APEA 3P Predictor
Physical Assessment
Final Test Review (Qns & Ans)
2025
1. Multiple Choice:
- Question: Which of the following findings is most indicative
of congestive heart failure during a physical assessment?
a) Wheezing
b) Bilateral lower extremity edema
c) Dullness to percussion in the lung bases
d) Hyperresonance to percussion in the lung apices
- ANS : b) Bilateral lower extremity edema
- Rationale: Bilateral lower extremity edema is a common
finding in congestive heart failure due to fluid accumulation
resulting from impaired cardiac function.
©2025
,2. Fill-in-the-Blank:
- Question: The presence of ___________ on auscultation is
often associated with pleural effusion.
- ANS : decreased breath sounds
- Rationale: Pleural effusion results in fluid accumulation in
the pleural space, which dampens breath sounds on auscultation.
3. True/False:
- Question: A positive Murphy's sign is indicative of acute
cholecystitis.
- ANS : True
- Rationale: Murphy's sign is elicited by palpation of the right
upper quadrant during inspiration, causing pain in cases of acute
cholecystitis.
4. Multiple Response:
- Question: Select all that apply: Which of the following are
common findings in patients with chronic obstructive pulmonary
disease (COPD)?
a) Barrel chest
b) Decreased breath sounds
c) Clubbing of the fingers
©2025
, d) Increased anteroposterior diameter
- ANS: a) Barrel chest, b) Decreased breath sounds, d) Increased
anteroposterior diameter
- Rationale: COPD is characterized by hyperinflation of the
lungs, leading to barrel chest, decreased breath sounds, and
increased anteroposterior diameter. Clubbing is not typically
associated with COPD.
5. Multiple Choice:
- Question: Which of the following physical examination
findings is most suggestive of peritonitis?
a) Rebound tenderness
b) Absent bowel sounds
c) Tympany to percussion
d) Voluntary guarding
- ANS : a) Rebound tenderness
- Rationale: Rebound tenderness, or pain upon release of
pressure on the abdomen, is a classic sign of peritoneal
inflammation, indicating peritonitis.
6. Fill-in-the-Blank:
- Question: ___________ is the medical term used to describe
bluish discoloration of the skin and mucous membranes due to
low oxygen saturation.
©2025
, - ANS : Cyanosis
- Rationale: Cyanosis occurs when there is insufficient oxygen
in the blood, leading to a bluish tint to the skin and mucous
membranes.
7. True/False:
- Question: The presence of a bruit over the carotid artery
suggests turbulent blood flow due to atherosclerosis.
- ANS : True
- Rationale: A bruit is an abnormal sound heard over an artery,
indicating turbulent blood flow often caused by atherosclerotic
narrowing.
8. Multiple Response:
- Question: Select all that apply: Which of the following are
signs of right-sided heart failure?
a) Jugular venous distension
b) Hepatomegaly
c) Orthopnea
d) Ascites
- ANS: a) Jugular venous distension, b) Hepatomegaly, d)
Ascites
©2025
Physical Assessment
Final Test Review (Qns & Ans)
2025
1. Multiple Choice:
- Question: Which of the following findings is most indicative
of congestive heart failure during a physical assessment?
a) Wheezing
b) Bilateral lower extremity edema
c) Dullness to percussion in the lung bases
d) Hyperresonance to percussion in the lung apices
- ANS : b) Bilateral lower extremity edema
- Rationale: Bilateral lower extremity edema is a common
finding in congestive heart failure due to fluid accumulation
resulting from impaired cardiac function.
©2025
,2. Fill-in-the-Blank:
- Question: The presence of ___________ on auscultation is
often associated with pleural effusion.
- ANS : decreased breath sounds
- Rationale: Pleural effusion results in fluid accumulation in
the pleural space, which dampens breath sounds on auscultation.
3. True/False:
- Question: A positive Murphy's sign is indicative of acute
cholecystitis.
- ANS : True
- Rationale: Murphy's sign is elicited by palpation of the right
upper quadrant during inspiration, causing pain in cases of acute
cholecystitis.
4. Multiple Response:
- Question: Select all that apply: Which of the following are
common findings in patients with chronic obstructive pulmonary
disease (COPD)?
a) Barrel chest
b) Decreased breath sounds
c) Clubbing of the fingers
©2025
, d) Increased anteroposterior diameter
- ANS: a) Barrel chest, b) Decreased breath sounds, d) Increased
anteroposterior diameter
- Rationale: COPD is characterized by hyperinflation of the
lungs, leading to barrel chest, decreased breath sounds, and
increased anteroposterior diameter. Clubbing is not typically
associated with COPD.
5. Multiple Choice:
- Question: Which of the following physical examination
findings is most suggestive of peritonitis?
a) Rebound tenderness
b) Absent bowel sounds
c) Tympany to percussion
d) Voluntary guarding
- ANS : a) Rebound tenderness
- Rationale: Rebound tenderness, or pain upon release of
pressure on the abdomen, is a classic sign of peritoneal
inflammation, indicating peritonitis.
6. Fill-in-the-Blank:
- Question: ___________ is the medical term used to describe
bluish discoloration of the skin and mucous membranes due to
low oxygen saturation.
©2025
, - ANS : Cyanosis
- Rationale: Cyanosis occurs when there is insufficient oxygen
in the blood, leading to a bluish tint to the skin and mucous
membranes.
7. True/False:
- Question: The presence of a bruit over the carotid artery
suggests turbulent blood flow due to atherosclerosis.
- ANS : True
- Rationale: A bruit is an abnormal sound heard over an artery,
indicating turbulent blood flow often caused by atherosclerotic
narrowing.
8. Multiple Response:
- Question: Select all that apply: Which of the following are
signs of right-sided heart failure?
a) Jugular venous distension
b) Hepatomegaly
c) Orthopnea
d) Ascites
- ANS: a) Jugular venous distension, b) Hepatomegaly, d)
Ascites
©2025
