Deck 39: The Physical Exam

Question 1

Match each examination technique with its description.
Listening to sounds made by the patient's body

A)inspection
B)palpation
C)percussion
D)auscultation
E)mensuration
F)manipulation

Answer 1

auscultation

Question 2

The Pap test and pelvic exam should begin no later than age:

A) 18
B) 21
C) 25
D) 30

Answer 2

21

Question 3

Annual fecal occult blood tests typically begin around the age of:

A) 20
B) 40
C) 50
D) 65

Answer 3

50

Question 4

Match each term with its definition.
Instrument used to measure one's hearing

A)scribe
B)otoscope
C)stethoscope
D)spirometer
E)guaiac test paper
F)ophthalmoscope
G)Romberg balance test
H)alternating motion
I)tuning fork
J)heel-to-shin
K)heel-to-toe
L)assessment

Question 5

Match each term with its definition.
Instrument used to listen to the lungs

A)scribe
B)otoscope
C)stethoscope
D)spirometer
E)guaiac test paper
F)ophthalmoscope
G)Romberg balance test
H)alternating motion
I)tuning fork
J)heel-to-shin
K)heel-to-toe
L)assessment

Question 6

Match each examination technique with its description.
Measurement

A)inspection
B)palpation
C)percussion
D)auscultation
E)mensuration
F)manipulation

Question 7

Match each examination technique with its description.
Evaluation using the sense of touch

A)inspection
B)palpation
C)percussion
D)auscultation
E)mensuration
F)manipulation

Question 8

Match each examination technique with its description.
Means of producing sounds by tapping various parts of the body

A)inspection
B)palpation
C)percussion
D)auscultation
E)mensuration
F)manipulation

Question 9

Match each term with its definition.
Part of the occult blood test kit

A)scribe
B)otoscope
C)stethoscope
D)spirometer
E)guaiac test paper
F)ophthalmoscope
G)Romberg balance test
H)alternating motion
I)tuning fork
J)heel-to-shin
K)heel-to-toe
L)assessment

Question 10

It is recommended that men begin routine testicular self-examination at around what age?

A) as a teenager or young adult
B) 35
C) 50
D) 65

Question 11

The physician does not commonly check the _____ reflex during a physical examination.

A) Achilles
B) glabellar
C) plantar
D) biceps

Question 12

Which of these tests is typically performed only as needed on high-risk patients?

A) urinalysis
B) sigmoidoscopy
C) digital rectal exam
D) pulmonary function test

Question 13

When examining a patient's chest,the provider will use:

A) auscultation and manipulation
B) inspection and manipulation
C) palpation and auscultation
D) inspection and palpation

Question 14

Match each examination technique with its description.
Evaluation by the use of sight

A)inspection
B)palpation
C)percussion
D)auscultation
E)mensuration
F)manipulation

Question 15

When examining a patient's abdomen,auscultation should be done:

A) after palpation and percussion
B) before palpation and percussion
C) after palpation and before percussion
D) after percussion and before palpation

Question 16

How does a provider judge a patient's speech during the general appearance component of the physical examination?

A) Instruct the patient to read a few sentences printed on a card.
B) Ask the patient whether he or she has any speech problems.
C) Ask the patient a few questions.
D) Closely examine the patient's mouth and throat.

Question 17

Match each examination technique with its description.
Passive movement of a joint to determine the range of extension and flexion

A)inspection
B)palpation
C)percussion
D)auscultation
E)mensuration
F)manipulation

Question 18

Which part of the body is most frequently measured in the medical office?

A) skull
B) upper extremities
C) lower extremities
D) trunk

Question 19

Males should perform the testicular self-exam:

A) monthly
B) weekly
C) every few months
D) every time they shower

Question 20

A provider will not use ____ when examining a patient's neck.

