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41 Cards in this Set

  • Front
  • Back

Select the sequence of techniques used during an examination of the abdomen.




a. percussion, inspection, palpation, auscultation


b. inspection, palpation, percussion, auscultation


c. inspection, auscultation, percussion, palpation


d. auscultation, inspection, palpation, percussion

c. inspection, auscultation, percussion, palpation

which of the following can be noted through inspection of a patient's abdomen?




a. Fluid waves and abdominal rigidity


b. Umbilical eversion and Murphy's sign


c. Venous pattern, peristaltic waves, and abdominal contour


d. peritoneal irritation, general tympany, and peristaltic waves

c. Venous pattern, peristaltic waves, and abdominal contour

Right upper quadrant tenderness may indicate pathology in the:




a. liver, pancreas, or ascending colon


b. liver and stomach


c. sigmoid colon, spleen, or rectum


d. Appendix or ileocecal valve

a. liver, pancreas, or ascending colon

Hyperactive bowel sounds are:




a. high-pitched


b. rushing


c. tinkling


d. All of the above

d. All of the above

the absence of bowel sounds is established after listening for:




a. 1 full minute


b. 3 full minutes


c. 5 full minutes


d. None

c. 5 full minutes

auscultation of the abdomen may reveal bruits of the _____ arteries.




a. aortic, renal, iliac, and femoral


b. jugular, aortic, carotid, and femoral


c. pulmonic, aortic, and portal


d. renal, iliac, internal jugular, and basilic

a. aortic, renal, iliac, and femoral

the normal range of liver span in the right midclavicular line in the adult is:




a. 2-6 cm


b. 4-8 cm


c. 8-14 cm


d. 6-12 cm

d. 6-12 cm

the left upper quadrant (LUQ) contains the:




a. liver


b. appendix


c. left ovary


d. spleen

d. spleen

a female patient has striae on the abdomen. which color indicates long-standing striae?




a. pink


b. blue


c. purple-blue


d. silvery-white

d. silvery-white

auscultating the abdomen is begun in the right lower quadrant because:




A. bowel sounds are always normally present here


b. peristalsis through the descending colon is usually active


c. this is the location of the pyloric sphincter


d. vascular sounds are best heard in this area

A. bowel sounds are always normally present here

A dull percussion note forward of the left midaxillary line is:




a. normal; an expected finding during splenic percussion


b. expected between the 8th and 12th ribs


c. found if the examination follows a large meal


d. indicative of splenic enlargement

d. indicative of splenic enlargement

shifting dullness is a test for:




a. ascites


b. splenic enlargement


c. inflammation of the kidney


d. hepatomegaly

a. ascites

tenderness during abdominal palpation is expected when palpating the:




a. liver edge


b. spleen


c. sigmoid colon


d. kidneys

c. sigmoid colon

A positive Murphy's sign is best described as:




a. the pain felt when the examiner's hand is rapidly removed from an inflamed appendix


b. pain felt when taking a deep breath when the examiner's fingers are on the approximate location of the inflamed gallbladder


c. a sharp pain felt by the patient when one hand of the examiner is used to thump the other at the costovertebral angle


d. this is not a valid examination technique

b. pain felt when taking a deep breath when the examiner's fingers are on the approximate location of the inflamed gallbladder

a positive Blumberg sign indicates




a. possible aortic aneurysm


b. presence of renal artery stenosis


c. enlarged, nodular liver


d. peritoneal inflammation

d. peritoneal inflammation

During the assessment if the spine, the patient would be asked to:




a. adduct and extend


b. supinate, evert, and retract


c. extend, adduct, invert, and rotate


d. flex, extend, abduct, and rotate

d. flex, extend, abduct, and rotate

Pronation and supination of the hand and forearm are the result of the articulation of the:




a. scapula and clavicle


b. radius and ulna


c. patella and condyle of fibula


d. femur and acetabulum

b. radius and ulna

anterior and posterior stability are provided to the knee joint by the:




a. medial and lateral menisci


b. patellar tendon and ligament


c. medial collateral ligament and quadriceps muscle


d. anterior and posterior cruciate ligaments

d. anterior and posterior cruciate ligaments

a 70-year-old woman has come for a health examination. which of the following is a common age-related change in the curvature of the spinal column?




