LECOM H&P II EXAM 1 QUESTIONS
AND ANSWERS
What are the four principles of the Physical Exam? - Correct Answers -Inspection,
Palpation, Percussion, Auscultation
Who said "Teach the eye to see, the finger to feel, and the ear to hear" - Correct
Answers -Sir William Osler
What is the typical order for the PE. What are two exceptions? - Correct Answers -
Inspection first, auscultation last. Carotid and Abdomen should be auscultated first
When should inspection start? - Correct Answers -with first contact with patient and
during history taking
How do you percuss (R hand) - Correct Answers -allow R hand to swing freely at wrist,
use tip of R middle finger as hammer and target the DIP of the left middle finger which is
firmly resting on the patient. no other fingers should be touching pt
how many taps are used for percussion? - Correct Answers -2-3 sharp taps
what is key to a thorough and accurate PE? - Correct Answers -developing a systematic
sequence of examination
How do you approach the pt during the PE? - Correct Answers -from the right side.
head to toe.
universal precautions - Correct Answers -treat all human blood and certain fluids as if
they are known to be infected with BBP. appropriate use of gloves, masks, eye
protection and gowns, proper and safe disposal of sharps
Standard Precautions - Correct Answers -recommended for the care of all pts
regardless of disease status. includes hand washing, and PPE when handling bodily
fluids
Airborne-infectious agents precautions - Correct Answers --respiratory masks, isolated
negative pressure pt rooms
-Ex. TB, varicella
-spread through small droplets in the air
, Droplet precautions - Correct Answers --surgical masks and gloves
-Ex. Respiratory Viruses
-spread through large droplets
Contact precautions - Correct Answers --gown and gloves, committed medical
equipment
-Ex. C. diff
-Spread by skin to skin or via surfaces
what is the most common cancer in the world? - Correct Answers -basal cell carcinoma
what percentage of patients have skin disease? - Correct Answers -52%
what percentage of PCP visits involve skin? - Correct Answers -25%
What are the cellular components of the skin? - Correct Answers -Keratinocytes &
melanocytes (epidermis), fibroblasts (dermis)
What are the components of the cutaneous exam? - Correct Answers -HPI
PMH
Social
Family
Meds
PE
primary lesions - Correct Answers -first to appear and due to disease or abnormal state
macule - Correct Answers -Primary lesion
flat lesion <1cm
patch - Correct Answers -Primary lesion
flat lesion >1cm
papule - Correct Answers -Primary lesion
raised lesion <1cm
plaque - Correct Answers -Primary lesion
raised lesion >1cm
nodule - Correct Answers -Primary lesion
deep (dermal or subq) raised lesion >1cm
vesicle - Correct Answers -Primary lesion
fluid filled lesion <1cm
AND ANSWERS
What are the four principles of the Physical Exam? - Correct Answers -Inspection,
Palpation, Percussion, Auscultation
Who said "Teach the eye to see, the finger to feel, and the ear to hear" - Correct
Answers -Sir William Osler
What is the typical order for the PE. What are two exceptions? - Correct Answers -
Inspection first, auscultation last. Carotid and Abdomen should be auscultated first
When should inspection start? - Correct Answers -with first contact with patient and
during history taking
How do you percuss (R hand) - Correct Answers -allow R hand to swing freely at wrist,
use tip of R middle finger as hammer and target the DIP of the left middle finger which is
firmly resting on the patient. no other fingers should be touching pt
how many taps are used for percussion? - Correct Answers -2-3 sharp taps
what is key to a thorough and accurate PE? - Correct Answers -developing a systematic
sequence of examination
How do you approach the pt during the PE? - Correct Answers -from the right side.
head to toe.
universal precautions - Correct Answers -treat all human blood and certain fluids as if
they are known to be infected with BBP. appropriate use of gloves, masks, eye
protection and gowns, proper and safe disposal of sharps
Standard Precautions - Correct Answers -recommended for the care of all pts
regardless of disease status. includes hand washing, and PPE when handling bodily
fluids
Airborne-infectious agents precautions - Correct Answers --respiratory masks, isolated
negative pressure pt rooms
-Ex. TB, varicella
-spread through small droplets in the air
, Droplet precautions - Correct Answers --surgical masks and gloves
-Ex. Respiratory Viruses
-spread through large droplets
Contact precautions - Correct Answers --gown and gloves, committed medical
equipment
-Ex. C. diff
-Spread by skin to skin or via surfaces
what is the most common cancer in the world? - Correct Answers -basal cell carcinoma
what percentage of patients have skin disease? - Correct Answers -52%
what percentage of PCP visits involve skin? - Correct Answers -25%
What are the cellular components of the skin? - Correct Answers -Keratinocytes &
melanocytes (epidermis), fibroblasts (dermis)
What are the components of the cutaneous exam? - Correct Answers -HPI
PMH
Social
Family
Meds
PE
primary lesions - Correct Answers -first to appear and due to disease or abnormal state
macule - Correct Answers -Primary lesion
flat lesion <1cm
patch - Correct Answers -Primary lesion
flat lesion >1cm
papule - Correct Answers -Primary lesion
raised lesion <1cm
plaque - Correct Answers -Primary lesion
raised lesion >1cm
nodule - Correct Answers -Primary lesion
deep (dermal or subq) raised lesion >1cm
vesicle - Correct Answers -Primary lesion
fluid filled lesion <1cm
