Question 1

At which of the following sites on the chest wall is the pulmonic valve best auscultated?

Accepted Answer

A) Second left intercostal space near the sternal border 
B) Fifth intercostal space on the left near the sternal border 
C) Sixth intercostal space on the left at the midaxillary line 
D) First intercostal space on the right at the midclavicular line 
A) Second left intercostal space near the sternal border 
B) Fifth intercostal space on the left near the sternal border 
C) Sixth intercostal space on the left at the midaxillary line 
D) First intercostal space on the right at the midclavicular line A

Question 2

Which of the following physical examination findings is associated with myasthenia gravis?

Accepted Answer

A) Ptosis 
B) Miosis 
C) Mydriasis 
D) Hepatomegaly 
A) Ptosis 
B) Miosis 
C) Mydriasis 
D) Hepatomegaly A

Question 3

Which of the following terms is used to describe an abnormal collection of fluid in the peritoneal cavity?

Accepted Answer

A) Ascites 
B) Pericarditis 
C) Pancreatitis 
D) Hepatomegaly 
A) Ascites 
B) Pericarditis 
C) Pancreatitis 
D) Hepatomegaly A

Question 4

Which of the following patterns of breathing is associated with a loss in lung volume?

Accepted Answer

A) Slow and deep 
B) Rapid and deep 
C) Slow and shallow 
D) Rapid and shallow 
A) Slow and deep 
B) Rapid and deep 
C) Slow and shallow 
D) Rapid and shallow

Question 5

Which of the following diseases is most likely to cause a prolonged inspiratory time?

Accepted Answer

A) Chronic obstructive pulmonary disease (COP
D)  
B) Asthma 
C) Epiglottitis 
D) Acute bronchitis 
A) Chronic obstructive pulmonary disease (COP
D)  
B) Asthma 
C) Epiglottitis 
D) Acute bronchitis

Question 6

The horizontal fissure that separates the right upper lobe from the right middle lobe begins at what rib in the midsternal line?

Accepted Answer

A) Rib 2 
B) Rib 4 
C) Rib 6 
D) Rib 8 
A) Rib 2 
B) Rib 4 
C) Rib 6 
D) Rib 8

Question 7

What is a common cause of hepatomegaly?

Accepted Answer

A) Chronic right heart failure 
B) Pneumothorax 
C) Pleural effusion 
D) Acute asthma attack 
A) Chronic right heart failure 
B) Pneumothorax 
C) Pleural effusion 
D) Acute asthma attack

Question 8

A review of the patient's history of present illness and past clinical history prior to a physical examination is helpful in that it:

Accepted Answer

A) gives insight into the expected findings during the examination. 
B) suggests examination techniques to emphasize. 
C) helps establish a rapport with the patient. 
D) all of the above. 
A) gives insight into the expected findings during the examination. 
B) suggests examination techniques to emphasize. 
C) helps establish a rapport with the patient. 
D) all of the above.

Question 9

Which of the following clinical disorders will cause decreased resonance to percussion?

Accepted Answer

A) COPD 
B) Asthma 
C) Pneumonia 
D) Pneumothorax 
A) COPD 
B) Asthma 
C) Pneumonia 
D) Pneumothorax

Question 10

In patients with severe COPD and hyperinflation, the low, flat diaphragm causes inward movement of the lateral chest walls with inspiration.What is this called?

Accepted Answer

A) Abdominal paradox 
B) Biot breathing 
C) Hoover sign 
D) Respiratory alternans 
A) Abdominal paradox 
B) Biot breathing 
C) Hoover sign 
D) Respiratory alternans

Question 11

Which of the following statements is not true about vesicular or normal breath sounds?

Accepted Answer

A) They have a minimal expiratory sound. 
B) They are produced somewhat regionally. 
C) They are produced when air enters the alveoli. 
D) They are used to help confirm proper placement of an endotracheal tube. 
A) They have a minimal expiratory sound. 
B) They are produced somewhat regionally. 
C) They are produced when air enters the alveoli. 
D) They are used to help confirm proper placement of an endotracheal tube.

Question 12

What disease is most likely to cause a prolonged expiratory time?

Accepted Answer

A) Asthma 
B) Pneumonia 
C) Pneumothorax 
D) Pulmonary fibrosis 
A) Asthma 
B) Pneumonia 
C) Pneumothorax 
D) Pulmonary fibrosis

Question 13

What problem is associated with cyanosis of the oral mucosa?

