Question 11 

pts
The strength of the trapezius muscle is evaluated by having the patient:
Group of answer choices

clench her teeth during muscle palpation.

push her head against the examiner's hand.

straighten her leg with examiner opposition.

uncross her legs with examiner resistance.

Question 21 pts
You order an ECG on a patient that c/o feeling heart palpitations, chest pain, shortness of breath. Your
ECG shows irregular heart rate and you determine that you need to call EMS immediately because this
rhythm can cause death. What rhythm would you suspect the ECG is showing?

Group of answer choices

Atrial Fibrillation

Ventricular Fibrillation

Asystole

Ventricular Tachycardia
B

Question 31 pts
You are examining a patient in the emergency department who has recently sustained
head trauma. In order to initially assess this patient's neurologic status, you would:
Group of answer choices

ask him to discriminate between the smell of orange and peppermint.

test the six cardinal points of gaze.

palpate the jaw muscles as the patient clenches teeth.

observe for swallowing and test the gag reflex.

B

Question 41 pts
At your first meeting with a patient, it is usually best to say:
Group of answer choices

"Let's get to the point."

"I hope you will learn to trust me."

"Let me tell you what I can do for you."

"Tell me about yourself."

D

Question 51 pts
Recent unilateral inversion of a previously everted nipple suggests:
Group of answer choices

cancer.

benign breast disease.

pregnancy.

mastitis.
A

Question 61 pts
Adrian Thompson is a 19-year-old girl who presents to the clinic with complaints of
severe, acute chest pain. Her mother reports that Andrian, apart from occasional sinus
infections, Andrian is not prone to respiratory problems. What potential risk factor is
most important to assess with regards to Adrian's current problem?
Group of answer choices

Anorexia symptoms

Cocaine use

Covid-19 contact

Last menses
C

Question 71 pts
You are conducting a preparticipation physical examination for a 10-year-old girl with
Down syndrome who will be playing basketball. She has slight torticollis and mild ankle
clonus. What additional diagnostic testing would be required for her?
Group of answer choices

Cervical spine radiograph

Mini-Mental State Examination

Nerve conduction studies

Visual acuity
A

Question 81 pts
If your patient has nipple discharge, you will most likely need a:
Group of answer choices

Vacutainer tube.

glass slide and fixative.

specimen jar with formaldehyde.

tape strip to test pH.

B

Question 91 pts
When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
Group of answer choices

bathing.

housekeeping.

medication compliance.

communication skills.
A
Question 101 pts
If pitting edema is unilateral, you would suspect occlusion of a:
Group of answer choices

lymphatic duct.

major vein.

surface capillary.

superficial artery.
B
Question 111 pts
Bimanual examination of the uterus includes:
Group of answer choices

grasping the vaginal wall and pulling it downward.

inserting one finger into the fundus.

placing the thumb on the clitoris and forefinger on the cervix.

grasping the cervix between the examining fingers.

D
Question 121 pts
When is the mental status portion of the neurologic system examination performed?
Group of answer choices

During the history-taking process

During the time when questions related to memory are asked

Constantly, throughout the entire interaction with a patient

During assessment of cranial nerves and deep tendon reflexes
C
Question 131 pts
The Mini-Mental State Examination:
Group of answer choices

may be used to quantitatively estimate cognitive changes.

may be used to qualitatively estimate personality disorders.

scores do not vary with regard to age or education.

will determine the cause of memory loss.

A
Question 141 pts
When palpating joints, crepitus may occur when:
Group of answer choices

irregular bony surfaces rub together.

supporting muscles are excessively spastic.

joints are excessively lax.

there is excess fluid within the synovial membrane.

A
Question 151 pts
A pulsation that is diminished to the point of being barely palpable would be graded as:
Group of answer choices

2
3
B
Question 161 pts
Examination of the patient in the lithotomy, or knee-chest, position includes:
Group of answer choices

inspection for inguinal hernias.

palpation of anal sphincter tone.

percussion of pelvic structures.

stereognosis testing.
B
Question 171 pts
Which cranial nerves are usually evaluated during the examination of the eyes?
Group of answer choices

I and II

II and IX

III and VI

IV and VII
C
Question 181 pts
When the Goodenough-Harris Drawing Test is administered to a child, the evaluator
principally observes the:
Group of answer choices

presence and form of body parts.

gender and race of the person drawn.

approximate age and posture of the person drawn.

length of time needed to draw a stick man.

