ADVANCED PHYSICAL ASSESSMENT - MIDTERM JULY 2025- -
FOCUSED REVIEW QUESTIONS WITH ANSWERS RATED A+
When assessing for nystagmus, where does the NP instruct the client to
fix their gaze?
On an object located in the distance
Signs & Symptoms of Temporomandibular Joint Disorder (TMJ)
-unilateral pain
-facial swelling
-swelling of TMJ
-clicking sensation when opening mouth widely
-crepitus w/movement of condyle as pt slowly opens & closes jaw.
Hippus
spasm of the pupil
The "aortic area" is located in the...
Second intercostal space, immediately to the right of the sternum
Weber Test
Test done by placing the stem of a vibrating tuning fork on the midline
of the head and having the patient indicate in which ear the tone can be
heard.
What is the Weber Test used for?
test for sensorineural hearing loss - it distinguishes between conductive
and sensorineural hearing loss
What is the Rhines Test used for?
,primarily for evaluating loss of hearing in one ear (unilateral hearing
loss). It compares perception of sounds transmitted by air conduction to
those transmitted by bone conduction through the mastoid.
Rhine's Test
tuning fork is placed on mastoid bone then next to ear
Common eye diseases
glaucoma
cataracts
retinal detachment
age related macular degeneration
diabetic retinopathy
Rhinorrhea
Clear nasal discharge, "runny nose"
The third heart sound S3 is caused by...
deceleration of blood against the ventricular wall
Jugular Venous Pressure (JVP) (rounded off to the nearest cm)
the vertical distance in centimeters above the sternal angle where your
card crossed the ruler
Venous pressure elevated above normal when...
- measures 3-4 cm above the sternal angle with the head of bed
elevated to 30 degrees
OR
- 7-8cm total distance above the right atrium
, What would the JVP be with a hypovolemic patient?
Give examples of hypovolemic patients.
decreased
GI bleed, marked dehydration
What would the JVP be with a hypervolemic patient?
Give examples of hypervolemic patients.
elevated
CHF, renal failure
The bell of the stethoscope is used to auscultate what heart sounds?
low-pitched sounds
S3 and S4
Murmur of Mitral Stenosis
The diaphragm of the stethoscope is used to auscultate what heart
sounds?
high-pitched sounds
S1 and S2
Murmurs of aortic and mitral regurgitation
Pericardial friction rubs
exertional claudication
muscle pain relieved by rest
Partnering
An interview technique that builds rapport with patients, express your
commitment to an ongoing relationship
Basic Interviewing Techniques
FOCUSED REVIEW QUESTIONS WITH ANSWERS RATED A+
When assessing for nystagmus, where does the NP instruct the client to
fix their gaze?
On an object located in the distance
Signs & Symptoms of Temporomandibular Joint Disorder (TMJ)
-unilateral pain
-facial swelling
-swelling of TMJ
-clicking sensation when opening mouth widely
-crepitus w/movement of condyle as pt slowly opens & closes jaw.
Hippus
spasm of the pupil
The "aortic area" is located in the...
Second intercostal space, immediately to the right of the sternum
Weber Test
Test done by placing the stem of a vibrating tuning fork on the midline
of the head and having the patient indicate in which ear the tone can be
heard.
What is the Weber Test used for?
test for sensorineural hearing loss - it distinguishes between conductive
and sensorineural hearing loss
What is the Rhines Test used for?
,primarily for evaluating loss of hearing in one ear (unilateral hearing
loss). It compares perception of sounds transmitted by air conduction to
those transmitted by bone conduction through the mastoid.
Rhine's Test
tuning fork is placed on mastoid bone then next to ear
Common eye diseases
glaucoma
cataracts
retinal detachment
age related macular degeneration
diabetic retinopathy
Rhinorrhea
Clear nasal discharge, "runny nose"
The third heart sound S3 is caused by...
deceleration of blood against the ventricular wall
Jugular Venous Pressure (JVP) (rounded off to the nearest cm)
the vertical distance in centimeters above the sternal angle where your
card crossed the ruler
Venous pressure elevated above normal when...
- measures 3-4 cm above the sternal angle with the head of bed
elevated to 30 degrees
OR
- 7-8cm total distance above the right atrium
, What would the JVP be with a hypovolemic patient?
Give examples of hypovolemic patients.
decreased
GI bleed, marked dehydration
What would the JVP be with a hypervolemic patient?
Give examples of hypervolemic patients.
elevated
CHF, renal failure
The bell of the stethoscope is used to auscultate what heart sounds?
low-pitched sounds
S3 and S4
Murmur of Mitral Stenosis
The diaphragm of the stethoscope is used to auscultate what heart
sounds?
high-pitched sounds
S1 and S2
Murmurs of aortic and mitral regurgitation
Pericardial friction rubs
exertional claudication
muscle pain relieved by rest
Partnering
An interview technique that builds rapport with patients, express your
commitment to an ongoing relationship
Basic Interviewing Techniques
