Deck 5: The Physical Examination
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Deck 5: The Physical Examination
1
What term is used to describe a tentative diagnosis obtained through the evaluation of the health history and the physical examination?
A) Differential diagnosis
B) Final diagnosis
C) Clinical diagnosis
D) Physical diagnosis
A) Differential diagnosis
B) Final diagnosis
C) Clinical diagnosis
D) Physical diagnosis
Clinical diagnosis
2
The function of a speculum is to
A) Measure intraocular pressure
B) Grasp tissue and prevent it from slipping
C) Clamp off blood vessels and establish hemostasis
D) Open a body orifice or cavity for viewing
A) Measure intraocular pressure
B) Grasp tissue and prevent it from slipping
C) Clamp off blood vessels and establish hemostasis
D) Open a body orifice or cavity for viewing
Open a body orifice or cavity for viewing
3
What term describes the probable course and outcome of a disease?
A) Cure
B) Prognosis
C) Final diagnosis
D) Therapy
A) Cure
B) Prognosis
C) Final diagnosis
D) Therapy
Prognosis
4
Which of the following may require a physical examination?
A) Prerequisite for employment
B) Participation in sports
C) School admission
D) Summer camp attendance
E) All of the above
A) Prerequisite for employment
B) Participation in sports
C) School admission
D) Summer camp attendance
E) All of the above
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5
The reason for weighing a prenatal patient is to
A) Detect the presence of twins
B) Determine if the fetus is growing
C) Determine the due date
D) Ensure the placenta is developing normally
A) Detect the presence of twins
B) Determine if the fetus is growing
C) Determine the due date
D) Ensure the placenta is developing normally
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6
One pound is equal to
A) 10 oz
B) 2.2 kg
C) 1000 g
D) 200 kg
A) 10 oz
B) 2.2 kg
C) 1000 g
D) 200 kg
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7
The process of determining which of two diseases that have similar symptoms is causing a patient's illness is known as a
A) Differential diagnosis
B) Final diagnosis
C) Clinical diagnosis
D) Tentative diagnosis
A) Differential diagnosis
B) Final diagnosis
C) Clinical diagnosis
D) Tentative diagnosis
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8
What is the name of the instrument used to examine the external ear canal and tympanic membrane?
A) Otoscope
B) Ophthalmoscope
C) Stethoscope
D) Laryngoscope
A) Otoscope
B) Ophthalmoscope
C) Stethoscope
D) Laryngoscope
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9
All of the following are included in a complete patient examination except
A) The health history
B) Therapeutic procedures
C) The physical examination
D) Laboratory tests
A) The health history
B) Therapeutic procedures
C) The physical examination
D) Laboratory tests
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10
What term describes an illness characterized by symptoms that have a rapid onset, are severe and intense, and subside after a short period?
A) Chronic illness
B) Self-limiting illness
C) Acute illness
D) Fatal illness
A) Chronic illness
B) Self-limiting illness
C) Acute illness
D) Fatal illness
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11
Which of the following is an example of a therapeutic procedure?
A) Electrocardiography
B) Antibiotic injection
C) CT scan
D) Sigmoidoscopy
A) Electrocardiography
B) Antibiotic injection
C) CT scan
D) Sigmoidoscopy
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12
How should a patient be identified?
A) By phone number and address
B) By hair and eye color
C) By SSN
D) By name and date of birth
A) By phone number and address
B) By hair and eye color
C) By SSN
D) By name and date of birth
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13
An adult patient's weight should be measured to the nearest
A) Quarter pound
B) Half pound
C) Pound
D) Ounce
A) Quarter pound
B) Half pound
C) Pound
D) Ounce
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14
The lower calibration bar of a balance-beam scale is divided into
A) 1-lb increments
B) 2-lb increments
C) 25-lb increments
D) 50-lb increments
A) 1-lb increments
B) 2-lb increments
C) 25-lb increments
D) 50-lb increments
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15
A risk factor means that
A) A patient will develop a certain disease
B) A patient must avoid foods that trigger an allergic reaction
C) A patient has a genetic disorder
D) The chances are increased of a patient developing a certain disease
A) A patient will develop a certain disease
B) A patient must avoid foods that trigger an allergic reaction
C) A patient has a genetic disorder
D) The chances are increased of a patient developing a certain disease
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16
What is the name of the instrument used to examine the interior of the eye?
