CLAS Exam 3, CLAS Exam 3 Seidel's Ch. 14-16, Ch. 9
Questions With Complete Solutions
1. As the chest of a newborn is examined, bowel sounds are
auscultated in the chest. Which of the following best describes
the significance of this finding?
a. A normal finding in newborns
b. An abnormal but benign finding in children until 2 years of
age
c. Abnormal and possibly indicating an enlarged liver
d. Abnormal and possibly indicating a diaphragmatic hernia
Correct Answer d. Abnormal and possibly indicating a
diaphragmatic hernia
1. Dextrocardia is a condition characterized by which of the
following?
a. The right side of the heart is enlarged.
b. The heart is positioned to the right of the stomach.
c. The heart is positioned to the right, either rotated or displaced.
d. Blood glucose level in the heart is higher than in other organs.
Correct Answer c. The heart is positioned to the right, either
rotated or displaced.
1. Milia are an expected finding in which age group?
a. Newborns
b. Young children
c. Adolescents
d. Older adults Correct Answer a. Newborns
1. The carotid artery is considered the most suitable artery for
evaluation of cardiac function because it
,a. is the largest artery in the peripheral vascular system.
b. is the most pliable artery in the peripheral vascular system.
c. is the most accessible artery close to the heart.
d. has the thickest layer of smooth muscle within the vessel
walls. Correct Answer c. is the most accessible artery close to
the heart.
10. How does rotating the patient's head to the side being
examined facilitate palpation of the carotid pulse?
a. It "fixes" the artery in place.
b. It increases the pulse amplitude.
c. It brings the artery closer to the skin surface.
d. It relaxes the sternocleidomastoid muscle. Correct Answer d.
It relaxes the sternocleidomastoid muscle.
10. Which of the following findings may indicate a pulmonary
infection?
a. Malodorous breath
b. Protrusion of the clavicle
c. Clubbing of the nail beds
d. Kussmaul respirations Correct Answer a. Malodorous breath
10. Which of the following may be easily mistaken for cardiac-
generated sounds?
a. Bowel sounds
b. Pulmonary insufficiency
c. Pericardial friction rub
d. Tracheal shifting Correct Answer c. Pericardial friction rub
10. Which type of lesion sometimes grows out of an already-
present nevus?
,a. Malignant melanoma
b. Squamous cell carcinoma
c. Basal cell carcinoma
d. Kaposi sarcoma Correct Answer a. Malignant melanoma
11. A skin lesion is described as sessile by the examiner. This
means that the lesion
a. does not have a stalk.
b. is freely moveable.
c. bleeds easily.
d. has a spongy consistency. Correct Answer a. does not have a
stalk.
11. Cardiac tamponade is
a. caused by myocardial infarct and requires immediate
intervention.
b. indicated by jugular venous distention, hypertension, and
exaggerated heart sounds.
c. the result of excessive accumulation of fluid between the
pericardium and the heart.
d. characterized by excessive cardiac relaxation, increased blood
pressure, and bounding pulse. Correct Answer c. the result of
excessive accumulation of fluid between the pericardium and the
heart.
11. Hepatojugular reflux can be used to evaluate
a. right-sided heart failure.
b. degree of aortic stenosis.
c. incompetence of venous valves.
d. arterial insufficiency. Correct Answer a. right-sided heart
failure.
, 11. Which finding is considered unusual for a newborn?
a. Sneezing
b. Coughing
c. Silent hiccupping
d. Nose breathing Correct Answer b. Coughing
12. During cardiac auscultation, the examiner notes a
midsystolic murmur with a medium pitch; a coarse thrill is
palpated as well. These findings are consistent with which
condition?
a. Aortic stenosis
b. Aortic regurgitation
c. Pulmonic stenosis
d. Mitral stenosis Correct Answer a. Aortic stenosis
12. In an older adult, which finding can occur in the absence of
disease as a result of age-related changes of the chest or lungs?
a. Barrel chest
b. Productive cough
c. Increased vital capacity
d. Pulmonary infiltrate Correct Answer a. Barrel chest
12. In determining the jugular venous pressure, the examiner
would correctly do which of the following?
a. Apply manual pressure on the carotid artery while the
patient forcefully exhales.
b. Examine neck veins while occluding the brachial artery with
the blood pressure cuff.
c. Use light to supply tangential illumination across the neck.
