NURS 6512 Final Exam (7 Versions, 700 Q & A, 2020/2021) / NURS 6512N Final Exam / NURS6512 Final Exam / NURS-6512N Final Exam: |Verified and 100% Correct Q & A, Download to Secure HIGHSCORE|

NURS 6512 Final Exam (7 Versions, 700 Q & A, 2020/2021) / NURS 6512N Final Exam / NURS6512 Final Exam / NURS-6512N Final Exam: |Verified and 100% Correct Q & A, Download to Secure HIGHSCORE| NURS 6512 FINAL EXAM / NURS6512 Final Exam (latest): Walden University WALDEN UNIVERSITY NURS 6512 FINAL EXAM (Latest) NURS-6512N FINAL EXAM / NURS6512N FINAL EXAM (Latest): WALDEN UNIVERSITY WALDEN UNIVERSITY NURS-6512N FINAL EXAM (Latest) 1. Costovertebral angle tenderness should be assessed whenever you suspect the patient may have: - 2. In older adults, overflow fecal incontinence is commonly due to: 3. A 1 month old boy has been vomiting for 2 weeks. How is this symptom of GERD and pyloric stenosis further differentiated in this child’s assessment? 4. Auscultation of borborygmi is associated with: 5. When auscultating the abdomen, which finding would indicate collateral circulation between the portal and systemic venous systems? – 6. Conversion of fat-soluble wastes to water-soluble material for renal excretion is a function of the: - 7. The major function of the large intestine is: - 8. Which structure is located in the hypogastric region of the abdomen? – 9. A 45 year old man relates a several week history of severe intermittent abdominal burning sensations. He relates that the pain is relieved with small amounts of food. Before starting the physical examination, you review his laboratory work, anticipating a (n): - 10. You are caring for a patient with trigeminal neuralgia. During the assessment, the patient would describe the pain as: - 11. Your 85 year old patient is complaining of right knee pain. She has a history of osteoarthritis for which she is given anti-inflammatory medication. To assess her right knee pain, you should ask her if: - 12. A 5 year old is complaining of nondescriptive “belly pain.” Your next action should be to ask him to: - 13. The perception of pain: - 14. Patients presenting with ascites, jaundice, cutaneous spider veins, and nonpalpable liver exhibit signs of: - 15. A patient presents to the emergency department after a motor vehicle accident. The patient sustained blunt trauma to the abdomen and complains of pain in the upper left quadrant that radiates to the left shoulder. What organ is most likely injured? 16. Imaging studies reveal that a patient has dilation of the renal pelvis from an obstruction in the ureter, what condition will be documented in this patient’s health record? – 17. Visible intestinal peristalsis may indicate: - 18. Infants born weighing less than 1500g are at higher risk for: 19. Which of the following factors is not known to affect patient compliance with his or her treatment regimen? – 20. One of the most important aspects to consider in the orthopedic screening examination is: - 21. The sequence of the physical examination should be individualized to: 22. As you greet the patient, which examination technique is first implemented? – 23. Which of the following is most likely to enhance examiner reliability? 24. A 7 year old boy is brought to your office with a chief complaint of possible fracture to his left third finger. He jammed it while playing basketball 2 days ago. The mother states that she really does not think it is broken because he can move it. What is your best response? – 25. A patient presenting for the first time with typical low back pain should receive which of the following diagnostic tests? 26. Skeletal changes in older adults are the result of: - 27. A positive straight leg raise test usually indicates: - 28. What technique is performed at every infant examination during the first year of life to detect hipdislocation? - 29. Expected normal findings during inspection of spinal alignment include- 30. Temporalis and masseter muscles are evaluated by:- 31. When palpating joints, crepitus may be caused when: - 32. A 3 year old is brought to the clinic complaining of a painful right elbow. He is holding the right arm slightly flexed and pronated and refuses to move it. the mother states that symptoms started right after his older brother had been swinging him around by his arms. This presentation supports a diagnosis of: - 33. Light skin and thin body habitus are risk factors for: - 34. Risk factors for sports-related injuries include: - 35. Injuries to long bones and joints are more likely to result in fractures than in sprains until: - 36. Ligaments are stronger than bone until: - 37. The family history for a patient with joint pain should include information about siblings with: - 38. The Thomas test is used to detect: - 39. A goniometer is used to assess: - 40. During a football game, a player was struck on the lateral side of the left leg while his feet were firmly planted. He is complaining of left knee pain. To examine the left knee you should initially perform the ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬________ test. – 41. You note that a child has a positive Gower Sign. You know that this indicates generalized: - 42. The dowager hump is: - 43. What temporary disorder may be experienced by pregnant women during the third trimester because of fluid retention?