answers 2026\2027 A+ Grade
Order of Assessment
- correct answer Inspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen
Comprehensive Health History
- correct answer chief complaint, reason for visit, ROS, past medical and surgical history, social history
and family history
Pediatric Body measurements
- correct answer length, height, weight, head circumference fro birth to 36 months
Normal/Hypertension cut off
- correct answer <130 normal 140+ hypertension
Fontanel Closure
- correct answer posterior 1-2 months, anterior 9mo-2years
otoscope
- correct answer adult-up and back, peds- down and back, using largest speculum that will fit comforably
tympanic membrane
- correct answer Cone of light R-5 l-7
EOM testing
- correct answer CN III, IV, VI
,AP diameter of chest
- correct answer 1:2 (AP less than transverse)
barrel chest
- correct answer COPD
Flat or Dull percussion
- correct answer effusion or pneumonia
normal resonant percussion
- correct answer healthy lung
Hyperressonance (percussion)
- correct answer trapped air
crackles/rales
- correct answer high pitched, discontinuous
Wheezes
- correct answer high-pitched whistling or squeaking sounds during inspiration or expiration
Rhonchi
- correct answer snoring, rumbling sounds heard upon auscultation of the chest during respiration-low
pitched
tactile fremitus
- correct answer • INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as with pneumonia)
- Remember Liquid or solid transmits vibrations better than air
• DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
, Bronchophony
- correct answer the spoken voice sound heard through the stethoscope, which sounds soft, muffled,
and indistinct over normal lung tissue, clearer over disease
Egophony
- correct answer abnormal change in tone of voice that is heard when auscultating the lungs EE-->AA
UE Arteries
- correct answer radial-thumb side, ulnar pinky side
Pulse grading
- correct answer 0 absent
1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
PMI
- correct answer point of maximal impulse mid-clavicular and 5th ICS
S1
- correct answer normal, closure of AV, Start of systole, loudest at Apex, contraction of ventricles
S2
- correct answer normal, closure of semilunar, end of systole, loudest at base, filling of ventricles
S3
- correct answer third heart sound (normal in pregnant young adults, and children), gallop