A
Question 191 pts
During chest assessment, you note the patient's voice quality while auscultating the
lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the
e's sound like a s. This sound is indicative of:
Group of answer choices

lung consolidation.

emphysema.

bronchial obstruction.

asthma.
A
Question 201 pts
You are performing a two-point discrimination test as part of a well physical
examination. The area with the ability to discern two points in the shortest distance is
the:
Group of answer choices

back.

palms.

fingertips.

upper arms.
C
Question 211 pts
Which one of the following techniques is used to detect a torn meniscus?
Group of answer choices
McMurray test

Thomas test

Trendelenburg test

Drawer test
A
Question 221 pts
Facial muscle or tongue weakness may result in:
Group of answer choices

aphasia.

word salad.

neologisms.

echolalia.
A
Question 231 pts
Palpation of a normal prostate in an older adult is likely to feel:
Group of answer choices

cool.

grainy.

polypoid.

rubbery.
D
Question 241 pts
A patient you are seeing in the emergency department for chest pain is suspected of
having a myocardial infarction. During the health history interview of his family history,
he relates that his father had died of "heart trouble." The most important follow-up
question you should pose is which of the following?
Group of answer choices

"Did your father have coronary bypass surgery?"

"Did your father's father have heart trouble also?"

"What were your father's usual dietary habits?"

"What age was your father at the time of his death?"

D
Question 251 pts
A 62 year old female presents to the clinic with complains of chest pain and heart palpitations that
started 3 days ago. Patient states she is healthy and only has a history of hypertension and tachycardia.
Patient is currently taking Norvasc 10mg daily and Coreg 6.25 mg BID. You order an EKG and it shows
heart rate above 200 beats/min and the ECG may look like a sawtooth cog.

What is the most likely diagnosis of this patient?

Group of answer choices

Atrial Flutter

Supraventricular Tachycardia

NSR

Afib with Right Ventricular Response

A
Question 261 pts
One of the most important aspects to consider in the orthopedic screening examination
is:
Group of answer choices

muscle contraction.

flexibility.
balance.

symmetry.
D
Question 271 pts
An idiopathic spasm of arterioles in the digits is termed:
Group of answer choices

arteriosclerosis obliterans.

giant cell arteritis.

peripheral arterial aneurysm.

Raynaud disease.
D
Question 281 pts
The Denver II is a tool used to determine:
Group of answer choices

a child's IQ.

a child's mood.

whether a child is educable.

whether a child is developing as expected.

D
Question 291 pts
A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.
Group of answer choices

1
3

10

15
B
Question 301 pts
Diabetic peripheral neuropathy will likely produce:
Group of answer choices

hyperactive ankle reflexes.

diminished pain sensation.

exaggerated vibratory sense.

hypersensitive temperature perception.

B
Question 311 pts
The family history for a patient with joint pain should include information about siblings
with:
Group of answer choices

trauma to the skeletal system.

chronic atopic dermatitis.

genetic disorders.

obesity.
C
Question 321 pts
Inquiry about nocturnal muscle spasms would be most significant when taking the
musculoskeletal history of:
Group of answer choices
adolescents.

infants.

older adults.

middle-age adults.
C
Question 331 pts
Loss of immediate and recent memory with retention of remote memory suggests:
Group of answer choices

attention-deficit/hyperactivity disorder (ADHD).

impaired judgment.

stupor.

dementia.
D
Question 341 pts
You are examining Mr. S., a 79-year-old diabetic man complaining of claudication.
Which of the following physical findings is consistent with the diagnosis of arterial
occlusion?
Group of answer choices

Thick, calloused skin

Ruddy, thin skin

Warmer temperature of extremity in contrast to other body parts

Loss of hair over the extremity

D
Question 351 pts
The physical assessment technique most frequently used to assess joint symmetry is:
Group of answer choices

inspection.

palpation.

percussion.

the use of joint calipers.