A) percussion
B) palpation
C) auscultation
D) manipulation

Question 21

Match each term with its definition.
Performed while the patient is lying in the supine position to test for coordination

A)scribe
B)otoscope
C)stethoscope
D)spirometer
E)guaiac test paper
F)ophthalmoscope
G)Romberg balance test
H)alternating motion
I)tuning fork
J)heel-to-shin
K)heel-to-toe
L)assessment

Question 22

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Females: mammogram

A)begin at 40,then annually
B)begin at 50,then annually
C)starting at 50,every 10 years or as directed by provider
D)as needed for high-risk patients (COPD and smokers)
E)as needed for symptoms;baseline for females at menopause,then every two years
F)baseline at 40,every 1–2 years,then annually at 50
G)begin no later than age 21;at least every 1–3 years for sexually active women
H)monthly self-performed,18–39,at least every 3 years;40+ annually (by provider)
I)annually 65 years+,or as necessitated by symptoms
J)tonometry or funduscopy at 40,then every 4 years

Question 23

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Vision

A)begin at 40,then annually
B)begin at 50,then annually
C)starting at 50,every 10 years or as directed by provider
D)as needed for high-risk patients (COPD and smokers)
E)as needed for symptoms;baseline for females at menopause,then every two years
F)baseline at 40,every 1–2 years,then annually at 50
G)begin no later than age 21;at least every 1–3 years for sexually active women
H)monthly self-performed,18–39,at least every 3 years;40+ annually (by provider)
I)annually 65 years+,or as necessitated by symptoms
J)tonometry or funduscopy at 40,then every 4 years

Question 24

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Urinalysis

A)begin at 40,then annually
B)begin at 50,then annually
C)starting at 50,every 10 years or as directed by provider
D)as needed for high-risk patients (COPD and smokers)
E)as needed for symptoms;baseline for females at menopause,then every two years
F)baseline at 40,every 1–2 years,then annually at 50
G)begin no later than age 21;at least every 1–3 years for sexually active women
H)monthly self-performed,18–39,at least every 3 years;40+ annually (by provider)
I)annually 65 years+,or as necessitated by symptoms
J)tonometry or funduscopy at 40,then every 4 years

Question 25

Match each term with its definition.
Instrument used when examining the ears

A)scribe
B)otoscope
C)stethoscope
D)spirometer
E)guaiac test paper
F)ophthalmoscope
G)Romberg balance test
H)alternating motion
I)tuning fork
J)heel-to-shin
K)heel-to-toe
L)assessment

Question 26

Match each term with its definition.
Test that may involve tapping the foot or clapping

A)scribe
B)otoscope
C)stethoscope
D)spirometer
E)guaiac test paper
F)ophthalmoscope
G)Romberg balance test
H)alternating motion
I)tuning fork
J)heel-to-shin
K)heel-to-toe
L)assessment

Question 27

Match each term with its definition.
Used to test air,nerve conduction in hearing

A)scribe
B)otoscope
C)stethoscope
D)spirometer
E)guaiac test paper
F)ophthalmoscope
G)Romberg balance test
H)alternating motion
I)tuning fork
J)heel-to-shin
K)heel-to-toe
L)assessment

Question 28

Match each term with its definition.
Instrument used to measure lung capacity

A)scribe
B)otoscope
C)stethoscope
D)spirometer
E)guaiac test paper
F)ophthalmoscope
G)Romberg balance test
H)alternating motion
I)tuning fork
J)heel-to-shin
K)heel-to-toe
L)assessment

Question 29

Match each term with its definition.
Medical assistant who writes down what the provider dictates during the exam

A)scribe
B)otoscope
C)stethoscope
D)spirometer
E)guaiac test paper
F)ophthalmoscope
G)Romberg balance test
H)alternating motion
I)tuning fork
J)heel-to-shin
K)heel-to-toe
L)assessment

Question 30

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Hearing

A)begin at 40,then annually
B)begin at 50,then annually
C)starting at 50,every 10 years or as directed by provider
D)as needed for high-risk patients (COPD and smokers)
E)as needed for symptoms;baseline for females at menopause,then every two years
F)baseline at 40,every 1–2 years,then annually at 50
G)begin no later than age 21;at least every 1–3 years for sexually active women
H)monthly self-performed,18–39,at least every 3 years;40+ annually (by provider)
I)annually 65 years+,or as necessitated by symptoms
J)tonometry or funduscopy at 40,then every 4 years

