Advanced Health Assessment Final [ACTUAL EXAM] LATEST
VERSION [QUESTIONS AND ANSWERS] WITH STUDY GUIDE
DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A
Waist Circumference - CORRECT ANSWER Risk if over 35in for women
Risk if over 40in for men
Cranial Nerves - CORRECT ANSWER 1. Olfactory: Sensory
2. Optic: Sensory
3. Occulomotor: Motor
4. Trochlear: Motor
5. Trigeminal: Both
6. Abducens: Motor
7. Facial: Both
8. Acoustic: Sensory
9. Glossopharyngeal: Both
10. Vagus: Both
11. Spinal Accessory: Motor
12. Hypoglossal: Motor
Romberg Test - CORRECT ANSWER Stand with hands to the sides and eyes
closed, observe swaying
Pronator Drift - CORRECT ANSWER Stand with arms out, eyes closed, and
hands supine -- watch for hands pronating.
Graphesthesia - CORRECT ANSWER The inability to recognize numbers
written on the hand. Suggests a lesion in the sensory cortex.
Astereognosis: - CORRECT ANSWER Inability to recognize objects placed in
the hand
Kernig - CORRECT ANSWER Flex patient's leg at hip and knee, then
straighten the knee. Discomfort behind the knee during full extension should not
cause pain.
,Brudzinski - CORRECT ANSWER Pt supine, your hands behind pt's head and
flex the neck forward, until chin touches the chest if possible. Neck stiffness with
resistance and flexion of hips and knees is a positive sign. May be a sign of acute
bacterial meningitis or subarachnoid hemorrhage
Straight Leg Raising - CORRECT ANSWER Lift the straight leg, if pt has low
back pain with nerve pain that radiates down the leg = sciatica from compression
of the spinal nerve root as it passes through the vertebral foramen
Plantar (Babinski) Reflex - CORRECT ANSWER Dorsiflexion of the big toe is
a positive Babinski response from a CNS lesion in the corticospinal tract
Finkelstein Test - CORRECT ANSWER Pt grabs thumb with hand and you
pull down to see if there is tendon tenderness - if positive, might mean tendonitis
Tinel's Sign - CORRECT ANSWER Tap on the Median Nerve
Phalen's Test - CORRECT ANSWER Bend wrists at 90 degrees and put back
of hands against each other for 1 minute and see if there is numbness/tingling
Ballotment - CORRECT ANSWER Leg extended, compress the suprapatellar
pouch and then push the patella sharply against the femur, watching for fluid
returning to the pouch
Bulge Sign - CORRECT ANSWER Knee extended, hand on knee above the
patella and milk downward. Apply medial pressure and tap laterally. Watch for a
fluid wave
Drawer Sign - CORRECT ANSWER Pt supine with knee flexed, your thumbs
at the medial/lateral joint line and fingers wrapped around. Then sharply
push/pull, watching for laxity
McMurray Test - CORRECT ANSWER Pt supine with knee flexed, one hand
medial knee and the other medial ankle. Extend the leg and laterally rotate,
watching for clicking
Directions for Self-Breast Exam - CORRECT ANSWER 5-7 days after period
OR same time every month for menopausal women. Lawn Mower pattern
What Abdominal locations do you listen for bruits with the Bell of the
stethoscope? - CORRECT ANSWER Aoritc, Illiac, Femoral
,What Abdominal locations do you listen for bruits with the diaphragm of the
stethoscope? - CORRECT ANSWER Epigastric and Renal
Murphey's Sign - CORRECT ANSWER Assessing gallbladder, pt will stop
breathing d/t pain when pushing up on the liver if positive.