A
Question 361 pts
The adnexa of the uterus are composed of the:
Group of answer choices

corpus and cervix.

fallopian tubes and ovaries.

uterosacral and broad ligaments.

vagina and fundus.

B
Question 371 pts
Assessing orientation to person, place, and time helps determine:
Group of answer choices

ability to understand analogies.

abstract reasoning.

attention span.

state of consciousness.
D
Question 381 pts
To assess a cremasteric reflex, the examiner strokes the:
Group of answer choices

skin around the anus and observes for the anal wink.

abdomen and observes whether the umbilicus moves away from the stimulus.

inner thigh and observes whether the testicle and scrotum rise on the stroked side.

palm and observes whether the fingers attempt to grasp.

C
Question 391 pts
When palpating breast tissue, the examiner should use the _____ at each site.
Group of answer choices

fingertips, lifting

finger pads, gliding

palms of the hands, gliding

ulnar surface of the hands, gliding

B
Question 401 pts
Darian is a 14-year-old adolescent who states his right testicle has a soft swollen
mass. The testicle is not painful upon palpation. The right inguinal canal is without
masses. The mass does transilluminate with a penlight. This collection of symptoms is
consistent with:
Group of answer choices

hydrocele

testicular cancer

rectocele.

scrotal hernia.
A
Question 411 pts
The reliability of health-related findings and observations is the responsibility of the:
Group of answer choices

patient.

health care professionals.

attending physician.

professional and the patient.

D
Question 421 pts
It is especially important to test for ankle clonus if:
Group of answer choices

deep tendon reflexes are hyperactive.

the patient has a positive Kernig sign.

the Romberg sign is positive.

the patient has peripheral neuropathy.

A
Question 431 pts
In the adult, the apical impulse should be most visible when the patient is in what
position?
Group of answer choices

Supine

Lithotomy

Right lateral recumbent

Upright
D
Question 441 pts
For purposes of examination and communication of physical findings, the breast is
divided into:
Group of answer choices

halves (upper and lower).

thirds (left, middle, and right).

four quadrants plus a tail.

circles (six consecutive rings, each 1 inch farther away from nipple).
C
Question 451 pts
Kawasaki disease is suspected when assessments of a child reveal:
Group of answer choices

conjunctival injection, strawberry tongue, and edema of the hands and feet.

conjunctival infection, lymphadenopathy, and a vesicular rash.

low-grade fever, strawberry tongue, and edema of the hands and feet.

dermatomal bullae rash, high fever, and cyanotic hands and feet.
A
Question 461 pts
The rectal past medical history of all patients should include inquiry about:
Group of answer choices

bowel habits.

dietary habits.

hemorrhoid surgery.
laxative use.
C
Question 471 pts
To spread the breast tissue evenly over the chest wall, you should ask the woman to lie
supine with:
Group of answer choices

her arms straight alongside of her body.

both arms overhead with palms upward.

her hands clasped just above the umbilicus.

one arm overhead and a pillow under her shoulder.

D
Question 481 pts
When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the
examination table. He involuntarily flexes his hips and knees. To confirm your
suspicions associated with this positive test, you would also perform a test for the _____
sign.
Group of answer choices

Kernig

Babinski

obturator

Brudzinski
A
Question 491 pts
To hear diastolic heart sounds, you should ask patients to:
Group of answer choices

lie on their back.

lie on their left sides.

lie on their right side.

sit up and lean forward.

B
Question 501 pts
A 25 yo AA female has come to the clinic because she has missed her menstrual period
this month and 2 months before. She says her cycles are irregular and she wants to be
on birth control to help regulate them.  She states that her breasts have enlarged and
that her nipples have turned a darker color. Your further response to this finding is to:
Group of answer choices

suggest a pregnancy test

instruct her that this is a side effect of birth control injection therapy.

refer her to a gynecologist for pap smear

schedule an appointment with a surgeon.