Question 31

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Skin for melanoma

A)begin at 40,then annually
B)begin at 50,then annually
C)starting at 50,every 10 years or as directed by provider
D)as needed for high-risk patients (COPD and smokers)
E)as needed for symptoms;baseline for females at menopause,then every two years
F)baseline at 40,every 1–2 years,then annually at 50
G)begin no later than age 21;at least every 1–3 years for sexually active women
H)monthly self-performed,18–39,at least every 3 years;40+ annually (by provider)
I)annually 65 years+,or as necessitated by symptoms
J)tonometry or funduscopy at 40,then every 4 years

Question 32

​Which part of the physical examination would address visual acuity?

A) ​neck
B) ​HEENT
C) ​chest
D) ​heart

Question 33

Match each term with its definition.
Test of coordination having the patient touch the right heel to the left great toe and then the left heel to the right great toe

A)scribe
B)otoscope
C)stethoscope
D)spirometer
E)guaiac test paper
F)ophthalmoscope
G)Romberg balance test
H)alternating motion
I)tuning fork
J)heel-to-shin
K)heel-to-toe
L)assessment

Question 34

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Males: Digital rectal exam (DRE)and prostate-specific antigen (PSA)

A)begin at 40,then annually
B)begin at 50,then annually
C)starting at 50,every 10 years or as directed by provider
D)as needed for high-risk patients (COPD and smokers)
E)as needed for symptoms;baseline for females at menopause,then every two years
F)baseline at 40,every 1–2 years,then annually at 50
G)begin no later than age 21;at least every 1–3 years for sexually active women
H)monthly self-performed,18–39,at least every 3 years;40+ annually (by provider)
I)annually 65 years+,or as necessitated by symptoms
J)tonometry or funduscopy at 40,then every 4 years

Question 35

Match each term with its definition.
Instrument used to examine the internal structures of the eye

A)scribe
B)otoscope
C)stethoscope
D)spirometer
E)guaiac test paper
F)ophthalmoscope
G)Romberg balance test
H)alternating motion
I)tuning fork
J)heel-to-shin
K)heel-to-toe
L)assessment

Question 36

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Thyroid testing

A)begin at 40,then annually
B)begin at 50,then annually
C)starting at 50,every 10 years or as directed by provider
D)as needed for high-risk patients (COPD and smokers)
E)as needed for symptoms;baseline for females at menopause,then every two years
F)baseline at 40,every 1–2 years,then annually at 50
G)begin no later than age 21;at least every 1–3 years for sexually active women
H)monthly self-performed,18–39,at least every 3 years;40+ annually (by provider)
I)annually 65 years+,or as necessitated by symptoms
J)tonometry or funduscopy at 40,then every 4 years

Question 37

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Pulmonary function tests

A)begin at 40,then annually
B)begin at 50,then annually
C)starting at 50,every 10 years or as directed by provider
D)as needed for high-risk patients (COPD and smokers)
E)as needed for symptoms;baseline for females at menopause,then every two years
F)baseline at 40,every 1–2 years,then annually at 50
G)begin no later than age 21;at least every 1–3 years for sexually active women
H)monthly self-performed,18–39,at least every 3 years;40+ annually (by provider)
I)annually 65 years+,or as necessitated by symptoms
J)tonometry or funduscopy at 40,then every 4 years

Question 38

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Fecal occult blood test

A)begin at 40,then annually
B)begin at 50,then annually
C)starting at 50,every 10 years or as directed by provider
D)as needed for high-risk patients (COPD and smokers)
E)as needed for symptoms;baseline for females at menopause,then every two years
F)baseline at 40,every 1–2 years,then annually at 50
G)begin no later than age 21;at least every 1–3 years for sexually active women
H)monthly self-performed,18–39,at least every 3 years;40+ annually (by provider)
I)annually 65 years+,or as necessitated by symptoms
J)tonometry or funduscopy at 40,then every 4 years

Question 39

Match each term with its definition.
Provider's decision about a patient's condition based on the health history,symptoms,examination findings,and any other procedures and laboratory tests thought necessary to confirm the decision

