider hand)
-palpation of the trachea
Thyroid gland

Question 9

Nose

Answer 9

CN1
close eyes, plugged one nostril and sniff sense
inspect the nose : septum straight and midline, nasal mucosa, and inferior /middle turbunate

Question 10

Mouth & Pharyn

Answer 10

lips, buccal mucosa, teeth, & gums
parotid ducts
tongue, salivary glands, salivary duct openings, hard and soft palate
Anterior pillars, posterior pillars, and tonsils

Question 11

CN 9 & 10

Answer 11

rise of soft palate & uvula

Gag reflex

Question 12

CN12

Answer 12

Tongue for fasciculation

asymmetry or deviation

Question 13

Posterior Thorax

Answer 13

chest expansion and symmetry
Costovertebral angle tenderness
Thoracic expansion (take a deep breath while both hand provider circling the throcic )
Tactile fremitus
Percussion of lung fields (symmetry check)
Auscultation of lung field

Question 14

Anterior Thorax and lungs

Answer 14

Inspection of anterior chest and precordium 
Respiratory pattern 
costocondral junctions 
tactile fremitus 
anterior lungs.

Question 15

Heart

Answer 15

Palpation across -(aortic, pulmonic, erb, tricuspid, & mitral area-apical(left)) percordium

point of maximal impulse 
auscultation of precordium -aortic 
-pulmonic 
-erb
-tricuspid 
auscultation of base of the heart.

Question 16

Breast

Answer 16

inspection at rest 
inspection as client raises arms over head presses hands against hips, and leans forward 
teaches/ reinforces self-breast exam 
palpates in upright position 
palpates the nipples 
axillary nodes 
palpates with client supine

Question 17

Abdomen

Answer 17

inspection 
bowel sounds
vascular bruits 
auscultation over aorta 
tympany and dullness
borders of liver dullness
vertical liver span 
palpation of aorta and assessing width of aorta 
light palpation 
deep palpation 
liver 
enlarged spleen 
kidneys
femoral pulses 
inguinal nodes 
abdominal hernias

Question 18

Lower Extremities

Answer 18

Popliteal, posterior tibial, dorsalis pedis pulses 
edema 
ROM 
Homan's sign
Postion sense (heel-shin test)