a. lordosis


b. scoliosis


c. kyphosis


d. lateral scoliosis

c. kyphosis

examination of the shoulder includes 4 motions. these are:




a. forward flexion, internal rotation, abduction, and external rotation


b. abduction, adduction, pronation, and supination


c. circumduction, inversion, eversion, and rotation


d. elevation, retraction, protraction, and circumduction

a. forward flexion, internal rotation, abduction, and external rotation

the bulge sign is a test for:




a. swelling in the suprapatellar pouch


b. carpal tunnel syndrome


c. heberden's nodes


d. Olecranon bursa inflammation

a. swelling in the suprapatellar pouch

the examiner measures a patient's legs for length discrepancy. Which is a normal finding?




a. no difference


b. 0.5 cm difference


c. within 1 cm of each other


d. 2 cm difference

c. within 1 cm of each other

a 2-year-old child comes to the clinic for a health examination. a common finding for this age group is:




a. kyphosis


b. lordosis


c. scoliosis


d. no deviation is normal

b. lordosis

a positive Phalen test and Tinel sign are found in a patient with:




a. a torn meniscus


b. hallux valgus


c. carpal tunnel syndrome


d. tennis elbow

c. carpal tunnel syndrome

when assessing an infant, the examiner completes the ortolani maneuver by:




a. lifting the newborn and noting a C-shape curvature or the spine


b. gently lifting and abducting the infant's flexed knees while palpating the greater trochanter with the fingers


c. comparing the height of the tops knees when the knees are flexed up


d. palpating the length of the clavicles

b. gently lifting and abducting the infant's flexed knees while palpating the greater trochanter with the fingers

hematopoiesis takes place in which of the following?




a. liver


b. spleen


c. kidneys


d. bone marrow

d. bone marrow

fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement in undesirable direction are known as:




a. Bursa


b. tendons


c. cartilage


d. ligaments

d. ligaments

The medical record indicates that a person has an injury to Broca's area. when meeting this person, you expect:




a. difficulty speaking


b. receptive aphasia


c. visual disturbances


d. emotional lability

a. difficulty speaking

The control of body temperature is located in:




a. wernicke's area


b. thalamus


c. cerebellum


d. hypothalamus

d. hypothalamus

to test for stereognosis, you would:




a. have the person close his or her eyes,and then raise the persons arm and ask the person to discribe its location


b. touch the person with tuning fork


c. place a coin on the persons hand and ask him or her to identify it.


d. touch the person with could object

c. place a coin on the persons hand and ask him or her to identify it.

during the examination of an infant, use a cotton-tipped applicator to stimulate the anal sphincter. The absence of a response suggest a lesion of:




a. L2


b. T12


c. S2


d. C5

c. S2

during a neurologic examination, the tendon reflex fails to appear. before striking the tendon again, you use the technique of:




a. two-point discrimination


b. reinforcement


c. vibration


d. graphesthesia

b. reinforcement

cerebellar function is assessed by which of the following:




a. muscle size and strength assessment


b. cranial nerve examination


c. coordination-hopping on one foot


d. spinothalamic test

c. coordination-hopping on one foot

to elicit the Babinski reflex:




a. gently tap the Achilles tendon


b. stroke the lateral aspect of the sole of the foot from heel to across the ball


c. present a noxious odor to the person


d. observe the person walking heel to toe

b. stroke the lateral aspect of the sole of the foot from heel to across the ball

a positive Babinski sign is:




a. dorsiflexion of the big toe and fanning of all toes


b. plantar flexion of the big toe with fanning of all toes


c. the expected response in health adults


d. withdrawal of the stimulated extremity from the stimulus

a. dorsiflexion of the big toe and fanning of all toes

the cremasteric response:




a. is positive when disease of the pyramidal tract is present


b. is positive when the ipsilateral testicle elevates on stroking of the inner aspect of the thigh


c. is a reflex of the receptors in the muscles of the abdomen


d. is not valid neurological examination

b. is positive when the ipsilateral testicle elevates on stroking of the inner aspect of the thigh

senile tremors may resemble parkinsonism, expect the senile tremors do not include:




a. nodding the head as if responding yes or no.


b. rigidity and weakness of voluntary movement


c. tremor of the hands.


d. tongue protrusion

b. rigidity and weakness of voluntary movement

patient who have Parkinson's disease usually have which of the following characteristic styles of speech?




a. a garbled manner


b. loud, urgent


c. slow, monotonous


d. word confusion

c. slow, monotonous

the glasgow coma scale is divided into three areas. they include:




a. pupillary response, reflex test, and assessing pain


b. eye opening, motor response to stimuli, and verbal response


c. response to the fine touch, stereognosis, and sense of position


d. orientation, rapid alternating movement, and the Romberg test

b. eye opening, motor response to stimuli, and verbal response

Landau reflex in the infant is seen when

the baby raises her or his head and arches the back, as in a swan dive

emotion, personality and understanding are controlled in the:

frontal lobe