ESTUDYR
WHNP NCC UPDATED EXAM WITH MOST TESTED QUESTIONS AND ANSWERS |
GRADED A+ | ASSURED SUCCESS WITH DETAILED RATIONALES
1. What percussion sound is described as loud, high-pitched, “drum-like,” and normally heard
over air-filled structures?
A. Dull
B. Flat
C. Tympany
D. Resonance
Tympany occurs over stomach and intestines where air predominates.
2. Which percussion note is a loud, low-pitched, hollow sound heard over healthy lung tissue?
A. Dull
B. Flat
C. Resonance
D. Tympany
Resonance indicates normal aerated lung.
3. Which percussion sound is very loud, lower pitch, and heard in abnormally air-filled lungs
(e.g., emphysema)?
A. Dull
B. Hyperresonance
C. Tympany
D. Flat
Hyperresonance suggests increased air (e.g., pneumothorax).
4. A dull percussion note is best heard over:
A. Stomach
B. Liver
C. Normal lung
D. Bone
Dullness indicates a solid organ like liver or consolidation.
5. Flat percussion is characterized by a very soft, high-pitched sound and is normal over:
A. Muscle
B. Lung
C. Abdomen
D. Tympanic area
Flatness occurs over thick muscle or bone.
,ESTUDYR
Body Habitus & Anthropometrics
6. Waist circumference adds little value if BMI ≥:
A. 25
B. 30
C. 40
D. 50
At extreme obesity, BMI alone sufficiently indicates risk.
7. In women, waist circumference > ____ inches signifies increased cardiometabolic risk.
A. 30
B. 35
C. 40
D. 45
Guidelines use 35 inches in women, 40 inches in men.
Vision Assessment
8. The Snellen chart assesses:
A. Near vision
B. Color vision
C. Peripheral vision
D. Distance visual acuity
Patient reads letters at 20 feet to gauge central acuity.
9. Which tool tests near visual acuity?
A. Snellen chart
B. Rosenbaum card
C. Ishihara plates
D. Confrontation test
Rosenbaum uses printed words held ~14 inches away.
10. Loss of near vision (difficulty reading up close) in middle age is called:
A. Myopia
B. Presbyopia
C. Hyperopia
D. Astigmatism
,ESTUDYR
Age-related lens stiffening reduces accommodation.
11. Difficulty seeing distant objects (nearsightedness) is termed:
A. Presbyopia
B. Hyperopia
C. Myopia
D. Astigmatism
Myopia: focal point in front of retina for far objects.
12. The confrontation test is used to estimate:
A. Peripheral visual fields
B. Depth perception
C. Color perception
D. Night vision
Face patient and compare nose-to-hand distance each sees.
Extraocular Movement & Fundoscopy
13. Symmetrical tracking through the six cardinal fields of gaze assesses:
A. Visual acuity
B. Confrontation
C. Extraocular muscle function
D. Fundus exam
Detects palsy of cranial nerves III, IV, and VI.
14. A normal ophthalmoscopic exam includes all EXCEPT:
A. Red reflex present
B. Yellow-pink optic disc with distinct margins
C. Arterioles equal in diameter to veins
D. No AV nicking
Arteries are ~2/3 the diameter of veins, not equal.
Hearing Tests
15. In the Weber test (fork on forehead), a conductive loss is indicated by sound lateralizing to
the:
A. Better ear
B. Affected ear
, ESTUDYR
C. Neither ear
D. Whisper only
Bone conduction bypasses middle ear obstruction.
16. In sensorineural loss on Weber, sound lateralizes to the:
A. Affected ear
B. Neither
C. Better-hearing ear
D. Whisperable ear
Inner ear pathology reduces bone conduction on that side.
17. The Rinne test compares:
A. Air versus bone conduction
B. AC vs. BC = 2:1 normally
C. Rinne vs. Weber
D. Whisper vs. tuning fork
Air conduction should outlast bone conduction by ~2×.
18. Normal Rinne test finding is:
A. BC > AC
B. AC = BC
C. AC > BC (about 2:1)
D. No sound heard
Confirms intact conduction pathways.
19. Conductive hearing loss is due to impairment of sound through:
A. External/middle ear
B. Inner ear only
C. Neural pathways
D. Brain cortex
Otitis media or cerumen impaction reduce AC more.
20. Sensorineural hearing loss arises from:
A. Middle ear fluid
B. Inner ear or nerve damage
C. Tympanic membrane rupture
D. Ear wax
Noise trauma, ototoxic drugs, aging (presbycusis).