A) Otoscope
B) Ophthalmoscope
C) Rhinoscope
D) Stethoscope
A) Otoscope
B) Ophthalmoscope
C) Rhinoscope
D) Stethoscope
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17
Which of the following is an example of a chronic illness?
A) Strep throat
B) Chickenpox
C) Arthritis
D) Poison ivy
A) Strep throat
B) Chickenpox
C) Arthritis
D) Poison ivy
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18
What is the reason for weighing a child?
A) To observe the pattern of growth
B) To determine medication dosage
C) To identify nutritional problems
D) All of the above
A) To observe the pattern of growth
B) To determine medication dosage
C) To identify nutritional problems
D) All of the above
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19
All of the following should be removed before weighing a patient except
A) Shoes
B) Jewelry
C) Heavy sweater
D) Jacket
A) Shoes
B) Jewelry
C) Heavy sweater
D) Jacket
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20
The process of measuring the patient is known as
A) Inspection
B) Mensuration
C) Micturition
D) Calibration
A) Inspection
B) Mensuration
C) Micturition
D) Calibration
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21
Which of the following is an example of percussion?
A) Measuring pulse
B) Testing reflexes with a rubber hammer
C) Testing hearing with a tuning fork
D) Listening to breath sounds
A) Measuring pulse
B) Testing reflexes with a rubber hammer
C) Testing hearing with a tuning fork
D) Listening to breath sounds
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22
The height of an adult patient usually is measured only
A) When the patient is ill
B) During the first office visit
C) When medication has been prescribed
D) After a loss of weight
A) When the patient is ill
B) During the first office visit
C) When medication has been prescribed
D) After a loss of weight
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23
The lithotomy position is used to examine the
A) Vagina
B) Abdomen
C) Sigmoid colon
D) Breasts
A) Vagina
B) Abdomen
C) Sigmoid colon
D) Breasts
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24
Which of the following is an example of palpation?
A) Measuring visual acuity
B) Assessing the fetal heart rate
C) Assessing a patient's mental status
D) Performing a breast examination
A) Measuring visual acuity
B) Assessing the fetal heart rate
C) Assessing a patient's mental status
D) Performing a breast examination
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25
Which of the following can be generated by an EMR program from the input of findings from the physician?
A) Patient statements
B) Physical examination report
C) Insurance forms
D) Patient's final diagnosis
A) Patient statements
B) Physical examination report
C) Insurance forms
D) Patient's final diagnosis
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26
The purpose of asking a patient if he or she needs to void before the physical examination includes all of the following except
A) To obtain a urine specimen
B) To make the examination easier
C) To prevent urinary incontinence
D) To provide for patient comfort
A) To obtain a urine specimen
B) To make the examination easier
C) To prevent urinary incontinence
D) To provide for patient comfort
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27
Which of the following is an example of auscultation?
A) Measuring body temperature
B) Measuring blood pressure
C) Urine testing
D) Testing pupillary reaction
A) Measuring body temperature
B) Measuring blood pressure
C) Urine testing
D) Testing pupillary reaction
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28
What should you do if a patient starts to fall?
A) Hold the patient in an upright position
B) Form a wide base of support and gradually lower the patient to the floor
C) Let the patient fall
D) Call out for assistance and try to break the patient's fall
A) Hold the patient in an upright position
B) Form a wide base of support and gradually lower the patient to the floor
C) Let the patient fall
D) Call out for assistance and try to break the patient's fall
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29
All of the following are a curvature of the vertebral column except
A) Cervical
B) Thoracic
C) Lumbar
D) Coccyx
A) Cervical
B) Thoracic
C) Lumbar
D) Coccyx
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30
What is the purpose of a transfer belt?
A) Provides a secure grip for holding onto a patient
B) Helps in controlling a patient's movements
C) Helps to prevent musculoskeletal injuries
D) Makes the transfer more comfortable for the patient
E) All of the above
A) Provides a secure grip for holding onto a patient
B) Helps in controlling a patient's movements
C) Helps to prevent musculoskeletal injuries
D) Makes the transfer more comfortable for the patient
E) All of the above
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31
The patient's height should be recorded in
A) Inches
B) Feet and inches
C) Centimeters
D) Meters
A) Inches
B) Feet and inches
C) Centimeters
D) Meters
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32
Using proper body mechanics helps to prevent which of the following?
