DIAGNOSTIC REASONING 2026 MASTER
STUDY EXAM
◉ Which of the following diagnoses is consistent with obturator
sign?
A. Cholecystitis
B. Appendicitis
C. Diverticulitis
D. IrritableBowelSyndrome. Answer: B
◉ Pain and tenderness to palpation in the LLQ is most likely
consistent with which diagnosis?
A. Cholecystitis
B. Appendicitis
C. Diverticulitis
D. IrritableBowelSyndrome. Answer: C
◉ A patient presents with severe sharp pain in the RUQ after eating
a fatty meal. You would expect
A. A positive Murphy's sign.
B. A positive Cullen's sign.
,C. Absence of bowel sounds.
D. Presence of bloody stool. Answer: A
◉ Lung and Thorax: common symptoms. Answer: -Chest pain
-SOB
-Wheezing
-Cough
-Hemoptysis
◉ Chest pain may arise from:. Answer: -Cardiac
-Vascular
-Gastrointestinal
-Muscoskeletal
-Skin pathology
-Anxiety
◉ Begin assessment with ____. Answer: Broad questions
◉ How should someone determine the severity of dyspnea?.
Answer: -Based on the patient's daily activities
-Example - asking about stairs in home and/or how they do with
stairs
, ◉ Wheezing is _____. Answer: -Musical respiratory sounds that may
be audible to the patient and others
-Whistling sound
◉ Cough. Answer: -Ask whether the cough is dry or produces
sputum, or phlegm
-Ask patient to describe the volume of any sputum and its color,
odor, and consistency
◉ What is the leading cause of preventable death in the US?.
Answer: Smoking
◉ Tactile Fremitus. Answer: -Palpable vibrations
-Use ball or ulnar surface of hand
-Patient speaks "ninety-nine"
◉ Percussion. Answer: Use to side-to-side later pattern to percuss
◉ Auscultation. Answer: -Listen with diaphragm of stethoscope
-Instruct pt breathe with mouth open
-Use same ladder pattern