Questions With Complete Solutions
1. As the chest of a newborn is examined, bowel sounds are
auscultated in the chest. Which of the following best describes
the significance of this finding?
a. A normal finding in newborns
b. An abnormal but benign finding in children until 2 years of
age
c. Abnormal and possibly indicating an enlarged liver
d. Abnormal and possibly indicating a diaphragmatic hernia
Correct Answer d. Abnormal and possibly indicating a
diaphragmatic hernia
1. Dextrocardia is a condition characterized by which of the
following?
a. The right side of the heart is enlarged.
b. The heart is positioned to the right of the stomach.
c. The heart is positioned to the right, either rotated or displaced.
d. Blood glucose level in the heart is higher than in other organs.
Correct Answer c. The heart is positioned to the right, either
rotated or displaced.
1. Milia are an expected finding in which age group?
a. Newborns
b. Young children
c. Adolescents
d. Older adults Correct Answer a. Newborns
1. The carotid artery is considered the most suitable artery for
evaluation of cardiac function because it
,a. is the largest artery in the peripheral vascular system.
b. is the most pliable artery in the peripheral vascular system.
c. is the most accessible artery close to the heart.
d. has the thickest layer of smooth muscle within the vessel
walls. Correct Answer c. is the most accessible artery close to
the heart.
10. How does rotating the patient's head to the side being
examined facilitate palpation of the carotid pulse?
a. It "fixes" the artery in place.
b. It increases the pulse amplitude.
c. It brings the artery closer to the skin surface.
d. It relaxes the sternocleidomastoid muscle. Correct Answer d.
It relaxes the sternocleidomastoid muscle.
10. Which of the following findings may indicate a pulmonary
infection?
a. Malodorous breath
b. Protrusion of the clavicle
c. Clubbing of the nail beds
d. Kussmaul respirations Correct Answer a. Malodorous breath
10. Which of the following may be easily mistaken for cardiac-
generated sounds?
a. Bowel sounds
b. Pulmonary insufficiency
c. Pericardial friction rub
d. Tracheal shifting Correct Answer c. Pericardial friction rub
10. Which type of lesion sometimes grows out of an already-
present nevus?
,a. Malignant melanoma
b. Squamous cell carcinoma
c. Basal cell carcinoma
d. Kaposi sarcoma Correct Answer a. Malignant melanoma
11. A skin lesion is described as sessile by the examiner. This
means that the lesion
a. does not have a stalk.
b. is freely moveable.
c. bleeds easily.
d. has a spongy consistency. Correct Answer a. does not have a
stalk.
11. Cardiac tamponade is
a. caused by myocardial infarct and requires immediate
intervention.
b. indicated by jugular venous distention, hypertension, and
exaggerated heart sounds.
c. the result of excessive accumulation of fluid between the
pericardium and the heart.
d. characterized by excessive cardiac relaxation, increased blood
pressure, and bounding pulse. Correct Answer c. the result of
excessive accumulation of fluid between the pericardium and the
heart.
11. Hepatojugular reflux can be used to evaluate
a. right-sided heart failure.
b. degree of aortic stenosis.
c. incompetence of venous valves.
d. arterial insufficiency. Correct Answer a. right-sided heart
failure.
, 11. Which finding is considered unusual for a newborn?
a. Sneezing
b. Coughing
c. Silent hiccupping
d. Nose breathing Correct Answer b. Coughing
12. During cardiac auscultation, the examiner notes a
midsystolic murmur with a medium pitch; a coarse thrill is
palpated as well. These findings are consistent with which
condition?
a. Aortic stenosis
b. Aortic regurgitation
c. Pulmonic stenosis
d. Mitral stenosis Correct Answer a. Aortic stenosis
12. In an older adult, which finding can occur in the absence of
disease as a result of age-related changes of the chest or lungs?
a. Barrel chest
b. Productive cough
c. Increased vital capacity
d. Pulmonary infiltrate Correct Answer a. Barrel chest
12. In determining the jugular venous pressure, the examiner
would correctly do which of the following?
a. Apply manual pressure on the carotid artery while the
patient forcefully exhales.
b. Examine neck veins while occluding the brachial artery with
the blood pressure cuff.
c. Use light to supply tangential illumination across the neck.