A) Musculoskeletal injuries
B) Arthritis
C) Bursitis
D) Chronic disease
A) Musculoskeletal injuries
B) Arthritis
C) Bursitis
D) Chronic disease
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33
A patient has a burn on his lower back from lying on a heating pad. For his physical examination, you place him in which of the following positions?
A) Lithotomy
B) Dorsal recumbent
C) Supine
D) Prone
A) Lithotomy
B) Dorsal recumbent
C) Supine
D) Prone
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34
Which of the following principles should be followed when practicing proper body mechanics?
A) Do not reach for something farther than 14 to 18 inches away.
B) Store lighter items on higher shelves.
C) If possible, push or slide an item rather than lifting it.
D) Use the large muscles of the arms and legs when lifting an object.
E) All of the above
A) Do not reach for something farther than 14 to 18 inches away.
B) Store lighter items on higher shelves.
C) If possible, push or slide an item rather than lifting it.
D) Use the large muscles of the arms and legs when lifting an object.
E) All of the above
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35
Which of the following examinations requires the use of deep palpation?
A) Bimanual pelvic examination
B) Breast examination
C) Detection of areas of tenderness
D) Detection of swelling
A) Bimanual pelvic examination
B) Breast examination
C) Detection of areas of tenderness
D) Detection of swelling
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36
The patient's height should be measured to the nearest
A) 1/8 inch
B) 1/4 inch
C) 1/2 inch
D) 1 inch
A) 1/8 inch
B) 1/4 inch
C) 1/2 inch
D) 1 inch
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37
Before applying a stethoscope chestpiece to the patient's skin, it should be
A) Soaked in bleach
B) Warmed
C) Autoclaved
D) Calibrated
A) Soaked in bleach
B) Warmed
C) Autoclaved
D) Calibrated
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38
Sims' position is used to perform which of the following?
A) Breast examination
B) Flexible sigmoidoscopy
C) Pelvic examination
D) Urinary catheterization
A) Breast examination
B) Flexible sigmoidoscopy
C) Pelvic examination
D) Urinary catheterization
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39
The purpose of draping a patient is to
A) Make it easier for the physician to examine the patient
B) Assist the physician in making a diagnosis
C) Protect the patient from pathogens
D) Provide patient with warmth and modesty
E) All of the above
A) Make it easier for the physician to examine the patient
B) Assist the physician in making a diagnosis
C) Protect the patient from pathogens
D) Provide patient with warmth and modesty
E) All of the above
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40
All the following steps should be followed when lifting an object except
A) Determine if you can safely lift the object.
B) Stand in front of the object with the feet 6 to 8 inches apart.
C) Bend at the hips to lift the object.
D) Keep the back straight when lifting the object.
A) Determine if you can safely lift the object.
B) Stand in front of the object with the feet 6 to 8 inches apart.
C) Bend at the hips to lift the object.
D) Keep the back straight when lifting the object.
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41
Match each word part meaning with its correct word part.
To view, to examine
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
To view, to examine
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
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42
Match each word part meaning with its correct word part.
Eye
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
Eye
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
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43
Match each word part meaning with its correct word part.
Hearing
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
Hearing
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
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44
Match each word part meaning with its correct word part.
Knowledge
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
Knowledge
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
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45
Match each word part meaning with its correct word part.
Through, complete
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
Through, complete
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
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46
Match each word part meaning with its correct word part.
Instrument used to measure
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
Instrument used to measure
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
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47
Match each word part meaning with its correct word part.
A branch of medicine
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
A branch of medicine
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
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48
Match each word part meaning with its correct word part.
Ear
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
Ear
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
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49
All of the following are responsibilities of the medical assistant during the physical examination except
A) Positioning the patient
B) Handing the physician instruments and supplies
C) Listening to the patient's heart and lung sounds
D) Providing the patient with educational information
A) Positioning the patient
B) Handing the physician instruments and supplies
C) Listening to the patient's heart and lung sounds
D) Providing the patient with educational information
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50
Match each word part meaning with its correct word part.
Weight
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
Weight
A)audi/o
B)bar/o
C)dia-
D)-gnosis
E)-iatrics
F)-meter
G)ophthalm/o
H)ot/o
I)-scope
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