Rovsing's Sign - CORRECT ANSWER Pressure on LLQ causes referred pain
in RLQ
Rebound Tenderness - CORRECT ANSWER Pain in RLQ increases when
pressure is released quickly
Psoas Sign - CORRECT ANSWER Place hand just above right knee and ask
pt to raise that thigh against your hand and turn onto the left side. then extend
the right leg at the hip.Flexion of th leg at the hip makes the psoas muscle
contract; extension stretches it. Increased abd pain with either maneuver
constitutes a positive sign
Obturator Sign - CORRECT ANSWER Flex pt's right thigh at the hip, with
knee bent, and rotate the leg internally at the hip. It stretches the internal
obturator muscle. Right hypogastric pain = positive sign
Normal size of aorta - CORRECT ANSWER under 3 cm
Spleen percussion/palpation - CORRECT ANSWER Normally the lowest
interspace in the left anterior axillary line is tympanitic. After a deep breath, if
percussion changes from tympanitic, enlargement is suspected and you'll need
to palpate the spleen, but be careful not to cause rupture
Feeling the liver edge - CORRECT ANSWER Normally feels smooth, soft,
sharp, and regular. Normally about 3 cm below the right costal margin in the
midclavicular line
Grading of Heart Murmurs - CORRECT ANSWER •Grade I -barely audible
•Grade 2-clearly audible but faint
•Grade 3-moderately loud, easy to hear
•Grade 4- Loud, associated with thrill
•Grade 5- Very loud- partly off chest
•Grade 6- Loudest can be heard with stethoscope lifted off chest
S3 - CORRECT ANSWER low frequency heard best at the apex, use bell and
lay on the left side. Ventricular gallop - means that ventricular compliance is low.
Heard at the beginning of diastole. Blood flowing into overfilled non-compliant
left ventricle rapidly decelerates. Sound of it "popping" open quickly. Ken-tuc-ky
, S4 - CORRECT ANSWER low frequency, heart best at the apex, use bell and
lay on left side. Atrial gallop, pericardial friction rub. Heard at the end of diastole.
Atrial contraction trying to push blood to the ventricle, but it is stiff. Ten-ness-ee.
Murmurs - CORRECT ANSWER Caused by a flow of blood across a partial
obstruction (valve stenosis) or valve irregularity (leaks...) or increased flow
through normal structures (pregnancy and anemia), flow into a dilated chamber
(aneurysm), backward flow, shunting of blood out of a high pressure area
through a hole
Heart conditions that accompany systolic murmurs - CORRECT ANSWER
•Aortic Stenosis: pressure or gradient that the blood has to flow through due to a
smaller valve. Increased pumping pressure of Left ventricle
•Pulmonary Stenosis: same as above, heard with diaphragm at 2nd and 3rd
intercostal space, medium or rough quality, radiates to left shoulder and neck
•Tricuspid Insufficiency: supposed to be closed during systole, so causes a
backward flow of blood. Diaphragm at 5th intercostal space at the sternal border,
radiates to left anterior sternal line
•Mitral Insufficiency: loudest at the apex, 5th intercostal space, high pitched and
blowing quality
Heart conditions that accompany Diastolic murmurs - CORRECT ANSWER
•Aortic Insufficiency: most common, Marfan syndrome, retrograde blood flow into
left ventricle. Diaphragm at 2nd and 4th intercostal along sternal border, sit up
and lean forward and hold breath
•Pulmonary Insufficiency: high pitched, diaphragm, 2nd or 3rd intercostal,
enhanced during inspiration.
•Mitral Stenosis: most common, bell at 5th intercostal, low pitched rumbling, left
lateral position
•Tricuspid Stenosis: forward blood flow from right atrium though stenosed
tricuspid valve, bell at 4th intercostal along sternal border.