Accepted Answer

A) Low cardiac output 
B) Reduced arterial oxygenation 
C) Hyperventilation 
D) Hypoventilation 
A) Low cardiac output 
B) Reduced arterial oxygenation 
C) Hyperventilation 
D) Hypoventilation

Question 14

Digital clubbing is associated with:

Accepted Answer

A) COPD. 
B) Cystic fibrosis. 
C) Bronchogenic carcinoma. 
D) All of the above. 
A) COPD. 
B) Cystic fibrosis. 
C) Bronchogenic carcinoma. 
D) All of the above.

Question 15

Which of the following terms describes the area of the chest wall that overlies the heart?

Accepted Answer

A) Periosteum 
B) Precordium 
C) Pericardium 
D) None of the above 
A) Periosteum 
B) Precordium 
C) Pericardium 
D) None of the above

Question 16

Which of the following mechanisms is believed to be responsible for the normal vesicular breath sound?

Accepted Answer

A) Air entering the alveoli 
B) Contraction of the inspiratory muscles 
C) Rubbing together of the two layers of the pleurae 
D) Filtration of turbulent flow sounds in the larger airways 
A) Air entering the alveoli 
B) Contraction of the inspiratory muscles 
C) Rubbing together of the two layers of the pleurae 
D) Filtration of turbulent flow sounds in the larger airways

Question 17

Which of the following mechanisms is responsible for production of an abnormal third heart sound?

Accepted Answer

A) Forceful opening of the aortic valve 
B) Forceful closure of the pulmonic valve 
C) Rapid filling of the atrium during ventricular systole 
D) Rapid filling of the ventricles immediately after systole 
A) Forceful opening of the aortic valve 
B) Forceful closure of the pulmonic valve 
C) Rapid filling of the atrium during ventricular systole 
D) Rapid filling of the ventricles immediately after systole

Question 18

Which of the following disorders is associated with a barrel chest?

Accepted Answer

A) Chronic bronchitis 
B) Pneumonia 
C) Emphysema 
D) Chest trauma 
A) Chronic bronchitis 
B) Pneumonia 
C) Emphysema 
D) Chest trauma

Question 19

Which of the following terms describes an abnormal lateral curvature of the spine?

Accepted Answer

A) Kyphosis 
B) Scoliosis 
C) Anhidrosis 
D) Myelosis 
A) Kyphosis 
B) Scoliosis 
C) Anhidrosis 
D) Myelosis

Question 20

In a patient's chart, the physician has documented finding tender lymph nodes in the neck region during the physical examination.This problem is consistent with:

Accepted Answer

A) respiratory infection. 
B) human immunodeficiency virus (HIV) infection. 
C) lymphoma. 
D) lung cancer. 
A) respiratory infection. 
B) human immunodeficiency virus (HIV) infection. 
C) lymphoma. 
D) lung cancer.

Exam 5: Fundamentals of Physical Examination

At which of the following sites on the chest wall is the pulmonic valve best auscultated?

Which of the following physical examination findings is associated with myasthenia gravis?

Which of the following terms is used to describe an abnormal collection of fluid in the peritoneal cavity?

Which of the following patterns of breathing is associated with a loss in lung volume?

Which of the following diseases is most likely to cause a prolonged inspiratory time?

The horizontal fissure that separates the right upper lobe from the right middle lobe begins at what rib in the midsternal line?

What is a common cause of hepatomegaly?

A review of the patient's history of present illness and past clinical history prior to a physical examination is helpful in that it:

Which of the following clinical disorders will cause decreased resonance to percussion?

In patients with severe COPD and hyperinflation, the low, flat diaphragm causes inward movement of the lateral chest walls with inspiration.What is this called?

Which of the following statements is not true about vesicular or normal breath sounds?

What disease is most likely to cause a prolonged expiratory time?

What problem is associated with cyanosis of the oral mucosa?

Digital clubbing is associated with:

Which of the following terms describes the area of the chest wall that overlies the heart?

Which of the following mechanisms is believed to be responsible for the normal vesicular breath sound?

Which of the following mechanisms is responsible for production of an abnormal third heart sound?

Which of the following disorders is associated with a barrel chest?

Which of the following terms describes an abnormal lateral curvature of the spine?

In a patient's chart, the physician has documented finding tender lymph nodes in the neck region during the physical examination.This problem is consistent with:

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Vital Signs

Neurologic Assessment

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Chest Imaging

Interpretation of Electrocardiogram Tracings

Neonatal and Pediatric Assessment

Older Patient Assessment

Respiratory Monitoring in Critical Care

Vascular Pressure Monitoring

Cardiac Output Measurement

Bronchoscopy

Nutrition Assessment

Sleep and Breathing Assessment

Home Care Patient Assessment

Documentation

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