Deck 2: Physical Examination Strategies

Question 1

What are the two main general considerations of physical examinations listed in the text?

A) Preparation and sequence
B) Medical and financial
C) Patient interaction and scope
D) Inspection and palpation

Answer 1

C

Question 2

The physician has begun her first physical examination on a new patient who has come to the clinic for a well-patient visit. Which of the following is true?

A) The first thing the physician will do as part of the physical examination is perform the history.
B) This will likely be a head-to-toe examination.
C) As a first exam, this will likely be brief and focused.
D) The patient, on his first visit, will likely be disoriented and unaware of the physician's tone and expressions.

Answer 2

B

Question 3

The physician records a sound as "tympanic." The physician has just performed which assessment technique?

A) Palpation
B) Auscultation
C) Percussion
D) Compression

Answer 3

C

Question 4

A physician is listening to a patient's heart, but something has negatively impacted the sound. Which of the following has most likely caused this?

A) Indirect rather than direct percussion
B) A double-lumen stethoscope
C) Lack of palpation
D) Loose-fitting ear tips

Question 5

Which of the following is included on the list of basic equipment needed for a physical examination?

A) Syringe
B) Measuring tape
C) Occult blood testing materials
D) Culture media

Question 6

What does a physician use the Weber and/or Rinne tests for?

A) Assessing the lungs
B) Performing an abdominal fluid wave text
C) Testing hearing
D) Observing posture and balance

Question 7

The red reflex is a test of:

A) the abdomen.
B) the spine.
C) the eyes.
D) the mouth.

Question 8

If the physician is evaluating thoracic expansion, percussing the kidneys, and inspecting the skin for lesions, the patient is in which position?

A) Patient seated and facing examiner
B) Patient seated and facing away from examiner with back exposed
C) Patient standing
D) Patient supine with chest exposed

Question 9

Which position is only performed on female patients?

A) Reclining 45 degrees
B) Lithotomy position
C) Leaning forward reaching for toes
D) Supine with abdomen exposed

Question 10

Which part of the body of a neonate should be studied first?

A) Abdomen
B) Chest
C) Hands and feet
D) Head

Question 11

Which of the following assessments is specific to the geriatric patient?

A) Functional
B) General
C) Physical
D) Developmental

Question 12

A functional assessment includes which of the following components?

A) Abdominal assessment
B) Visual assessment
C) Assessment of flaccidity, tension, and spasticity
D) Assessment of mental status and mood impairment

Question 13

The history should be performed separately from the physical examination.

Question 14

When the patient is already under the ongoing care of the clinician and presents with a specific problem-oriented complaint, the physician performs a focused physical examination.

Question 15

Indirect percussion involves touch by instrument or object and requires no physical contact between the physician and patient.

Question 16

The physical exam begins as the patient enters the room.

Question 17

Jugular venous pressure is measured when the patient is reclining 45 degrees.

Question 18

The kidneys should be examined both while the patient is supine and while the patient is seated facing away from the examiner.

Question 19

What are the positions that all adult patients will be asked to assume during a physical examination?

Question 20

What methods are mentioned in the text to win cooperation of pediatric patients of different ages?