ADVANCED HEALTH ASSESSMENT FINAL EXAM
NEW VERSION WITH ALL QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS | WELL GRADED A+
Respiratory Percussion - CORRECT ANSWERS-Resonance is normal
Hyperresonance: emphysema
Dull: Abnormal density (mass, consolidation)
Normal Breath Sounds - CORRECT ANSWERS-Bronchial: at tracheal level, Inspiration
< Expiration
Bronchovesicular: Major Bronchi, Inspiration = Expiration
Vesicular: Peripheral Lung Fields, Inspiration>Expiration
Discontinuous Lung Sounds - CORRECT ANSWERS-Rales, Crackles; PNA, fibrosis,
early HF, bronchitis
Fine Crackles: soft, high-pitched, brief
Coarse Crackles: Louder, lower pitched, longer
Continuous Lung Sounds - CORRECT ANSWERS-Wheezes- Narrowed airways, high-
pitched (COPD, asthma)
Rhonchi- Secretions in large airways, low-pitched, snore-like
Bronchophony - CORRECT ANSWERS-"99" normal is muffled
Pectoriloquy - CORRECT ANSWERS-"1,2,3" normal is indistinct
Egophony - CORRECT ANSWERS-If "eel" sounds like "aa" this is abnormal
Tactile fremitus - CORRECT ANSWERS-"99" with palms of hands on back; increased
w/consolidation (PNA), decreased w/obstruction (emphysema, pneumothorax)
Symmetric Expansion - CORRECT ANSWERS-Both hands placed w/thumbs at T9-10
level, deep breath
AP Diameter - CORRECT ANSWERS-Normal is 1:2, COPD developes 1:1 (Barrel
Chest)
Respiratory Changes d/t Aging - CORRECT ANSWERS-Less mobile thorax, resp.
muscle strength declines, Decreased elasticity of lungs, More rigid lung structure
(harder to inflate)
Cranial Bones - CORRECT ANSWERS-Frontal, parietal, temporal, occipital
, Sinuses - CORRECT ANSWERS-Can only palpate frontal, maxillary (others include
ethmoid, sphenoid)
Nose - CORRECT ANSWERS-Turbinates normally pink, pale and boggy w/chronic
rhinitis
TMJ - CORRECT ANSWERS-Place fingers in front of tragus, have pt open/close mouth
and assess for clicking/snapping/crepitus/pain/tenderness over TMJ
O.D. - CORRECT ANSWERS-Right Eye
O.S. - CORRECT ANSWERS-Left Eye
Optic Disc - CORRECT ANSWERS-Creamy yellow orange-pink, round/oval,
distinct/sharply demarcated margins, cup to disc ration compares diameter of cup
portion to total diameter of optic disc
Retinal Vessels - CORRECT ANSWERS-Arteries brighter than veins, arteries 2:3
(artery: vein width)
Macula - CORRECT ANSWERS-Small yellow central portion of retina; Fovea centralis
located @center, ~5.5cm in diameter
20/20 Vision - CORRECT ANSWERS-Pt sees at 20ft what a normal person sees at 20
feet
Eye Changes in Aging - CORRECT ANSWERS-Lacrimal glands involute, pupil size
decreases, cataract formation, IOP (glaucoma), macular degeneration (loss of central)
Lymph Nodes - CORRECT ANSWERS-Pre and post-auricular, Submandibular, tonsilar,
submental, anterior cervical, deep cervical, posterior cervical, supraclavicular,
infraclavicular, occipital, epitrochlear
-Axillary for breast exam
Ear - CORRECT ANSWERS-Inspect (adults) pull up and back; inspect (pedi), pull down
and back
TM should be pearly gray w/cone of light, no perforations/bulging
Pars Flaccida - CORRECT ANSWERS-Upper part of TM small and slack
Macule - CORRECT ANSWERS-Primary lesion; color change, flat, <1.5cm
Eg: freckles, petechiae, purpura
Papule - CORRECT ANSWERS-Primary lesion; raised, solid, <1cm
Eg: nevus, wart
Patch - CORRECT ANSWERS-Primary Lesion; flat, >1.5cm