Allen Test - CORRECT ANSWER Occlude radial and ulnar arteries and then
release one and visualize blood return
Presbycusis - CORRECT ANSWER Hearing loss associated with age
Sarcopenia - CORRECT ANSWER loss of lean body mass and strength with
aging
Axillary Lymph Nodes - CORRECT ANSWER Lateral
Pectoral (Anterior)
Subscapular (Posterior)
Supraclavicular
VERSION [QUESTIONS AND ANSWERS] WITH STUDY GUIDE
DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A
Waist Circumference - CORRECT ANSWER Risk if over 35in for women
Risk if over 40in for men
Cranial Nerves - CORRECT ANSWER 1. Olfactory: Sensory
2. Optic: Sensory
3. Occulomotor: Motor
4. Trochlear: Motor
5. Trigeminal: Both
6. Abducens: Motor
7. Facial: Both
8. Acoustic: Sensory
9. Glossopharyngeal: Both
10. Vagus: Both
11. Spinal Accessory: Motor
12. Hypoglossal: Motor
Romberg Test - CORRECT ANSWER Stand with hands to the sides and eyes
closed, observe swaying
Pronator Drift - CORRECT ANSWER Stand with arms out, eyes closed, and
hands supine -- watch for hands pronating.
Graphesthesia - CORRECT ANSWER The inability to recognize numbers
written on the hand. Suggests a lesion in the sensory cortex.
Astereognosis: - CORRECT ANSWER Inability to recognize objects placed in
the hand
Kernig - CORRECT ANSWER Flex patient's leg at hip and knee, then
straighten the knee. Discomfort behind the knee during full extension should not
cause pain.
,Brudzinski - CORRECT ANSWER Pt supine, your hands behind pt's head and
flex the neck forward, until chin touches the chest if possible. Neck stiffness with
resistance and flexion of hips and knees is a positive sign. May be a sign of acute
bacterial meningitis or subarachnoid hemorrhage
Straight Leg Raising - CORRECT ANSWER Lift the straight leg, if pt has low
back pain with nerve pain that radiates down the leg = sciatica from compression
of the spinal nerve root as it passes through the vertebral foramen
Plantar (Babinski) Reflex - CORRECT ANSWER Dorsiflexion of the big toe is
a positive Babinski response from a CNS lesion in the corticospinal tract
Finkelstein Test - CORRECT ANSWER Pt grabs thumb with hand and you
pull down to see if there is tendon tenderness - if positive, might mean tendonitis
Tinel's Sign - CORRECT ANSWER Tap on the Median Nerve
Phalen's Test - CORRECT ANSWER Bend wrists at 90 degrees and put back
of hands against each other for 1 minute and see if there is numbness/tingling
Ballotment - CORRECT ANSWER Leg extended, compress the suprapatellar
pouch and then push the patella sharply against the femur, watching for fluid
returning to the pouch
Bulge Sign - CORRECT ANSWER Knee extended, hand on knee above the
patella and milk downward. Apply medial pressure and tap laterally. Watch for a
fluid wave
Drawer Sign - CORRECT ANSWER Pt supine with knee flexed, your thumbs
at the medial/lateral joint line and fingers wrapped around. Then sharply
push/pull, watching for laxity
McMurray Test - CORRECT ANSWER Pt supine with knee flexed, one hand
medial knee and the other medial ankle. Extend the leg and laterally rotate,
watching for clicking
Directions for Self-Breast Exam - CORRECT ANSWER 5-7 days after period
OR same time every month for menopausal women. Lawn Mower pattern
What Abdominal locations do you listen for bruits with the Bell of the
stethoscope? - CORRECT ANSWER Aoritc, Illiac, Femoral
,What Abdominal locations do you listen for bruits with the diaphragm of the
stethoscope? - CORRECT ANSWER Epigastric and Renal
Murphey's Sign - CORRECT ANSWER Assessing gallbladder, pt will stop
breathing d/t pain when pushing up on the liver if positive.
