IPES Midterm Exam 2026/2027 | Complete
Study Guide & Revision Notes
If tapping on a patients face bilaterally and both obicularis oculi contract it can be
indicative of - correct answer-Chovstek's sign
If tapping on a patients face bilaterally and one obicularis oculi contracts it can be
indicative of - correct answer-facial nerve damage
If you run the end of your reflex hammer on the glutei max to test its sensitivity
and there is no reaction on the left side. what is a possible finding? - correct
answer-S1 spinal radiculopathy
What can you hear with the bell of the stethoscope? - correct answer-low pitched
sounds
S3 and S4
Murmur of mitral stenosis
What can you hear with the diaphragm of the stethoscope? - correct answer-high
pitched sounds
S1 and S2
Murmurs of aortic and mitral regurgitation
A patient presents to your office with complaints of fatigue and exertion related
shortness of breath. As part of your initial assessment, you perform a
,cardiac/upper extremity arterial evaluation, which reveals bilateral carotid bruits.
Bruits are most likely revealed via cardiac and/or arterial __________________
(Bates, p.353)
a. Inspection
b. Auscultation
c. Percussion
d. Palpation
e. All of the above - correct answer-Auscultation
A new patient presents to your office with complaints of headaches and
dysphagia. You inspect the patient's oropharynx and ask her to say "ah," upon
which the uvula deviates slightly to the left. This patient is most likely suffering
from __________ (Bates, p.236)
a. Left sided glossopharyngeal nerve paralysis
b. Rightsided glossopharyngeal nerve paralysis
c. Leftsided vagus nerve paralysis
d. Rightsided vagus nerve paralysis
e. None of the above - correct answer-d. Right sided vagus nerve paralysis
A patient presents to your office with complaints of headaches and occasional
double vision. Upon cardinal field evaluation, you observe loss of conjugation and
marked strabismus in the patient's left eye when asked to follow your finger to his
immediate left compared to his right (your finger has not significantly moved in
the superior or inferior directions). Of the following, the most likely diagnosis
would be ___________(Bates, p.211)
, a. Left sided trochlear nerve lesion
b. Rightsided trochlear nerve lesion
c. Leftsided oculomotor nerve lesion
d. Rightsided oculomotor nerve lesion
e. None of the above - correct answer-e. None of the above
Which of the following conditions may be indicated by an absent red reflex upon
ophthalmoscopic/ fundoscopic examination (Bates, p.219)?
a. Macular degeneration
b. Chronic openended glaucoma
c. Opacity of the lens(cataracts)
d. Endstage type II diabetes mellitus
e. Tertiary neurosyphilis - correct answer-c. Opacity of the lens(cataracts)
An established patient—a junior associate in a nationallyrecognized Beverly Hills
law firm—presents to your office for treatment of chronic headaches and
recommendations for stress management. General inspection reveals nervous,
slightly irritable affect; eye inspection reveals exophthalmos. Vitals reveal
increased bilateral pulse pressure and increased systemic pulse intensity; thyroid
palpation reveals soft, enlarged left and right lobes with perspiration. Given these
examination findings, the patient's most likely differential diagnosis would be
_________ (Bates, p.242, 281)
a. Hashimoto's thyroiditis
b. Graves disease
Study Guide & Revision Notes
If tapping on a patients face bilaterally and both obicularis oculi contract it can be
indicative of - correct answer-Chovstek's sign
If tapping on a patients face bilaterally and one obicularis oculi contracts it can be
indicative of - correct answer-facial nerve damage
If you run the end of your reflex hammer on the glutei max to test its sensitivity
and there is no reaction on the left side. what is a possible finding? - correct
answer-S1 spinal radiculopathy
What can you hear with the bell of the stethoscope? - correct answer-low pitched
sounds
S3 and S4
Murmur of mitral stenosis
What can you hear with the diaphragm of the stethoscope? - correct answer-high
pitched sounds
S1 and S2
Murmurs of aortic and mitral regurgitation
A patient presents to your office with complaints of fatigue and exertion related
shortness of breath. As part of your initial assessment, you perform a
,cardiac/upper extremity arterial evaluation, which reveals bilateral carotid bruits.
Bruits are most likely revealed via cardiac and/or arterial __________________
(Bates, p.353)
a. Inspection
b. Auscultation
c. Percussion
d. Palpation
e. All of the above - correct answer-Auscultation
A new patient presents to your office with complaints of headaches and
dysphagia. You inspect the patient's oropharynx and ask her to say "ah," upon
which the uvula deviates slightly to the left. This patient is most likely suffering
from __________ (Bates, p.236)
a. Left sided glossopharyngeal nerve paralysis
b. Rightsided glossopharyngeal nerve paralysis
c. Leftsided vagus nerve paralysis
d. Rightsided vagus nerve paralysis
e. None of the above - correct answer-d. Right sided vagus nerve paralysis
A patient presents to your office with complaints of headaches and occasional
double vision. Upon cardinal field evaluation, you observe loss of conjugation and
marked strabismus in the patient's left eye when asked to follow your finger to his
immediate left compared to his right (your finger has not significantly moved in
the superior or inferior directions). Of the following, the most likely diagnosis
would be ___________(Bates, p.211)
, a. Left sided trochlear nerve lesion
b. Rightsided trochlear nerve lesion
c. Leftsided oculomotor nerve lesion
d. Rightsided oculomotor nerve lesion
e. None of the above - correct answer-e. None of the above
Which of the following conditions may be indicated by an absent red reflex upon
ophthalmoscopic/ fundoscopic examination (Bates, p.219)?
a. Macular degeneration
b. Chronic openended glaucoma
c. Opacity of the lens(cataracts)
d. Endstage type II diabetes mellitus
e. Tertiary neurosyphilis - correct answer-c. Opacity of the lens(cataracts)
An established patient—a junior associate in a nationallyrecognized Beverly Hills
law firm—presents to your office for treatment of chronic headaches and
recommendations for stress management. General inspection reveals nervous,
slightly irritable affect; eye inspection reveals exophthalmos. Vitals reveal
increased bilateral pulse pressure and increased systemic pulse intensity; thyroid
palpation reveals soft, enlarged left and right lobes with perspiration. Given these
examination findings, the patient's most likely differential diagnosis would be
_________ (Bates, p.242, 281)
a. Hashimoto's thyroiditis
b. Graves disease