A)scribe
B)otoscope
C)stethoscope
D)spirometer
E)guaiac test paper
F)ophthalmoscope
G)Romberg balance test
H)alternating motion
I)tuning fork
J)heel-to-shin
K)heel-to-toe
L)assessment

Question 40

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
Sigmoidoscopy (flexible fiber-optic)

A)begin at 40,then annually
B)begin at 50,then annually
C)starting at 50,every 10 years or as directed by provider
D)as needed for high-risk patients (COPD and smokers)
E)as needed for symptoms;baseline for females at menopause,then every two years
F)baseline at 40,every 1–2 years,then annually at 50
G)begin no later than age 21;at least every 1–3 years for sexually active women
H)monthly self-performed,18–39,at least every 3 years;40+ annually (by provider)
I)annually 65 years+,or as necessitated by symptoms
J)tonometry or funduscopy at 40,then every 4 years

Question 41

​Pupils (in darkened room with light source)are checked for reaction to light and accommodation (L and A);if equal,it is recorded as:

A) ​ELA
B) ​PERRLA
C) ​PELA
D) ​ELPPA

Question 42

​What type of providers evaluate range of motion following surgical procedures such as knee and hip replacements?

A) ​orthostatics
B) ​ophthalmologists
C) ​orthopedics
D) ​osteopathics

Question 43

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Palpable masses under the skin

A)color
B)​condition
C)blemishes
D)​lumps
E)​nails

Question 44

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Odors: sweet and fruity with diabetes,acetone with acidosis,oral hygiene

A)​appearance
B)​awareness
C)​gait
D)​speech
E)​hearing
F)​breath

Question 45

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Manner of walking: shuffle,limp,balance,evidence of stiffness or pain

A)​appearance
B)​awareness
C)​gait
D)​speech
E)​hearing
F)​breath

Question 46

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Redness,bruising,birthmarks,darker areas

A)color
B)​condition
C)blemishes
D)​lumps
E)​nails

Question 47

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Moles,warts,scars,acne,rashes

A)color
B)​condition
C)blemishes
D)​lumps
E)​nails

Question 48

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Dry,flaky,soft,calloused fingers or hands,skin cracks,turgor (measured by pinching back of hand and observing the length of time for return to normal;provides estimate of hydration)

A)color
B)​condition
C)blemishes
D)​lumps
E)​nails

Question 49

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Breast self-exam

A)begin at 40,then annually
B)begin at 50,then annually
C)starting at 50,every 10 years or as directed by provider
D)as needed for high-risk patients (COPD and smokers)
E)as needed for symptoms;baseline for females at menopause,then every two years
F)baseline at 40,every 1–2 years,then annually at 50
G)begin no later than age 21;at least every 1–3 years for sexually active women
H)monthly self-performed,18–39,at least every 3 years;40+ annually (by provider)
I)annually 65 years+,or as necessitated by symptoms
J)tonometry or funduscopy at 40,then every 4 years

Question 50

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Slurring,stutter,loss of voice,impediment

A)​appearance
B)​awareness
C)​gait
D)​speech
E)​hearing
F)​breath

Question 51

​The primary reason for performing a complete physical examination (CPE)is to determine the general state of health and well-being of the patient.The CPE can be performed for various reasons,such as:

A) ​an insurance examination before issuing a policy
B) ​as a requirement with a patient's employment
C) ​as a request by a patient,or to assess a patient's state of health
D) all of the above

Question 52

Palpation is evaluation using the sense of touch.The body can be felt using one hand or two hands.Using two (both)hands as in vaginal and rectal examinations is referred to as:

A) ​bimanual
B) ​bi-mammogram
C) ​bi-digital exam
D) ​dual palpation

Question 53

​Blockage of the artery causes a sound known as a:

A) ​murmur
B) ​rale
C) ​bruit
D) ​rhythm

Question 54

​The medical assistant has many responsibilities in preparing for examinations,including setting up the room and supplies as well as preparing the patient for the exam.During the CPE,you will:

A) ​position the patient
B) ​hand examination instruments and supplies to the provider
C) ​provide comfort to the patient as needed
D) ​all of the above

Question 55

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Response to sound,volume of speech

A)​appearance
B)​awareness
C)​gait
D)​speech
E)​hearing
F)​breath

Question 56

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Cuticles,groomed,brittle,peeling,grooved,spooning,clubbing,white lines

A)​color
B)​condition
C)​blemishes
D)​lumps
E)​nails

Question 57

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Vision

A)begin at 40,then annually
B)begin at 50,then annually
C)starting at 50,every 10 years or as directed by provider
D)as needed for high-risk patients (COPD and smokers)
E)as needed for symptoms;baseline for females at menopause,then every two years
F)baseline at 40,every 1–2 years,then annually at 50
G)begin no later than age 21;at least every 1–3 years for sexually active women
H)monthly self-performed,18–39,at least every 3 years;40+ annually (by provider)
I)annually 65 years+,or as necessitated by symptoms
J)tonometry or funduscopy at 40,then every 4 years

Question 58

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Colonoscopy

A)begin at 40,then annually
B)begin at 50,then annually
C)starting at 50,every 10 years or as directed by provider
D)as needed for high-risk patients (COPD and smokers)
E)as needed for symptoms;baseline for females at menopause,then every two years
F)baseline at 40,every 1–2 years,then annually at 50
G)begin no later than age 21;at least every 1–3 years for sexually active women
H)monthly self-performed,18–39,at least every 3 years;40+ annually (by provider)
I)annually 65 years+,or as necessitated by symptoms
J)tonometry or funduscopy at 40,then every 4 years

Question 59

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​Grooming,state of health,body stature,nourished,appears stated age

A)​appearance
B)​awareness
C)​gait
D)​speech
E)​hearing
F)​breath

Question 60

​During the physical examination,the provider will inspect anterior and posterior skin surfaces while the patient stands in front of him or her,and as he or she progresses through the examination.Match what the provider is assessing to the description provided.
​To person,place,and time;confused;distressed

A)​appearance
B)​awareness
C)​gait
D)​speech
E)​hearing
F)​breath

Question 61

​This is side vision while looking straight forward.

A) ​sclera
B) ​musculature
C) ​L and A
D) ​peripheral

Question 62

​The provider's plan includes all measures for management of the care of the patient that are listed,including diet,exercise,physical therapy,medication,surgery,and any others.If the provider has used the abbreviation R/O,what is he referring to?

A) ​record of observation
B) ​research observation
C) ​rule out
D) ​rule oriented

Question 63

​When the Eighth Joint National Committee (JNC 8)recommendations were released in 2014 to replace the JNC 7 guidelines on blood pressure management,what was the new guideline for goals for patients over 60 years old?

A) ​130/90
B) ​140/85
C) ​140/90
D) 150/90

Question 64

​Breasts should be examined on a specific day every month,__________ following the beginning of a period for women who still menstruate.

A) 3-7 days
B) 10-14 days
C) 7-10 days
D) the day

Question 65

​In 2014,the Eighth Joint National Committee (JNC 8)recommendations were released to replace the JNC 7 guidelines on blood pressure management.Prior classifications of prehypertension and hypertension,which were defined by stages,were replaced with simplified blood pressure control goals.What are the new guidelines for considering blood pressure controlled up to the age of 60 years?

A) ​130/90
B) ​140/85
C) ​140/90
D) ​125/85

Question 66

​The provider uses six examination methods while performing a physical examination.Which of the following is not one of the methods?

A) ​menstruation
B) ​inspection
C) ​palpation
D) ​percussion

Question 67

​What is the examination performed to detect any muscle abnormality where the patient stands with feet together and eyes open;if the balance seems all right,the examiner asks the patient to close the eyes?

A) ​Romberg balance test
B) ​heel-to-shin test
C) ​heel-to-toe test
D) ​alternating motion test

Question 68

The tongue is depressed and the patient says "ah" to view:

A) ​the posterior pharynx and tonsils
B) the ​tonsils and septum
C) the ​anterior pharynx and tonsils
D) the ​auditory canal