– 44. A common finding in markedly obese and pregnant women is: - 45. A 45 year old laborer presents with low back pain, stating that the pain comes from the right buttock and shoots down and across the right anterior thigh, down the shin to the ankle. Which examination finding is considered more indicative of nerve root compression? - 46. Mrs. Bower is a 57 year old patient who comes in for an office visit. Which of the following disorders is known to be hereditary? – 47. Testing of cranial nerve ¬¬¬¬________ is not routinely performed unless a problem is suspected. – I 48. The patient is able to rapidly touch each finger to his thumb in rapid sequence. What does this finding mean? – 49. Which question asked by the examiner may hellp to determine prevention strategies for seizures that a patient is experiencing? – 50. A patient has a complaint of dizziness. The patient makes the following statement: “I sometimes feel as if the whole room is spinning.” What type of neurologic dysfunction should the examiner suspect? – 51. The examiner asks the patient to close her eyes, then places a vibrating tuning fork on the patient’s ankle and asks her to indicate what is felt. What is being assessed? - 52. Which of the following findings should an examiner consider a normal finding if associated with pregnancy? – - 52. Jack is a 52 year old obese man with a history of poorly controlled diabetes. He also smokes. Based on the above data, the examiner should recognize that Jack has several risk factors for: - - 53. Mrs. Jones is a 24 year old patient who presents to your office 2 days postpartum. She complains that she is experiencing foot drop. Which of the following problems should the examiner consider? – 54. The examiner is assessing deep tendon reflex response in a 12 year old boy. The response is an expected reflex response. Which of the following scores should be documented? – 55. A 68 year old patient presents to your office for follow-up. He tells you, “I have a hard time finding the right words when I am talking;” he also is experiencing numbness. On examination, you note postural instability. This symptom may be: - 56. Motor maturation proceeds in an orderly progression from: - 57. The thalamus is the major integration center for perception of: - 58. The examiner should be concerned about neurologic competence if a social smile cannot be elicited by the time a child is ________old. - 59. Normal changes of the aging brain include: - - 60. When interviewing a 70 year old female clinic patient, she tells you that she takes ginkgo biloba and St. John’s Wort. You make a short note to check for results of the: -- 61. The area of body surface innervated by a particular spinal nerve is called a: - - 62. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? – - 63. The finger-to-nose test allows assessment of: - - 64. You ask the patient to follow a series of short commands to assess: - - 65. As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.’s pattern as: - 66. When is the mental status portion of the neurologic system examination performed? - 67. An aversion to touch or being held, along with delayed or absent language development, is a characteristic of: -- 68. The autonomic nervous system coordinates which of the following? - 69. The major function of the sympathetic nervous system is to: - - 70. The parasympathetic nervous system maintains the day-to-day function of: - 71. Cerebrospinal fluid serves as a: - - 72. You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the: -- 73. Which type of hallucination is most commonly associated with alcohol withdrawal? – - 74. On a scale of 0 to 4+, which deep tendon reflex score is appropriate for a finding of clonus in a patient? - 75. Which statement is true regarding mental status changes in older adults? – - 76. A characteristic related to syphilis or diabetic neuropathy is testicular: -- 77. When collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: - - 78. What risk factor is associated with cervical cancer? – - 79. A 23 year old female presents with severe right lower quadrant tenderness. All of the following should be considered in the differential except: - - 80. What is the initial diagnostic radiology test that should be ordered if you suspect a ruptured ovarian cyst? – - 81. A 17 year old male was brought into the emergency room with testicular/scrotal pain. The differential diagnosis should include all except: - 82. The nursing mother complains that her breasts are tender. You assess hard, shiny, and erythremicbreasts bilaterally. You should advise the patient to: - - 83. A normal vas deferens should feel: - - 84. In a woman complaining of a breast lump, it is most important to ask about: - - 85. The finding of a painless indurated lesion on the glans penis is most consistent with: - - 86. Thrombosed hemorrhoids are: - - 87. Pregnancy-related cervical changes include: - 88. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: - - 89. An adolescent male is being seen for acute onset of left testicular pain. The pain started 3 hours ago. He complains of nausea and denies dysuria or fever. Your prioritized assessment should be to: - 90. A 23 year old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is: - - 91. What accommodations should be used in the position of a hearing-impaired woman for a pelvic examination? – - 92. Sexual differentiation in the fetus has occurred by ¬¬¬_______weeks gestation. - - 93. You are performing a clinical breast examination for a 55 year old woman. While palpating the supraclavicular area, you suspect that you felt a node. In order to improve your hooked technique, you should: -- 94. If a firm, transverse ridge of compressed tissue is felt bilaterally along the lower edge of a 40 year old patient’s breast, you should: -- 95. A therapeutic technique for dealing with grieving individuals is to: - 96. The examination of the newborn should begin with: - - 97. Which one of the following patient characteristics is most likely to limit patient reliability during history taking? – - 98. In crying infants, it is often difficult to: - - 99. Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests? –- 100. Which medical condition would exclude one from sports participation? – - 101. Your 15 year old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You question this patient about her: - - 102. Which of the following are examined with the patient in a reclining 45 degree position? –- 103. Functional assessment is most important during the examination of a(n): -- 104. The best way to ease the apprehension of a 3 year old child before a physical examination is to: - - 105. An ophthalmoscopic eye examination involves: - - 106. When conducting a geriatric assessment, basic activities of daily living (ADLs) include: - 107. The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: - 108. Which of the following is true regarding the relationship between the examiner and the patient? – 109. Which of the following factors is not known to affect patient compliance with his or her treatment regimen? – 110. One of the most important aspects to consider in the orthopedic screening examination is: - 111. As you greet the patient, which examination technique is first implemented? – 112. Which portion of the physical examination is best done with the patient standing? – 113. Which patient position facilitates inspection of the chest and shoulders? – 114. The least reliable indicator of newborn distress is: - 115. Proprioception should be assessed while the patient is: - 116. Part of the screening orthopedic component of the examination includes evaluating the person while: - NURS 6512 FINAL EXAM / NURS6512 FINAL EXAM (Latest): WALDEN UNIVERSITY WALDEN UNIVERSITY NURS 6512 FINAL EXAM (Latest) NURS-6512N FINAL EXAM / NURS6512N FINAL EXAM (Latest): WALDEN UNIVERSITY WALDEN UNIVERSITY NURS-6512N FINAL EXAM (Latest) • Question 1 During chest assessment, you note the patient's voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e's sound like a s. This sound is indicative of: • Question 2 As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as: • Question 3 Diabetic peripheral neuropathy will likely produce: • Question 4 Montgomery tubercles are most prominent in the breasts of: • Question 5 Which one of the following techniques is used to detect a torn meniscus? • Question 6 Ulnar deviation and boutonniere deformities are characteristic of: • Question 7 A pulsation that is diminished to the point of being barely palpable would be graded as: • Question 8 In the most effective percussion technique of the posterior lung fields, the patient cooperates by: • Question 9 When palpating joints, crepitus may occur when: • Question 10 While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: • Question 11 Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings. • Question 12 You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient's neurologic status, you would: • Question 13 Temporalis and masseter muscles are evaluated by: • Question 14 A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is: • Question 15 Cranial nerve XII may be assessed in an infant by: • Question 16 The reliability of health-related findings and observations is the responsibility of the: • Question 17 Normal changes of the aging brain include: • Question 18 The adnexa of the uterus are composed of the: • Question 19 For purposes of examination and communication of physical findings, the breast is divided into: • Question 20 A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale. • Question 21 A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following? • Question 22 Nerves that arise from the brain rather than the spinal cord are called: • Question 23 While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should: • Question 24 In the adult, the apical impulse should be most visible when the patient is in what position? • Question 25 A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to: • Question 26 Tarry black stool should make you suspect: • Question 27 To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? • Question 28 You are conducting an examination of Mr. Curtis’s heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is: • Question 29 To assess a cremasteric reflex, the examiner strokes the: • Question 30 An examiner has rotated a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type of specimen requires this technique for collection? • Question 31 Functional assessment is most important during the examination of a(n): • Question 32 Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: • Question 33 To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: • Question 34 When is the mental status portion of the neurologic system examination performed? • Question 35 If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? • Question 36 One of the most important aspects to consider in the orthopedic screening examination is: • Question 37 You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of arterial occlusion? • Question 38 The Mini-Mental State Examination should be administered for the patient who: • Question 39 If pitting edema is unilateral, you would suspect occlusion of a: • Question 40 The best way to ease the apprehension of a 3-year-old child before a physical examination is to: • Question 41 Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Nancy, apart from occasional colds, Nancy is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Nancy’s current problem? • Question 42 Your patient’s chief complaint is repeated pencil-like stools. Further examination should include: • Question 43 To hear diastolic heart sounds, you should ask patients to: • Question 44 The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: • Question 45 Kawasaki disease is suspected when assessments of a child reveal: • Question 46 Which one of the following is a proper technique for use of a speculum during a vaginal examination? • Question 47 You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of: • Question 48 Inspection of the scrotum should reveal: • Question 49 The finger-to-nose test allows assessment of: • Question 50 Bimanual examination of the uterus includes: • Question 51 You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: • Question 52 