Rovsing's Sign - CORRECT ANSWER Pressure on LLQ causes referred pain
in RLQ
Rebound Tenderness - CORRECT ANSWER Pain in RLQ increases when
pressure is released quickly
Psoas Sign - CORRECT ANSWER Place hand just above right knee and ask
pt to raise that thigh against your hand and turn onto the left side. then extend
the right leg at the hip.Flexion of th leg at the hip makes the psoas muscle
contract; extension stretches it. Increased abd pain with either maneuver
constitutes a positive sign
Obturator Sign - CORRECT ANSWER Flex pt's right thigh at the hip, with
knee bent, and rotate the leg internally at the hip. It stretches the internal
obturator muscle. Right hypogastric pain = positive sign
Normal size of aorta - CORRECT ANSWER under 3 cm
Spleen percussion/palpation - CORRECT ANSWER Normally the lowest
interspace in the left anterior axillary line is tympanitic. After a deep breath, if
percussion changes from tympanitic, enlargement is suspected and you'll need
to palpate the spleen, but be careful not to cause rupture
Feeling the liver edge - CORRECT ANSWER Normally feels smooth, soft,
sharp, and regular. Normally about 3 cm below the right costal margin in the
midclavicular line
Grading of Heart Murmurs - CORRECT ANSWER •Grade I -barely audible
•Grade 2-clearly audible but faint
•Grade 3-moderately loud, easy to hear
•Grade 4- Loud, associated with thrill
•Grade 5- Very loud- partly off chest
•Grade 6- Loudest can be heard with stethoscope lifted off chest
S3 - CORRECT ANSWER low frequency heard best at the apex, use bell and
lay on the left side. Ventricular gallop - means that ventricular compliance is low.
Heard at the beginning of diastole. Blood flowing into overfilled non-compliant
left ventricle rapidly decelerates. Sound of it "popping" open quickly. Ken-tuc-ky
, S4 - CORRECT ANSWER low frequency, heart best at the apex, use bell and
lay on left side. Atrial gallop, pericardial friction rub. Heard at the end of diastole.
Atrial contraction trying to push blood to the ventricle, but it is stiff. Ten-ness-ee.
Murmurs - CORRECT ANSWER Caused by a flow of blood across a partial
obstruction (valve stenosis) or valve irregularity (leaks...) or increased flow
through normal structures (pregnancy and anemia), flow into a dilated chamber
(aneurysm), backward flow, shunting of blood out of a high pressure area
through a hole
Heart conditions that accompany systolic murmurs - CORRECT ANSWER
•Aortic Stenosis: pressure or gradient that the blood has to flow through due to a
smaller valve. Increased pumping pressure of Left ventricle
•Pulmonary Stenosis: same as above, heard with diaphragm at 2nd and 3rd
intercostal space, medium or rough quality, radiates to left shoulder and neck
•Tricuspid Insufficiency: supposed to be closed during systole, so causes a
backward flow of blood. Diaphragm at 5th intercostal space at the sternal border,
radiates to left anterior sternal line
•Mitral Insufficiency: loudest at the apex, 5th intercostal space, high pitched and
blowing quality
Heart conditions that accompany Diastolic murmurs - CORRECT ANSWER
•Aortic Insufficiency: most common, Marfan syndrome, retrograde blood flow into
left ventricle. Diaphragm at 2nd and 4th intercostal along sternal border, sit up
and lean forward and hold breath
•Pulmonary Insufficiency: high pitched, diaphragm, 2nd or 3rd intercostal,
enhanced during inspiration.
•Mitral Stenosis: most common, bell at 5th intercostal, low pitched rumbling, left
lateral position
•Tricuspid Stenosis: forward blood flow from right atrium though stenosed
tricuspid valve, bell at 4th intercostal along sternal border.
Allen Test - CORRECT ANSWER Occlude radial and ulnar arteries and then
release one and visualize blood return
Presbycusis - CORRECT ANSWER Hearing loss associated with age
Sarcopenia - CORRECT ANSWER loss of lean body mass and strength with
aging
Axillary Lymph Nodes - CORRECT ANSWER Lateral
Pectoral (Anterior)
Subscapular (Posterior)
Supraclavicular
