Physical Exam Test 1 Review Flashcards
When interviewing a patient, which of the following are important points of good history-taking?
a. being a good listener
b. paying attention to the patient’s body language
c. assuring confidentiality
d. verbal and non-verbal communication
e. all of the above
E. all of the above
Parts of the patient history include:
a. past medical history
b. review of systems
c. family history
d. social history
e. all of the above
e. all of the above
The most accurate way to assess body temperature is:
a. oral
b. tympanic
c. rectal
d. axillary
c. rectal
Respiratory rate is NOT increased by:
a. low levels of carbon dioxide (low P CO2) in the blood
b. low levels of oxygen (low P O2) in the blood
c. exercise
d. anxiety
a. low levels of carbon dioxide (low P CO2) in the blood
Blood pressure is influenced by:
a. blood volume
b. blood viscosity
c. exercise
d. all of the above
d. all of the above
The upper level of normal blood pressure is generally regarded as: a. b. c. d. e.
b. 140/90
Communication with the patient is NOT facilitated by:
a. advising your staff to minimize interruptions
b. using terminology appropriate for the patient’s age and education
c. sitting 10 feet away from the patient with your arms crossed
d. beginning the interview with an open-ended question
e.
c. sitting 10 feet away from the patient with your arms crossed
The first step in physical examination of any body system is: a. inspection b. palpation c. percussion d. auscultation e.
a. inspection
Which is FALSE regarding fever?
a. Shivering raises body temperature
b. Children can develop high fevers in response to minor illnesses
c. The elderly do not always develop fevers, even in severe infections
d. A fever is defined as a temperature over 98.6 degrees celcius
d. A fever is defined as a temperature over 98.6 degrees celcius
In grading pulses, a normal pulse quality is designated:
a. 0
b. 1+
c. 2+
d. 3+
c. 2+
Which is FALSE regarding respiratory patterns?
a. Apnea is the absence of breathing
b. In asthma attacks, the inspiratory phase is prolonged
c. Cheyne-Stokes respiratory pattern is seen in cases of drug overdose, brain damage and in normal newborns
d. Hyperpnea is a sign of metabolic acidosis
e.
b. In asthma attacks, the inspiratory phase is prolonged
Which of the following is TRUE?
a. leukoplakia may be pre-cancerous
b. torus palatinus is an ominous physical finding requiring emergency surgery
c. trans-illumination is a helpful part of every eye exam
d. single nodules of thyroid should be ignored
e.
a. leukoplakia may be pre-cancerous
Important questions referable to a mass in the neck include:
a. How long has it been present?
b. Any pain associated with it?
c. Has there been any change in the voice?
d. Has the mass changed in size?
e. All of the above
e. All of the above
Which is FALSE regarding examination of the oral cavity and pharynx?
a. Xerostomia may predispose to caries and candida
b. Leukoplakia and erythroplakia may be pre-cancerous
c. Dentures are best left in place during a thorough exam of the mouth
d. Dental amalgams contain the toxic metal mercury
c. Dentures are best left in place during a thorough exam of the mouth
Appropriate questions for a patient with mouth ulcers include:
a. history of tobacco use
b. history of alcohol use
c. sexual habits
d. all of the above
d. all of the above
The right ear is designated:
a. OU
b. OD
c. AS
d. AD
d. AD
The left eye is designated:
a. OS
b. OD
c. AU
d. AS
a. OS
Features of acute otitis externa include:
a. tenderness upon manipulation of the pinna
b. swollen, red canal, usually with some exudate
c. overgrowth of fungus or bacteria such as pseudomonas due to loss of protective cerumen
d. all of the above
d. all of the above
Which is TRUE regarding conductive hearing loss?
a. it may be a result of maternal rubella infection during pregnancy
b. it is a component of Meniere’s disease
c. in conductive hearing loss, air conduction is greater than bone conduction
d. it commonly results from a plug of ear wax, or from otosclerosis
d. it commonly results from a plug of ear wax, or from otosclerosis
Decreased transillumination of the sinuses may be a sign of:
a. all of the following
b. mass in the sinuses
c. mucosal thickening
d. fluid present in the sinuses
a. all of the following
Cancer of the floor of the mouth is more common in persons of African descent.
True / False
True
Foul-smelling nasal discharge may be associated with a foreign body in the nostril.
True / False
True
In normal hearing, air conduction is greater than bone conduction.
True / False
True
Someone with a diagnosis of myopia may have a visual acuity of 20/100.
True / False
True
Palpation of the eye is an important part of the eye exam.
True / False
False
The medical record is a legal document.
True / False
True
