Questions and Correct Answers 2025-
2026 Updated.
A 42-year-old waitress presents to your office for evaluation of shortness of breath. She has had
a fever as high as 103F and has had a cough productive of green sputum. On physical
examination, you hear crackles in her lungs. A chest radiograph reveals a consolidation in the
lower left lobe. You diagnose her with a lobar pneumonia. When you percuss this patient's left
lower thorax, you would expect the sound to be:
-Dull
-Resonant
-Flat
-Hype resonant - Answer Dull
In a patient with a pneumothorax, what findings would you expect with auscultation of the
thorax on the affected side?
-Wheezes
-Rhonci
-Absent breath sounds
-Resonance - Answer Absent breath sounds
A 19-year-old college student presents to the emergency room for sudden onset of dyspnea.
The general survey reveals that she is 5'2" tall and weighs 135 pounds. She denies fever, chills,
cough, or sore throat. She is a non-smoker. You suspect that she has a pneumothrorax. What
findings would you expect with percussion of the thorax?
-Decreased resonance on the affected side
-Increased resonance (hyper resonance) on the affected side
-Increased resonance on the non-affected side
-Dullness - Answer Increased resonance (hyper resonance) on the affected side
In a healthy adult, the expected distance of descent of the diaphragm is:
-1 to 2 cm
-3 to 5.5 cm
, A 42-year-old waitress presents to your office for evaluation of shortness of breath. She has had
a fever as high as 103F and has had a cough productive of green sputum. On physical
examination, you hear crackles in her lungs. A chest radiograph reveals a consolidation in the
lower left lobe. You diagnose her with a lobar pneumonia. When you perform the test for
egophony on this patient, you would espect to hear:
-"EEEE"
-"AAY"
-ninety-nine
"OOOO" - Answer AAY
A 42-year-old waitress presents to your office for evaluation of shortness of breath. She has had
a fever as high as 103F and has had a cough productive of green sputum. On physical
examination, you hear crackles in her lungs. A chest radiograph reveals a consolidation in the
lower left lobe. You diagnose her with a lobar pneumonia. When you perform tactile fremitius
of the left lower thorax, you would expect fremitius to be: - Answer Increased
A 65-year-old smoker presents for evaluation of dyspnea. He has a 100 pack-year history of
tobacco use. The dyspnea is exacerbated by exertion. He denies fever or chills; he has not had
recent contact with anyone who is sick. You diagnose chronic obstructive pulmonary disease
(COPD). On physical examination of the thorax you would expect to find: - Answer Increased
AP diameter
Upon auscultation in a patient with COPD, you would expect to hear: - Answer Delayed
expiratory phase
To establish absence of bowel sounds, one must continuously listen for:
-30 seconds
-1 minute
-2 minutes
-5 minutes - Answer 2 minutes
A common abdominal wall defect which is usually an inconsequential finding is a/an:
-diastasis recti
-inguinal hernia
-asymmetric distension