©THEBRIGHT EXAM STUDY SOLUTIONS 8/22/2024 12:54 PM
Bates Guide to Physical Examination Ch 4
Exam Questions With Correct Answers
Weakness, especially if localized in a neuroanatomical pattern suggests _________. -
answer✔✔neuropathy or myopathy
Recurrent shaking chills suggest ________. - answer✔✔extreme swings in temperature and
systemic bacteremia
What does rapid change of weight in a few days suggest? - answer✔✔change in body fluids;
NOT tissues
Edema from extravascular fluid retention is visible in conditions like: - answer✔✔heart failure,
nephrotic syndrome and liver failure
Weight loss with a high food intake suggests what? - answer✔✔DM, hyperthyroidism,
malabsorption or bulimia
What should you consider when evaluating cardiac or respiratory distress? - answer✔✔clutching
of the chest, pallor, diaphoresis, labored breathing, wheezing, coughing
What would be visual indicators of pain? - answer✔✔wincing, sweating, protectiveness of
painful area, facial grimacing, unusual posture
What would be visual indicators of anxiety or depression? - answer✔✔anxious facial
expressions, fidgety, cold/moist palms, flat affect, poor eye contact, psychomotor slowing
What should the skin be evaluated for? - answer✔✔pallor, cyanosis, jaundice, rashes, bruises
What may excess clothing reflect? - answer✔✔cold intolerance (hypothyroidism), skin rashes,
needle marks, anorexia
Cut out holes in shoes or slippers may indicate what? - answer✔✔gout, bunions, edema or other
painful foot conditions
What are copper bracelets sometimes worn for? - answer✔✔arthritis
Chewed fingernails may reflect _______. - answer✔✔Stress
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/22/2024 12:54 PM
Unkempt appearance often seen in what? - answer✔✔depression and dementia; the patient's
appearance must be compared with their probable norm
Hyperthyroid facial expression: - answer✔✔stare
Parkinsonism facial expression: - answer✔✔immobile face
Depression facial expression: - answer✔✔flat/sad affect, decreased eye contact
Breath odors can indicate the presence of what? - answer✔✔alcohol, diabetes, pulmonary
infections, uremia or liver failure
Left sided heart failure patients prefer to sit in which way? - answer✔✔Upright
COPD patients prefer to sit in which way? - answer✔✔Leaning forward with arms braced
Short stature is associated with: - answer✔✔Turner's syndrome, childhood renal failure,
achondroplastic and hypopituitary dwarfism
Long arms in proportion to the trunk is associated with: - answer✔✔hypogonadism and Marfan's
syndrome
Height loss may indicate what? - answer✔✔Osteoporosis and vertebral compression fractures
Truncal fat is common in which conditions? - answer✔✔Cushing's syndrome and metabolic
syndrome
If the BP cuff is too small/narrow what will the BP read? - answer✔✔High
If the BP cuff is too large/wide, what will the BP read? - answer✔✔low on a small arm and high
on a large arm
If the brachial artery is 7 to 8 cm below heart level what will the BP read? - answer✔✔6 cm
higher
If the brachial artery is 6 to 7 cm higher, what will the BP read? - answer✔✔5 cm lower
What problems with the BP cuff will cause a falsely high reading? - answer✔✔a loose cuff or
bladder that balloons outside the cuff
What is the ausculatory gap? - answer✔✔silent interval between systolic and diastolic pressures;
associated with arterial stiffness and atherosclerotic disease
At what rate should the cuff be deflated? - answer✔✔2 to 3 mmHg per second
Venous congestion caused by slow or repetitive inflations of the cuff may cause what? -
answer✔✔Less audible korotkoff sounds; then leads to artificially low systolic and diastolic
pressures
Bates Guide to Physical Examination Ch 4
Exam Questions With Correct Answers
Weakness, especially if localized in a neuroanatomical pattern suggests _________. -
answer✔✔neuropathy or myopathy
Recurrent shaking chills suggest ________. - answer✔✔extreme swings in temperature and
systemic bacteremia
What does rapid change of weight in a few days suggest? - answer✔✔change in body fluids;
NOT tissues
Edema from extravascular fluid retention is visible in conditions like: - answer✔✔heart failure,
nephrotic syndrome and liver failure
Weight loss with a high food intake suggests what? - answer✔✔DM, hyperthyroidism,
malabsorption or bulimia
What should you consider when evaluating cardiac or respiratory distress? - answer✔✔clutching
of the chest, pallor, diaphoresis, labored breathing, wheezing, coughing
What would be visual indicators of pain? - answer✔✔wincing, sweating, protectiveness of
painful area, facial grimacing, unusual posture
What would be visual indicators of anxiety or depression? - answer✔✔anxious facial
expressions, fidgety, cold/moist palms, flat affect, poor eye contact, psychomotor slowing
What should the skin be evaluated for? - answer✔✔pallor, cyanosis, jaundice, rashes, bruises
What may excess clothing reflect? - answer✔✔cold intolerance (hypothyroidism), skin rashes,
needle marks, anorexia
Cut out holes in shoes or slippers may indicate what? - answer✔✔gout, bunions, edema or other
painful foot conditions
What are copper bracelets sometimes worn for? - answer✔✔arthritis
Chewed fingernails may reflect _______. - answer✔✔Stress
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/22/2024 12:54 PM
Unkempt appearance often seen in what? - answer✔✔depression and dementia; the patient's
appearance must be compared with their probable norm
Hyperthyroid facial expression: - answer✔✔stare
Parkinsonism facial expression: - answer✔✔immobile face
Depression facial expression: - answer✔✔flat/sad affect, decreased eye contact
Breath odors can indicate the presence of what? - answer✔✔alcohol, diabetes, pulmonary
infections, uremia or liver failure
Left sided heart failure patients prefer to sit in which way? - answer✔✔Upright
COPD patients prefer to sit in which way? - answer✔✔Leaning forward with arms braced
Short stature is associated with: - answer✔✔Turner's syndrome, childhood renal failure,
achondroplastic and hypopituitary dwarfism
Long arms in proportion to the trunk is associated with: - answer✔✔hypogonadism and Marfan's
syndrome
Height loss may indicate what? - answer✔✔Osteoporosis and vertebral compression fractures
Truncal fat is common in which conditions? - answer✔✔Cushing's syndrome and metabolic
syndrome
If the BP cuff is too small/narrow what will the BP read? - answer✔✔High
If the BP cuff is too large/wide, what will the BP read? - answer✔✔low on a small arm and high
on a large arm
If the brachial artery is 7 to 8 cm below heart level what will the BP read? - answer✔✔6 cm
higher
If the brachial artery is 6 to 7 cm higher, what will the BP read? - answer✔✔5 cm lower
What problems with the BP cuff will cause a falsely high reading? - answer✔✔a loose cuff or
bladder that balloons outside the cuff
What is the ausculatory gap? - answer✔✔silent interval between systolic and diastolic pressures;
associated with arterial stiffness and atherosclerotic disease
At what rate should the cuff be deflated? - answer✔✔2 to 3 mmHg per second
Venous congestion caused by slow or repetitive inflations of the cuff may cause what? -
answer✔✔Less audible korotkoff sounds; then leads to artificially low systolic and diastolic
pressures
