Question 1 - Single Best Answer
The diaphragm of the stethoscope is used to auscultate:
High Frequency Sounds Low Frequency Sounds
High Frequency Sounds
Low Frequency Sounds
Question 2 - Single Best Answer
The optimal position for examining the heart is:
From the right side of a seated patient From the left side of a seated patient From the right side of a supine patient From the left side of a supine patient
From the right side of a seated patient
From the left side of a seated patient
From the right side of a supine patient
From the left side of a supine patient
Question 3 - Best 3 Answers
Which lobes of the lungs are best examined from the front?
Left Upper Lobe Left Middle Lobe Left Lower Lobe Right Upper Lobe Right Middle Lobe Right Lower Lobe
Left Upper Lobe
Left Middle Lobe
Left Lower Lobe
Right Upper Lobe
Right Middle Lobe
Right Lower Lobe
Question 4 - Single Best Answer
A visual acuity of "20/50" means:
At 20 feet the smallest letters the patient can read are normally read from 50 feet. At 50 feet the smallest letters the patient can read are normally read from 20 feet. At 20 feet the smallest letters the patient can read are normally read from 30 (50 - 20) feet. At 50 feet the smallest letters the patient can read are normally read from 30 (50 - 20) feet. At 70 (20 + 50) feet the smallest letters the patient can read are normally read from 20 feet. At 70 (20 + 50) feet the smallest letters the patient can read are normally read from 50 feet.
At 20 feet the smallest letters the patient can read are normally read from 50 feet.
At 50 feet the smallest letters the patient can read are normally read from 20 feet.
At 20 feet the smallest letters the patient can read are normally read from 30 (50 - 20) feet.
At 50 feet the smallest letters the patient can read are normally read from 30 (50 - 20) feet.
At 70 (20 + 50) feet the smallest letters the patient can read are normally read from 20 feet.
At 70 (20 + 50) feet the smallest letters the patient can read are normally read from 50 feet.
Question 5 - Single Best Answer
A sixty year old woman comes to you complaining of double vision. On examination you discover the following abnormality:
Which cranial nerve and extraocular muscle are involved in this abnormality?
Left 3rd Cranial Nerve and Medial Rectus Left 3rd Cranial Nerve and Inferior Rectus Left 3rd Cranial Nerve and Inferior Oblique Left 4th Cranial Nerve and Superior Oblique Left 6th Cranial Nerve and Lateral Rectus
Left 3rd Cranial Nerve and Medial Rectus
Left 3rd Cranial Nerve and Inferior Rectus
Left 3rd Cranial Nerve and Inferior Oblique
Left 4th Cranial Nerve and Superior Oblique
Left 6th Cranial Nerve and Lateral Rectus
Question 6 - Single Best Answer
Abdominal pain which radiates to the shoulder is most likely associated with:
Biliary Colic Renal Colic Duodenal Ulcer Appendicitis Kidney Stone
Biliary Colic
Renal Colic
Duodenal Ulcer
Appendicitis
Kidney Stone
Question 7 - Best 4 Answers
Abdominal pain from hollow viscera is often:
Crampy/paroxismal Steady/constant Easily localized Poorly localized Related to peristalsis Associated with the patient writhing on exam table Associated with the patient lying still with knees up
Crampy/paroxismal
Steady/constant
Easily localized
Poorly localized
Related to peristalsis
Associated with the patient writhing on exam table
Associated with the patient lying still with knees up
Question 8 - Best 3 Answers
Abdominal pain from peritoneal irritation is often:
Question 9 - Single Best Answer
The best percussion area to test for splenic enlargement is:
Along the mid-clavicular line just below the nipple Over the lowest interspace in the anterior axillary line Along the mid-axillary line just below the ribs Over the costovertebral angle Along the costal margin from the midline to the mid-axillary line
Along the mid-clavicular line just below the nipple
Over the lowest interspace in the anterior axillary line
Along the mid-axillary line just below the ribs
Over the costovertebral angle
Along the costal margin from the midline to the mid-axillary line
Question 10 - Single Best Answer
A normal thyroid gland is often hard to find on palpation. Correct technique for locating the gland begins with the following:
Palpate the thyroid cartilage and move laterally. Palpate the edge of the sternocleidomastoid muscle on either side and "roll" it out of the way. Palpate the thyroid and cricoid cartilages, then move inferiorly. Palpate the sternal notch and move laterally along the clavicles. Ask the patient to swallow. The thyroid gland will remain where it is while the rest of the neck structures elevate together.
Palpate the thyroid cartilage and move laterally.
Palpate the edge of the sternocleidomastoid muscle on either side and "roll" it out of the way.
Palpate the thyroid and cricoid cartilages, then move inferiorly.
Palpate the sternal notch and move laterally along the clavicles.
Ask the patient to swallow. The thyroid gland will remain where it is while the rest of the neck structures elevate together.
Question 11 - Single Best Answer
Your patient has had a pneumothorax (air in the chest outside of the lungs). What signs would you expect to find on physical examination?
Normal percussion note with decreased breath sounds Dull percussion note with decreased breath sounds Dull percussion note with increased breath sounds Hyperresonant percussion note with increased breath sounds Hyperresonant percussion note with decreased breath sounds
Normal percussion note with decreased breath sounds
Dull percussion note with decreased breath sounds
Dull percussion note with increased breath sounds
Hyperresonant percussion note with increased breath sounds
Hyperresonant percussion note with decreased breath sounds
Question 12 - Best 3 Answers
Which of the following best describe valid ausculatory areas for the heart:
Left 2nd interspace at the sternal border (pulmonic valve) Left 2nd interspace at the sternal border (aortic valve) Right 2nd interspace at the sternal border (pulmonic valve) Right 2nd interspace at the sternal border (aortic valve) Left 5th interspace just inside the mid-clavicular line (mitral valve) Left 5th interspace just outside the mid-clavicular line (mitral valve)
Left 2nd interspace at the sternal border (pulmonic valve)
Left 2nd interspace at the sternal border (aortic valve)
Right 2nd interspace at the sternal border (pulmonic valve)
Right 2nd interspace at the sternal border (aortic valve)
Left 5th interspace just inside the mid-clavicular line (mitral valve)
Left 5th interspace just outside the mid-clavicular line (mitral valve)