ASSESSMENT EXAMINATION TEST 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Comprehensive Health History. Answer: chief complaint, reason for
visit, ROS, past medical and surgical history, social history and family
history
◉ Pediatric Body measurements. Answer: length, height, weight, head
circumference fro birth to 36 months
◉ Normal/Hypertension cut off. Answer: <130 normal 140+
hypertension
◉ Fontanel Closure. Answer: posterior 1-2 months, anterior 9mo-2years
◉ otoscope. Answer: adult-up and back, peds- down and back, using
largest speculum that will fit comforably
◉ tympanic membrane. Answer: Cone of light R-5 l-7
,◉ EOM testing. Answer: CN III, IV, VI
◉ AP diameter of chest. Answer: 1:2 (AP less than transverse)
◉ barrel chest. Answer: COPD
◉ Flat or Dull percussion. Answer: effusion or pneumonia
◉ normal resonant percussion. Answer: healthy lung
◉ Hyperressonance (percussion). Answer: trapped air
◉ crackles/rales. Answer: high pitched, discontinuous
◉ Wheezes. Answer: high-pitched whistling or squeaking sounds during
inspiration or expiration
◉ Rhonchi. Answer: snoring, rumbling sounds heard upon auscultation
of the chest during respiration-low pitched
◉ tactile fremitus. Answer: • INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as
with pneumonia)
, - Remember Liquid or solid transmits vibrations better than air
• DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
◉ Bronchophony. Answer: the spoken voice sound heard through the
stethoscope, which sounds soft, muffled, and indistinct over normal lung
tissue, clearer over disease
◉ Egophony. Answer: abnormal change in tone of voice that is heard
when auscultating the lungs EE-->AA
◉ UE Arteries. Answer: radial-thumb side, ulnar pinky side
◉ Pulse grading. Answer: 0 absent
1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
◉ PMI. Answer: point of maximal impulse mid-clavicular and 5th ICS