Vol. 3 Ch. 5: Secondary Assessment

Question 0

the process in which a paramedic places a hand on a body part, then sharply taps a distal knuckle with the tip of another finger is known as:

Answer 0

percussion

Question 1

You can test for visual acuity without a visual acuity card by:

Answer 1

having the patient count your raised fingers

Question 2

physical examination techniques DO NOT include:

Answer 2

association

Question 3

What is included in an examination of the cardiovascular system?

Answer 3

auscultate for carotid bruits

Question 4

one sign of gonorrhea in males is a(n):

Answer 4

profuse, yellow discharge

Question 5

during the abdominal exam, areas that are known to be painful or tender should be examined:

Answer 5

last

Question 6

what is the best technique for evaluating plantar reflexes?

Answer 6

stroke the lateral aspect of the sole of the foot from heel to ball, curving medially

Question 7

your patient is complaining of numbness and hand pain that wakes him; what does he likely have?

Answer 7

carpal tunnel syndrome

Question 8

what is an abnormal characteristic in the appearance of oral mucosa?

Answer 8

patches of white

Question 9

a condition marked by exaggerated lumbar concavity is called:

Answer 9

lordosis

Question 10

you can test the oculomotor, trochlear, and abducens nerves by:

Answer 10

evaluating the patient’s extraocular movements

Question 11

by placing the tip of the index finger in the depression in front of the tragus and asking the patient to open his mouth, the paramedic can evaluate the:

Answer 11

temporomandibular joint

Question 12

increased fremitus over part of the patient’s chest wall may indicate:

Answer 12

pneumonia

Question 13

the standard sequence for examining the chest is:

Answer 13

inspect, palpate, percuss, auscultate

Question 14

what is the sequence of a joint examination?

Answer 14

inspection, palpation, passive range of motion, range of motion against gravity, range of motion against resistance

Question 15

what guideline should be observed when examining a 1-3 year-old patient?

Answer 15

focus on the vital areas as indicated by the chief complaint

Question 16

assessing for bronchophony is important if the patient has abnormal or absent lung sounds because its presence can reveal:

Answer 16

fluid in the lungs

Question 17

the fourth heart sound, S4, is:

Answer 17

an atrial gallop sound

Question 18

the loss of muscle tone results in:

Answer 18

flaccidity

Question 19

dullness in the chest during percussion of the 3rd to 5th intercostal spaces can be attributed to the location of the:

Answer 19

heart

Question 20

what is an abnormal finding in the pupils?

Answer 20

slow but equal reaction to light

Question 21

A patient with bilateral discolored skin over the mastoid process is suspected to have a:

Answer 21

basilar skull fracture

Question 22

pleural effusion is characterized by the presence of:

Answer 22

fluid in the pleural space

Question 23

skin color is best evaluated by observing the:

Answer 23

nail beds and conjunctiva

Question 24

cyanosis is caused by increased:

Answer 24

deoxyhemoglobin

Question 25

which sound is produced when the tricuspid and mitral valves close during systole?

Answer 25

S1

Question 26

nasal flaring is an indication of:

Answer 26

respiratory distress

Question 27

for you to assess for JVD, your patient should be ________ at a ___-degree angle.

Answer 27

sitting, 45

Question 28

the sounds auscultated when assessing the BP are the ________ sounds.

Answer 28

Korotkoff

Question 29

What is the best position of a patient for an abdominal exam?

Answer 29

supine with the head and knees supported by pillows

Question 30

While you are assessing for a Babinski response, the patient's big toe dorsiflexes and the other toes fan out. This indicates a _______ response, which is ________.

Answer 30

positive, abnormal

Question 31

During questioning, a patient describes a series of events that do not match what observers noted. This is an example of:

Answer 31

confabulation

Question 32

what is included in the examination of the mouth?

Answer 32

looking under the tongue

Question 33

what is the pulse pressure?

Answer 33

the difference between systolic and diastolic BPs

Question 34

areas of a neurological exam DO NOT include the:

Answer 34

cranium

Question 35

during the cardiac cycle, the S2 heart sound indicates the _______ of the _________ valves

Answer 35

closing, aortic and pulmonic

Question 36

A tear in the tracheobronchial tree or a pneumothorax can be characterized by __________ in the neck.

Answer 36

subcutaneous emphysema

Question 37

the crunching sound that is made when unlubricated skeletal parts rub against each other is called:

Answer 37

crepitation

Question 38

a white, curdlike vaginal discharge is typical of:

Answer 38

candidiasis

Question 39

When you ask a patient to puff out her cheeks, show her upper and lower teeth, and raise her eyebrows, which cranial nerve are you evaluating?

Answer 39

VII, the facial nerve

Question 40

after inspecting the penis and scrotum, your next step would be to:

Answer 40

inspect the glans

Question 41

upon auscultation of bowel sounds, you hear high-pitched gurgles and clicks lasting around 10 seconds; this indicates:

Answer 41

normal sounds

Question 42

normal pediatric respiratory and heart rates _____ as children grow older.

Answer 42

decrease

Question 43

rales, or crackles, would be most typically auscultated in patients with:

Answer 43

CHF

Question 44

Pitting edema that is 1/2 to 1 inch deep is __________ pitting edema.

Answer 44

+3

Question 45

Which body system would you gain the least information about during an abdominal exam?

Answer 45

musculoskeletal

Question 46

while speaking, your patient shifts rapidly from topic to topic without realizing that his thoughts are not connected is NOT a sign of:

Answer 46

depression

Question 47

lesions found in the lips may indicate:

Answer 47

skin cancer

Question 48

what is FALSE regarding the s3 heart sound?

Answer 48

it is a high-pitched sound heard at the end of diastole

Question 49

Asking a patient to state her name, the month and her address is assessing her:

Answer 49

memory and attention

Question 50

A patient who responds to your questions with clear speech but completely inappropriately indicates:

Answer 50

receptive aphasia

Question 51

the physical exam process of inspection begins:

Answer 51

as soon as you see the patient

Question 52

to evaluate equal chest expansion, your hands should be placed bilaterally on the:

Answer 52

posterior chest wall at the level of T10

Question 53

Auscultation for bowel sounds should be done:

Answer 53

in all four quadrants

Question 54

as part of the mental status exam, assessing a patient's mood can be accomplished by:

Answer 54

observing verbal and nonverbal behavior

Question 55

when auscultating the breath sounds of a patient with pleurisy, you might expect to hear:

Answer 55

friction rub

Question 56

examination of the eyes includes checking the symmetry of:

Answer 56

pupil size, shape and contour

Question 57

to detect rebound tenderness in the abdomen, press:

Answer 57

slowly, then release quickly

Question 58

The S3 ventricular heart sound is characterized by the sound:

Answer 58

lub-dub-dee

Question 59

when a patient has fingernails on one hand that are well manicured, yet ragged and torn on the other and a beard groomed on one side and not on the other, this suggests:

Answer 59

brain lesion

Question 60

Your patient cannot move any muscles below his knees, indicating a spinal cord injury at the level of:

Answer 60

L2

Question 61

when you are percussing the chest, your finger should lie ________ to and ________ the ribs

Answer 61

parallel, between

Question 62

where should you listen for S1 heart sounds?

Answer 62

at the apex of the heart, along the lower left sternal border

Question 63

A female patient is complaining of arm pain. You inspect and palpate her arms and find no abnormalities. Your next step in the physical exam is to:

Answer 63

evaluate range of motion