WHNP NCC UPDATED EXAM WITH MOST TESTED QUESTIONS AND ANSWERS |
GRADED A+ | ASSURED SUCCESS WITH DETAILED RATIONALES
1. What percussion sound is described as loud, high-pitched, “drum-like,” and normally heard
over air-filled structures?
A. Dull
B. Flat
C. Tympany
D. Resonance
Tympany occurs over stomach and intestines where air predominates.
2. Which percussion note is a loud, low-pitched, hollow sound heard over healthy lung tissue?
A. Dull
B. Flat
C. Resonance
D. Tympany
Resonance indicates normal aerated lung.
3. Which percussion sound is very loud, lower pitch, and heard in abnormally air-filled lungs
(e.g., emphysema)?
A. Dull
B. Hyperresonance
C. Tympany
D. Flat
Hyperresonance suggests increased air (e.g., pneumothorax).
4. A dull percussion note is best heard over:
A. Stomach
B. Liver
C. Normal lung
D. Bone
Dullness indicates a solid organ like liver or consolidation.
5. Flat percussion is characterized by a very soft, high-pitched sound and is normal over:
A. Muscle
B. Lung
C. Abdomen
D. Tympanic area
Flatness occurs over thick muscle or bone.
,ESTUDYR
Body Habitus & Anthropometrics
6. Waist circumference adds little value if BMI ≥:
A. 25
B. 30
C. 40
D. 50
At extreme obesity, BMI alone sufficiently indicates risk.
7. In women, waist circumference > ____ inches signifies increased cardiometabolic risk.
A. 30
B. 35
C. 40
D. 45
Guidelines use 35 inches in women, 40 inches in men.
Vision Assessment
8. The Snellen chart assesses:
A. Near vision
B. Color vision
C. Peripheral vision
D. Distance visual acuity
Patient reads letters at 20 feet to gauge central acuity.
9. Which tool tests near visual acuity?
A. Snellen chart
B. Rosenbaum card
C. Ishihara plates
D. Confrontation test
Rosenbaum uses printed words held ~14 inches away.
10. Loss of near vision (difficulty reading up close) in middle age is called:
A. Myopia
B. Presbyopia
C. Hyperopia
D. Astigmatism
,ESTUDYR
Age-related lens stiffening reduces accommodation.
11. Difficulty seeing distant objects (nearsightedness) is termed:
A. Presbyopia
B. Hyperopia
C. Myopia
D. Astigmatism
Myopia: focal point in front of retina for far objects.
12. The confrontation test is used to estimate:
A. Peripheral visual fields
B. Depth perception
C. Color perception
D. Night vision
Face patient and compare nose-to-hand distance each sees.
Extraocular Movement & Fundoscopy
13. Symmetrical tracking through the six cardinal fields of gaze assesses:
A. Visual acuity
B. Confrontation
C. Extraocular muscle function
D. Fundus exam
Detects palsy of cranial nerves III, IV, and VI.
14. A normal ophthalmoscopic exam includes all EXCEPT:
A. Red reflex present
B. Yellow-pink optic disc with distinct margins
C. Arterioles equal in diameter to veins
D. No AV nicking
Arteries are ~2/3 the diameter of veins, not equal.
Hearing Tests
15. In the Weber test (fork on forehead), a conductive loss is indicated by sound lateralizing to
the:
A. Better ear
B. Affected ear
, ESTUDYR
C. Neither ear
D. Whisper only
Bone conduction bypasses middle ear obstruction.
16. In sensorineural loss on Weber, sound lateralizes to the:
A. Affected ear
B. Neither
C. Better-hearing ear
D. Whisperable ear
Inner ear pathology reduces bone conduction on that side.
17. The Rinne test compares:
A. Air versus bone conduction
B. AC vs. BC = 2:1 normally
C. Rinne vs. Weber
D. Whisper vs. tuning fork
Air conduction should outlast bone conduction by ~2×.
18. Normal Rinne test finding is:
A. BC > AC
B. AC = BC
C. AC > BC (about 2:1)
D. No sound heard
Confirms intact conduction pathways.
19. Conductive hearing loss is due to impairment of sound through:
A. External/middle ear
B. Inner ear only
C. Neural pathways
D. Brain cortex
Otitis media or cerumen impaction reduce AC more.
20. Sensorineural hearing loss arises from:
A. Middle ear fluid
B. Inner ear or nerve damage
C. Tympanic membrane rupture
D. Ear wax
Noise trauma, ototoxic drugs, aging (presbycusis).