The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg. • Question 53 When you attempt to move a 10-month-old child from his mother’s lap to the examination table, he screams loudly. Your best action is to: • Question 54 It is especially important to test for ankle clonus if: • Question 55 A finding that is indicative of osteoarthritis is: • Question 56 The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: • Question 57 When palpating breast tissue, the examiner should use the _____ at each site. • Question 58 Which portion of the physical examination is best done with the patient standing? • Question 59 Throughout the history and physical examination, the clinician should: • Question 60 You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive: • Question 61 Anterior cruciate ligament integrity is assessed via the _____ test. Selected Answer: Lachman • Question 62 Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: • Question 63 The Mini-Mental State Examination: • Question 64 A common finding in markedly obese and pregnant women is: • Question 65 The Denver II is a tool used to determine: • Question 66 The strength of the trapezius muscle is evaluated by having the patient: • Question 67 A red, hot swollen joint in a 40-year-old man should lead you to suspect: • Question 68 Examination of the patient in the lithotomy, or knee-chest, position includes: • Question 69 Assessing orientation to person, place, and time helps determine: • Question 70 When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: • Question 71 A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with: • Question 72 The rectal past medical history of all patients should include inquiry about: • Question 73 The goals of preparticipation sports evaluation include: • Question 74 An idiopathic spasm of arterioles in the digits is termed: • Question 75 A cervical polyp usually appears as a: • Question 76 Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by: • Question 77 Which condition is considered progressive rather than reversible? • Question 78 Recent unilateral inversion of a previously everted nipple suggests: • Question 79 Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: • Question 80 An apical PMI palpated beyond the left fifth intercostal space may indicate: • Question 81 The examiner percusses for diaphragmatic excursion along the: • Question 82 Which of the following statements is true regarding the examination of peripheral arteries? • Question 83 You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with: • Question 84 The presence of cervical motion tenderness may indicate: • Question 85 When assessing superficial pain, touch, vibration, and position perceptions, you are testing: • Question 86 The family history for a patient with joint pain should include information about siblings with: • Question 87 Which cranial nerves are usually evaluated during the examination of the eyes? • Question 88 While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John’s wort. You make a short note to check for results of the: • Question 89 When conducting a geriatric assessment, basic activities of daily living (ADLs) include: • Question 90 Palpation of a normal prostate in an older adult is likely to feel: • Question 91 Breath sounds normally heard over the trachea are called: • Question 92 When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the _____ sign. • Question 93 During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings: • Question 94 Facial muscle or tongue weakness may result in: • Question 95 A positive straight leg raise test usually indicates: • Question 96 At your first meeting with a patient, it is usually best to say: • Question 97 The foramen ovale should close: • Question 98 If your patient has nipple discharge, you will most likely need a: • Question 99 A grade IV mitral regurgitation murmur would: • Question 100 Palpation of epitrochlear nodes is part of the: Selected Answer: examination of the upper extremities. NURS 6512 FINAL EXAM / NURS6512 FINAL EXAM (Latest): WALDEN UNIVERSITY WALDEN UNIVERSITY NURS 6512 FINAL EXAM (Latest) NURS-6512N FINAL EXAM / NURS6512N FINAL EXAM (Latest): WALDEN UNIVERSITY WALDEN UNIVERSITY NURS-6512N FINAL EXAM (Latest) 1. Examination of the patient in the lithotomy, or knee-chest, position includes: 2. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: 3. An apical PMI palpated beyond the left fifth intercostal space may indicate: 4. Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: 5. Which cranial nerves are usually evaluated during the examination of the eyes? 6. Loss of immediate and recent memory with retention of remote memory suggests: 7. Recent unilateral inversion of a previously everted nipple suggests: 8. A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is: 9. You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the: 10. A red, hot swollen joint in a 40-year-old man should lead you to suspect: 11. Normal changes of the aging brain include: 12. An examiner has rotated a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type of specimen requires this technique for collection? 13. During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings: 14. You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of arterial occlusion? 15. The Mini-Mental State Examination should be administered for the patient who: 16. The physical assessment technique most frequently used to assess joint symmetry is: 17. Throughout the history and physical examination, the clinician should: 18. Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: 19. The foramen ovale should close: 20. Palpation of a normal prostate in an older adult is likely to feel: 21. You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of: 22. While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: 23. The Mini-Mental State Examination: 24. Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings. 25. You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive: 26. The reliability of health-related findings and observations is the responsibility of the: 27. When you attempt to move a 10-month-old child from his mother's lap to the examination table, he screams loudly. Your best action is to: 28. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. 29. For purposes of examination and communication of physical findings, the breast is divided into: 30. While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should: 31. When is the mental status portion of the neurologic system examination performed? 32. You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with: 33. At your first meeting with a patient, it is usually best to say: 34. A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following? 35. A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to: 36. Temporalis and masseter muscles are evaluated by: 37. Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by: 38. A grade IV mitral regurgitation murmur would: 39. To hear diastolic heart sounds, you should ask patients to: 40. Assessing orientation to person, place, and time helps determine: 41. Your patient's chief complaint is repeated pencil-like stools. Further examination should include: 42. Which one of the following is a proper technique for use of a speculum during a vaginal examination? 43. If your patient has nipple discharge, you will most likely need a: 44. Cranial nerve XII may be assessed in an infant by: 45. The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg. 46. During chest assessment, you note the patient's voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e's sound like a’s. This sound is indicative of: 47. Kawasaki disease is suspected when assessments of a child reveal: 48. The Denver II is a tool used to determine: 49. Montgomery tubercles are most prominent in the breasts of: 50. Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: 51. Which of the following statements is true regarding the examination of peripheral arteries? 52. When palpating breast tissue, the examiner should use the _____ at each site. 53. A common finding in markedly obese and pregnant women is: 54. Inspection of the scrotum should reveal: 55. When conducting a geriatric assessment, basic activities of daily living (ADLs) include: 56. A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale. 57. If pitting edema is unilateral, you would suspect occlusion of a: 58. In the adult, the apical impulse should be most visible when the patient is in what position? 59. A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with: 60. You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her? 61. Anterior cruciate ligament integrity is assessed via the_Lachmanstest. 62. The strength of the trapezius muscle is evaluated by having the patient: 63. It is especially important to test for ankle clonus if: 64. Diabetic peripheral neuropathy will likely produce: 65. To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? 66. Breath sounds normally heard over the trachea are called: 67. Tarry black stool should make you suspect: 68. The checkout station for pre-participation physical evaluation (PPE) is critical because at this point: 69. Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Nancy, apart from occasional colds, Nancy is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Nancy's current problem? 70. The best way to ease the apprehension of a 3-year-old child before a physical examination is to: 71. To assess a cremasteric reflex, the examiner strokes the: 72. The goals of pre-participation sports evaluation include: 73. Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her: 74. One of the most important aspects to consider in the orthopedic screening examination is: 75. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN), requires further evaluation? 76. While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John's wort. You make a short note to check for results of the: 77. Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: 78. Which one of the following techniques is used to detect a torn meniscus? 79. Which medical condition would exclude a person from sports participation? 80. The musculoskeletal examination should begin when: 81. The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: 82. The examiner percusses for diaphragmatic excursion along the: 83. Functional assessment is most important during the examination of a(n): 84. You are conducting an examination of Mr. Curtis's heart and blood vessels and auscultate a grade III murmur. 85. When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the _____ sign. 86. Bimanual examination of the uterus includes: 87. The finger-to-nose test allows assessment of: 88. A pulsation that is diminished to the point of being barely palpable would be graded as: 89. As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as: 90. In the most effective percussion technique of the posterior lung fields, the patient cooperates by: 91. When assessing superficial pain, touch, vibration, and position perceptions, you are testing: 92. Which portion of the physical examination is best done with the patient standing? 93. Ulnar deviation and boutonniere deformities are characteristic of: 94. The family history for a patient with joint pain should include information about siblings with: 95. When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: 96. A positive straight leg raise test usually indicates: 97. You are assessing Mr. Z.'s fluid volume status as a result of heart failure. If your finger depresses a patient's edematous ankle to a depth of 6 mm, you should record this pitting as: 98. An idiopathic spasm of arterioles in the digits is termed: 99. Nerves that arise from the brain rather than the spinal cord are called: 100. A cervical polyp usually appears as a: