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1. Costovertebral angle tenderness should
be assessed whenever you suspect the patient may have: –

2. In older adults, overflow fecal
incontinence is commonly due to: –

3. A 1 month old boy has been vomiting for
2 weeks. How is this symptom of GERD and pyloric stenosis further
differentiated in this child’s assessment? –

4. Auscultation of borborygmi is associated
with: –

5. When auscultating the abdomen, which
finding would indicate collateral circulation between the portal and systemic
venous systems? –

6. Conversion of fat-soluble wastes to
water-soluble material for renal excretion is a function of the: –

7. The major function of the large
intestine is: –

8. Which structure is located in the
hypogastric region of the abdomen? –

9. A 45 year old man relates a several week
history of severe intermittent abdominal burning sensations. He relates that
the pain is relieved with small amounts of food. Before starting the physical
examination, you review his laboratory work, anticipating a (n): –

10. You are caring for a patient with
trigeminal neuralgia. During the assessment, the patient would describe the
pain as: –

11. Your 85 year old patient is complaining
of right knee pain. She has a history of osteoarthritis for which she is given
anti-inflammatory medication. To assess her right knee pain, you should ask her
if: –

12. A 5 year old is complaining of
nondescriptive “belly pain.” Your next action should be to ask him to: –

13. The perception of pain: –

14. Patients presenting with ascites,
jaundice, cutaneous spider veins, and nonpalpable liver exhibit signs of: –

15. A patient presents to the emergency
department after a motor vehicle accident. The patient sustained blunt trauma
to the abdomen and complains of pain in the upper left quadrant that radiates
to the left shoulder. What organ is most likely injured? –

16. Imaging studies reveal that a patient
has dilation of the renal pelvis from an obstruction in the ureter, what
condition will be documented in this patient’s health record? –

17. Visible intestinal peristalsis may
indicate: –

18. Infants born weighing less than 1500g
are at higher risk for: –

19. Which of the following factors is not
known to affect patient compliance with his or her treatment regimen? –

20. One of the most important aspects to
consider in the orthopedic screening examination is: – Symmetry

21. The sequence of the physical
examination should be individualized to: –

22. As you greet the patient, which
examination technique is first implemented? –

23. Which of the following is most likely
to enhance examiner reliability? –

24. A 7 year old boy is brought to your
office with a chief complaint of possible fracture to his left third finger. He
jammed it while playing basketball 2 days ago. The mother states that she
really does not think it is broken because he can move it. What is your best
response? –

25. A patient presenting for the first time
with typical low back pain should receive which of the following diagnostic
tests? –

26. Skeletal changes in older adults are
the result of: –

27. A positive straight leg raise test
usually indicates: –

28. What technique is performed at every
infant examination during the first year of life to detect hipdislocation? –

29. Expected normal findings during
inspection of spinal alignment include: –

30. Temporalis and masseter muscles are
evaluated by:-

31. When palpating joints, crepitus may be
caused when: –

32. A 3 year old is brought to the clinic
complaining of a painful right elbow. He is holding the right arm slightly
flexed and pronated and refuses to move it. the mother states that symptoms
started right after his older brother had been swinging him around by his arms.
This presentation supports a diagnosis of: –

33. Light skin and thin body habitus are
risk factors for: –

34. Risk factors for sports-related
injuries include: –

35. Injuries to long bones and joints are
more likely to result in fractures than in sprains until: –

36. Ligaments are stronger than bone until:

37. The family history for a patient with
joint pain should include information about siblings with: –

38. The Thomas test is used to detect: –

39. A goniometer is used to assess: –

40. During a football game, a player was
struck on the lateral side of the left leg while his feet were firmly planted.
He is complaining of left knee pain. To examine the left knee you should
initially perform the ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬________ test. –

41. You note that a child has a positive
Gower Sign. You know that this indicates generalized: –

42. The dowager hump is: –

43. What temporary disorder may be
experienced by pregnant women during the third trimester because of fluid

44. A common finding in markedly obese and
pregnant women is: –

45. A 45 year old laborer presents with low
back pain, stating that the pain comes from the right buttock and shoots down
and across the right anterior thigh, down the shin to the ankle. Which
examination finding is considered more indicative of nerve root compression? –

46. Mrs. Bower is a 57 year old patient who
comes in for an office visit. Which of the following disorders is known to be
hereditary? –

47. Testing of cranial nerve ¬¬¬¬________
is not routinely performed unless a problem is suspected. –

48. The patient is able to rapidly touch
each finger to his thumb in rapid sequence. What does this finding mean? –

49. Which question asked by the examiner
may hellp to determine prevention strategies for seizures that a patient is
experiencing? –

50. A patient has a complaint of dizziness.
The patient makes the following statement: “I sometimes feel as if the whole
room is spinning.” What type of neurologic dysfunction should the examiner
suspect? –

51. The examiner asks the patient to close
her eyes, then places a vibrating tuning fork on the patient’s ankle and asks
her to indicate what is felt. What is being assessed? – Peripheral nerve
sensory function

52. Which of the following findings should
an examiner consider a normal finding if associated with pregnancy? –

52. Jack is a 52 year old obese man with a
history of poorly controlled diabetes. He also smokes. Based on the above data,
the examiner should recognize that Jack has several risk factors for:

53. Mrs. Jones is a 24 year old patient who
presents to your office 2 days postpartum. She complains that she is
experiencing foot drop. Which of the following problems should the examiner
consider? –