NEW VERSION WITH ALL QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS | WELL GRADED A+
Respiratory Percussion - CORRECT ANSWERS-Resonance is normal
Hyperresonance: emphysema
Dull: Abnormal density (mass, consolidation)
Normal Breath Sounds - CORRECT ANSWERS-Bronchial: at tracheal level, Inspiration
< Expiration
Bronchovesicular: Major Bronchi, Inspiration = Expiration
Vesicular: Peripheral Lung Fields, Inspiration>Expiration
Discontinuous Lung Sounds - CORRECT ANSWERS-Rales, Crackles; PNA, fibrosis,
early HF, bronchitis
Fine Crackles: soft, high-pitched, brief
Coarse Crackles: Louder, lower pitched, longer
Continuous Lung Sounds - CORRECT ANSWERS-Wheezes- Narrowed airways, high-
pitched (COPD, asthma)
Rhonchi- Secretions in large airways, low-pitched, snore-like
Bronchophony - CORRECT ANSWERS-"99" normal is muffled
Pectoriloquy - CORRECT ANSWERS-"1,2,3" normal is indistinct
Egophony - CORRECT ANSWERS-If "eel" sounds like "aa" this is abnormal
Tactile fremitus - CORRECT ANSWERS-"99" with palms of hands on back; increased
w/consolidation (PNA), decreased w/obstruction (emphysema, pneumothorax)
Symmetric Expansion - CORRECT ANSWERS-Both hands placed w/thumbs at T9-10
level, deep breath
AP Diameter - CORRECT ANSWERS-Normal is 1:2, COPD developes 1:1 (Barrel
Chest)
Respiratory Changes d/t Aging - CORRECT ANSWERS-Less mobile thorax, resp.
muscle strength declines, Decreased elasticity of lungs, More rigid lung structure
(harder to inflate)
Cranial Bones - CORRECT ANSWERS-Frontal, parietal, temporal, occipital
, Sinuses - CORRECT ANSWERS-Can only palpate frontal, maxillary (others include
ethmoid, sphenoid)
Nose - CORRECT ANSWERS-Turbinates normally pink, pale and boggy w/chronic
rhinitis
TMJ - CORRECT ANSWERS-Place fingers in front of tragus, have pt open/close mouth
and assess for clicking/snapping/crepitus/pain/tenderness over TMJ
O.D. - CORRECT ANSWERS-Right Eye
O.S. - CORRECT ANSWERS-Left Eye
Optic Disc - CORRECT ANSWERS-Creamy yellow orange-pink, round/oval,
distinct/sharply demarcated margins, cup to disc ration compares diameter of cup
portion to total diameter of optic disc
Retinal Vessels - CORRECT ANSWERS-Arteries brighter than veins, arteries 2:3
(artery: vein width)
Macula - CORRECT ANSWERS-Small yellow central portion of retina; Fovea centralis
located @center, ~5.5cm in diameter
20/20 Vision - CORRECT ANSWERS-Pt sees at 20ft what a normal person sees at 20
feet
Eye Changes in Aging - CORRECT ANSWERS-Lacrimal glands involute, pupil size
decreases, cataract formation, IOP (glaucoma), macular degeneration (loss of central)
Lymph Nodes - CORRECT ANSWERS-Pre and post-auricular, Submandibular, tonsilar,
submental, anterior cervical, deep cervical, posterior cervical, supraclavicular,
infraclavicular, occipital, epitrochlear
-Axillary for breast exam
Ear - CORRECT ANSWERS-Inspect (adults) pull up and back; inspect (pedi), pull down
and back
TM should be pearly gray w/cone of light, no perforations/bulging
Pars Flaccida - CORRECT ANSWERS-Upper part of TM small and slack
Macule - CORRECT ANSWERS-Primary lesion; color change, flat, <1.5cm
Eg: freckles, petechiae, purpura
Papule - CORRECT ANSWERS-Primary lesion; raised, solid, <1cm
Eg: nevus, wart
Patch - CORRECT ANSWERS-Primary Lesion; flat, >1.5cm
