Skills Testing Review

Question 1

the normal stimulus to breathe for most people is an increase of carbon dioxide in the blood

Answer 1

Hypercapnia

Question 2

a decrease of oxygen in the blood, also increases respirations but is less effective than hyercapnia

Answer 2

Hypoxemia

Question 3

S2 is heard loudest at the

Answer 3

Base

Question 4

S2 is the ______ heart sound

Answer 4

Second

Question 5

S2 is the ____ of systole

Answer 5

End

Question 6

S1 is the _____ of systole

Answer 6

Start

Question 7

S1 is heard loudest at the

Answer 7

Apex

Question 8

Mitral valves and tricuspid valves are ____ sounds

Answer 8

S1

Question 9

Aortic and pulmonic valves are _____ sounds

Answer 9

S2

Question 10

Heard when the ventricles are resistant to filling during the early rapid filling phase (protodiasole)

Answer 10

S3

Question 11

Increases in velocity of blood flow - flow murmur e.g., in exercise, thyrotoxicosis
Decreases in viscosity of blood (e.g., anemia)
Structural defects in the valves (narrowed valve, incompetent valve) or unusual openings in the chambers (dilated chamber, septal defect)

Answer 11

Causes of heart murmurs

Question 12

All heart sounds are described by four characteristics:

Answer 12

Frequency (pitch)
Intensity (loudness)
Duration
Timing; systole or diastole

Question 13

may also be a pulmonary, musco-sekeltal, or gastro intestinal organ; it is important differentiate

Answer 13

Chest pain

Question 14

Occurs when heart’s vascular supply cannot keep up with metabolic demand

Answer 14

Angina

Question 15

A squeezing “clinched fist” sign is characteristic of _________, but the symptoms listed below may be equivalents in the absence of chest pain

Answer 15

Angina

Question 15

Related to cardiac failure
Heard after S2
Is heard when ventricles are resistant to filling during the early rapid filling phase (protodiastole)
Kentucky sound

Answer 15

S3

Question 16

Related to hypertension
Heard before s1
Occurs at the end of diastole, at presystole, when the ventricle is resistant to filling
Tennessee sound

Answer 16

S4

Question 17

Leg pulses

Answer 17

Femoral artery
Popliteal artery
Posterior tibial artery
Dorsalis pedis

Question 18

Located along crease between pubic bone and anterior iliac crest

Answer 18

Femoral artery

Question 19

Neck lymph nodes 7 characteristics

Answer 19

Location
Size & shape
Consistency
Mobility
Discreteness
Tenderness
Warmth

Question 20

Arm pulses

Answer 20

Radial
Branchial

Question 21

How many lobes in each lung

Answer 21

Right: 3
Left: 2

Question 22

Aortic and pulmonic are located at the

Answer 22

Base

Question 23

Tricuspid and Mitral are located at the

Answer 23

Apex

Question 24

For chest pain, angina Administered sublingually or a patch Wear gloves - absorbs through skin and increases pulse Cannot be taken with viagra / cialisis

Answer 24

Nitroglycerin

Question 25

OPRSTUV stands for

Answer 25

Onset Palliative/preventative Radiating/regional Scale Time Understanding Value

Question 26

Name of jaw

Answer 26

Temporomandibular joints (TMJ)

Question 27

SBAR

Answer 27

Situation Background Assessment Recommendation

Question 28

Pulmonary fibrosis Congestive heart failure

Answer 28

Fine crackles

Question 29

Chronic Bronchitis

Answer 29

Coarse crackles

Question 30

Pneumonia Pulmonary edema

Answer 30

Crackles

Question 31

Asthma

Answer 31

Wheezing sound

Question 32

COPD Bronchitis

Answer 32

Ronchi

Question 33

trachea and larynx

Answer 33

Bronchial

Question 34

over major bronchi. Located posterior between scapula, anterior around upper right sternum in first and second intercostal space

Answer 34

Bronchovesicular

Question 35

over peripheral lung fields, where air flow through smaller bronchioles and alveoli

Answer 35

Vesicular

Question 36

What causes wheezing sound

Answer 36

Swelling, secretions and inflammation in all lung fields

Question 37

Normal lung sounds

Answer 37

Bronchial Bronchovesicular Vesicular

Question 38

Strabismus is also called

Answer 38

Lazy eye

Question 39

Memory MSE

Answer 39

Immediate, recent, remote

Question 40

Attention span tests MSE

Answer 40

Serial 7, digit repetition, random letter

Question 41

How to assess perception

Answer 41

Hallucinations Depersonalization and derealization

Question 42

Though processes

Answer 42

Insight and jugement Conceptual ability Organization of thought and flow of thought

Question 43

Thought content

Answer 43

Delusions Obsessions and compulsions

Question 44

White or clear mucoid: cold, bronchitis can indicate

Answer 44

viral infections

Question 45

Yellow or green indicates

Answer 45

bacterial infections

Question 46

Rust coloured

Answer 46

tuberculosis, pneumoccal pneumonia

Question 47

Pink, frothy

Answer 47

pulmonary edema, some sympahteomimetic medications (adverse effect of pink-tinged mucus)

Question 48

Night sweats

Answer 48

Diaphoresis

Question 49

occurs with restrictive disease: pneumonia, heart failure, and interstitial fibrosis

Answer 49

Late inspiratory crackles

Question 50

occur with obstructive disease: chronic bronchitis, asthma, and emphysema

Answer 50

Early inspiratory crackles

Question 51

Pre tibial edema

Answer 51

Swelling at ankles