54. The examiner is assessing deep tendon
reflex response in a 12 year old boy. The response is an expected reflex
response. Which of the following scores should be documented? –

55. A 68 year old patient presents to your
office for follow-up. He tells you, “I have a hard time finding the right words
when I am talking;” he also is experiencing numbness. On examination, you note
postural instability. This symptom may be: –

56. Motor maturation proceeds in an orderly
progression from: –

57. The thalamus is the major integration center
for perception of: –

58. The examiner should be concerned about
neurologic competence if a social smile cannot be elicited by the time a child
is ________old. –

59. Normal changes of the aging brain
include: –

60. When interviewing a 70 year old female
clinic patient, she tells you that she takes ginkgo biloba and St. John’s Wort.
You make a short note to check for results of the: –

The area of body surface innervated by a particular spinal nerve is called a: –

62. If a patient cannot shrug the shoulders
against resistance, which cranial nerve (CN) requires further evaluation? –

63. The finger-to-nose test allows
assessment of: –

64. You ask the patient to follow a series
of short commands to assess: –

65. As Mr. B. enters the room, you observe
that his gait is wide based and he staggers from side to side while swaying his
trunk. You would document Mr. B.’s pattern as: –

66. When is the mental status portion of
the neurologic system examination performed? –

67. An aversion to touch or being held,
along with delayed or absent language development, is a characteristic of: –

68. The autonomic nervous system
coordinates which of the following? –

69. The major function of the sympathetic
nervous system is to: –

70. The parasympathetic nervous system
maintains the day-to-day function of: –

71. Cerebrospinal fluid serves as a: –

72. You are performing a two-point
discrimination test as part of a well physical examination. The area with the ability
to discern two points in the shortest distance is the: –

Which type of hallucination is most commonly associated with alcohol
withdrawal? –

74. On a scale of 0 to 4+, which deep
tendon reflex score is appropriate for a finding of clonus in a patient? –

75. Which statement is true regarding
mental status changes in older adults? –

76. A characteristic related to syphilis or
diabetic neuropathy is testicular: –

77. When collecting personal and social
history data from a woman complaining of breast discomfort, you should question
her regarding: –

78. What risk factor is associated with
cervical cancer? – HPV

79. A 23 year old female presents with
severe right lower quadrant tenderness. All of the following should be
considered in the differential except: –

80. What is the initial diagnostic
radiology test that should be ordered if you suspect a ruptured ovarian cyst? –

81. A 17 year old male was brought into the
emergency room with testicular/scrotal pain. The differential diagnosis should
include all except: –

82. The nursing mother complains that her
breasts are tender. You assess hard, shiny, and erythremicbreasts bilaterally.
You should advise the patient to: –

83. A normal vas deferens should feel: –

84. In a woman complaining of a breast
lump, it is most important to ask about: –

85. The finding of a painless indurated
lesion on the glans penis is most consistent with: –

86. Thrombosed hemorrhoids are: –

87. Pregnancy-related cervical changes
include: –

88. You are inspecting the genitalia of an
uncircumcised adult male. The foreskin is tight and cannot be easily retracted.
You should:

89. An adolescent male is being seen for
acute onset of left testicular pain. The pain started 3 hours ago. He complains
of nausea and denies dysuria or fever. Your prioritized assessment should be
to: –

90. A 23 year old white woman has come to
the clinic because she has missed two menstrual periods. She states that her
breasts have enlarged and that her nipples have turned a darker color. Your
further response to this finding is: –

91. What accommodations should be used in
the position of a hearing-impaired woman for a pelvic examination? –

92. Sexual differentiation in the fetus has
occurred by ¬¬¬_______

You are performing a clinical breast examination for a 55 year old woman. While
palpating the supraclavicular area, you suspect that you felt a node. In order
to improve your hooked technique, you should: –

94. If a firm, transverse ridge of
compressed tissue is felt bilaterally along the lower edge of a 40 year old
patient’s breast, you should: –

95. A therapeutic technique for dealing
with grieving individuals is to: –

96. The examination of the newborn should
begin with: –

97. Which one of the following patient
characteristics is most likely to limit patient reliability during history
taking? –

98. In crying infants, it is often
difficult to: –

99. Which of the following statements
accurately reflects the sensitivity and specificity of laboratory tests? –

100. Which medical condition would exclude
one from sports participation? –

101. Your 15 year old patient is athletic
and thin. Radiography of an ankle injury reveals a stress fracture. You
question this patient about her: –

102. Which of the following are examined
with the patient in a reclining 45 degree position? –

103. Functional assessment is most
important during the examination of a(n): –

104. The best way to ease the apprehension
of a 3 year old child before a physical examination is to: –

105. An ophthalmoscopic eye examination
involves: –

106. When conducting a geriatric
assessment, basic activities of daily living (ADLs) include: –

107. The checkout station for
preparticipation physical evaluation (PPE) is critical because at this point:

108. Which of the following is true
regarding the relationship between the examiner and the patient? –

109. Which of the following factors is not
known to affect patient compliance with his or her treatment regimen? –

110. One of the most important aspects to
consider in the orthopedic screening examination is: –

111. As you greet the patient, which
examination technique is first implemented? –

112. Which portion of the physical
examination is best done with the patient standing? –

113. Which patient position facilitates
inspection of the chest and shoulders? –

114. The least reliable indicator of
newborn distress is: –

115. Proprioception should be assessed while
the patient is: –

116. Part of the screening orthopedic
component of the examination includes evaluating the person while: –

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