Test Questions

Question 1

palpation of peripheral pulses

Answer 1

Carotid, Brachial, Ulnar, Radial, Femoral, Popliteal, Pedal- Dorsalis pedis, Posterior tibialis

Question 2

biots

Answer 2

brain stem injury, rapid then pause

Question 3

kussmauls

Answer 3

deep, when blood sugar is high

Question 4

hyperventilation

Answer 4

panic attack

Question 5

thoracic contour

Answer 5

tachyia over 20 brady under 12

Question 6

cheyne-strokes

Answer 6

regular, irregular rhythm cycles from deep and fast to shallow and some, some periods of apnea

Question 7

Diaphragmatic excursion

Answer 7

hold breathe and when dull there is fluid, mark and do again

Question 8

Bronchophony—

Answer 8

increase loudness/clarity of vocal sounds

Question 9

Egophony—

Answer 9

normally muffled “eee”, abnormal hear “eee” ∆ to “ay”

Question 10

Whispered pectoriliquy—

Answer 10

normal barely audible nondistinct word ∆ to clear, distinct word

Question 11

S1 closure

Answer 11

mitral and tricuspid values (AV values)

Question 12

split S2

Answer 12

heard during inhalation, disappears during expiration

Question 13

S2 closure

Answer 13

aoritic and pulmonic (semilunar values)

Question 14

Aortic

Answer 14

(2nd ICS RSB)

Question 15

Pulmonic

Answer 15

(2nd ICS LSB)

Question 16

Erb’s point

Answer 16

(3rd ICS LSB)

Question 17

tricuspid

Answer 17

(4th ICS LSB or left lower sternal border SB)

Question 18

mitral

Answer 18

(5th ICS LMCL)

Question 19

diastolic murmurs

Answer 19

Mitral stenosis - stiffness of value

Aortic regurgitation - flopping value

Question 20

systolic murmurs

Answer 20

Aortic stenosis - high pitered blowing

Mitral regurgitation - floppy value

Question 21

Bruits(carotid arteries)

Answer 21

vasoconstriction and narrowing of vessel will cause turbulent blood flow

Question 22

jugular vein distention

Answer 22

right sided heart failure

Question 23

Pitting Edema

Answer 23

• 1+ mild (2mm depression)—disappears rapidly, no distortion
• 2+ moderate (4mm depression)—disappears in 10-15 seconds, no distortion
• 3+ deep (6mm depression)—last > minute, extremity looks swollen
• 4+ frank/severe (8mm depression)—last 2-3 minutes, grossly distorted
• Brawny edema—no pitting, hard tissues, discolored

Question 24

pulse amplitude

Answer 24

0 = absent, no palpable
1+ = Weak, thready 
2+ = Normal
3+ = Full,  increased
4+ = Bounding

Question 25

visceral pain

Answer 25

densetnation of instentine or stretching of organ, local

Question 26

perital pain

Answer 26

inflammation of perital peritemun, severe, localized, argrivated by movement

Question 27

acute pain

Answer 27

attain acute vitals, focused and quickly, emergency

Question 28

approach to adominal exam

Answer 28

Empty bladder
Expose abdomen—xyphoid to iliac crests
Observe facial features
Sequence change—inspect, auscultate, percuss, palpate last

Question 29

sequence of abdomenal exam

Answer 29

inspection, auscultation, percussion, palpation

Question 30

Venous Hums—

Answer 30

increase portal circulation, heard best over RUQ (liver)

Question 31

Vascular sounds—bruits

Answer 31

Aorta
Renal artery
Iliac artery
Femoral artery

Question 32

percussion

Answer 32

Tympany in varying degrees is most common finding

Dullness is heard over organs, masses, fluid

Question 33

male reproductive

Answer 33

done after shower

Question 34

TSE and digital rectal exam

Answer 34

after 50

Question 35

risk for testicular cancer

Answer 35

15-35