2025/2026 QUESTIONS AND ANSWERS
The retinal structures viewed through the ophthalmoscope are: - answer-optic
disc, vessels, macula, background
"Positive consensual light reflex" means... - answer-simultaneous constriction
The thickening and yellowing of the lens due to aging is described as: - answer-
cataract
Eye emergency - answer-sudden change in vision
Visual acuity is assessed with: - answer-Snellen eye chart
The cover test is used to assess for: - answer-muscle weakness
Fever, increased respiratory rate, chest expansion decresed on left side, dull to
percussion over left low lobe, loud breath sounds w crackles on low left lobe -
answer-lobar pneumonia
,angle of nail is less than 160 and spongy, indicates- - answer-congenital heart
disease and COPD
Coarse and low pitched sound heard on inspiration and expiration and
accompanied by pain with breathing. - answer-Pleural friction rub
egophony test - answer-patient says "eeee" when diaphragm moved
Examine for tactile fremitus - answer-palpate chest symmetrically
pulse oximetry measure - answer-arterial oxygen saturation of hemoglobin
pleural friction rub best detected by - answer-auscultation
A barrel-shaped chest is characterized by: - answer-equal anteroposterior
transverse diameter and ribs being horizontal
Apex - answer-3 to 4cm above inner third of clavicles
base - answer-rests on diaphragm
Lateral left - answer-6th rib, midclavicular line
lateral right - answer-fifth intercostal
,posterior apex - answer-C7
normal chest - answer-Elliptic shape with an anteroposterior to transverse
diameter in the ratio of 1:2
barrel chest - answer-anteroposterior = transverse diameter
pectus excavatum - answer-sunken sternum and adjacent cartilages
pectus carinatum - answer-forward protrusion of the sternum
Scoliosis - answer-abnormal lateral curvature of the spine
kyphosis - answer-excessive outward curvature of the spine, causing hunching of
the back.
the precordium is - answer-the area on the anterior chest overlying the heart and
great vessels
Description of Tricuspid Valve - answer-right atrioventricular valve
function of pulmonic valve - answer-protect the orifice between the right
ventricle and the pulmonary artery
atrial systoles occurs during - answer-ventricular diastole
, second heart sound is result of - answer-closing of the aortic and pulmonic valves
Abnormal finding of jugular venous pressure - answer-patient elevated to 45
degrees , Internal jugular vein pulsation at 4 cm above sternal angle
normal sized apical impulse - answer-1 x 2 cm
Auscultation of Pulmonic Area - answer-2nd intercostal space
what differentiates a split s2 from s3 - answer-S3 is lower pitched and is heard at
the apex
assessment to rule out pericardial friction rub - answer-listen with diaphragm,
patient sitting up and leaning forward, holding breath in expiration
First step in auscultating the heart - answer-identify S1 and S2
You will hear a split S2 most clearly in which area? - answer-pulmonic
bell should be pressed lightly against skin so that - answer-is does not act as a
diaphragm
A murmur heard after S1 and before S2 is classified as: - answer-systolic, possibly
benign