A
Question 511 pts
The presence of cervical motion tenderness may indicate:
Group of answer choices

pregnancy.

nulliparity.

pelvic inflammatory disease.

vulvovaginitis.
C
Question 521 pts
In the most effective percussion technique of the posterior lung fields, the patient
cooperates by:
Group of answer choices

folding the arms in front.

bending the head back.

standing and bending forward.

lying on the side and extending the top arm.

A
Question 531 pts
While interviewing a 70-year-old female clinic patient, she tells you that she takes
ginkgo biloba and St. John's wort. You make a short note to check for results of the:
Group of answer choices

Denver II.

Mini-Mental State Examination.

Glasgow Coma Scale.

Goodenough-Harris Drawing Test.

B
Question 541 pts
Inspection of the scrotum should reveal:
Group of answer choices

two testes per sac.

smooth scrotal sacs.

left scrotal sac lower than the right.

lightly pigmented skin.

C
Question 551 pts
While examining a 30-year-old woman, you note that one breast is slightly larger than
the other. In response to this finding, you should:
Group of answer choices

note the finding in the patient's record.

ask the patient if she has ever had breast cancer.

tell the patient to get a mammogram as soon as possible.

tell the patient to get a mammary sonogram as soon as possible.

A
Question 561 pts
You are assessing Mr. Z.'s fluid volume status as a result of heart failure. If your finger
depresses a patient's edematous ankle to a depth of 6 mm, you should record this
pitting as:
Group of answer choices

1+.

2+.

3+.

4+.
C
Question 571 pts
Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the
spread of the stimulus through the atria is the:
Group of answer choices

P wave.

PR interval.
QRS complex.

ST segment.
A
Question 581 pts
A grade IV mitral regurgitation murmur would:
Group of answer choices

be described as a diastolic murmur.

not be expected to have a thrill.

radiate to the axilla.

be heard best at the base.

C
Question 591 pts
Normal changes of the aging brain include:
Group of answer choices

increased velocity of nerve conduction.

diminished perception of touch.

increased total number of neurons.

diminished intelligence quotient.

B
Question 601 pts
A red, hot swollen joint in a 40-year-old man should lead you to suspect:
Group of answer choices

trauma.
bursitis.

gout.

cellulitis.
C
Question 611 pts
The spread of the impulse through the ventricles (ventricular depolarization) is depicted
on the ECG as the:
Group of answer choices

P wave.

QRS complex.

PR interval.

T wave.
B
Question 621 pts
When you attempt to move a 10-month-old child from his mother's lap to the
examination table, he screams loudly. Your best action is to:
Group of answer choices

move the child to the examination table and proceed matter-of-factly with the
examination.

perform the examination while the child is in the mother's lap.

ask the mother to get the child to stop crying.

defer the examination until another day.

B
Question 631 pts
The musculoskeletal examination should begin when:
Group of answer choices
the patient enters the examination room.

during the collection of subjective data.

when height is measured.

when joint mobility is assessed.

A
Question 641 pts
Your older clinic patient is being seen today as a follow-up for a 2-day history of
pneumonia. The patient continues to have a productive cough, shortness of breath, and
lethargy and has been spending most of the day lying in bed. You should begin the
chest examination by:
Group of answer choices

percussing all lung fields.

auscultating the lung bases.

determining tactile fremitus.

estimating diaphragmatic excursion.

B
Question 651 pts
You are reviewing an ECG of a 43 year old new patient. The patient has a history of second-degree heart
block. The ECG shows the PR interval is increases with each beat until a QRS is dropped. What is this
type of block called?

Group of answer choices

Second degree heart block, type 2: Mobitz 2

First degree heart block

Second degree heart block, type 1: Wenckebach/Mobitz 1

Third degree-complete heart block

C
Question 661 pts
If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN)
requires further evaluation?
Group of answer choices

CN I, olfactory

CN V, trigeminal

CN IX, glossopharyngeal

CN XI, spinal accessory

D
Question 671 pts
A 40 yr old female presents to the clinic with complaints of low back and buttock pain. Pt states the
buttock pain radiates from one side to the other. On examination, the patient is noted to have limited
ROM of the shoulders, chest wall, hips, and knees. Upon xray, you find gross postural changes and there
is a severe deformity of the vertebral column.

What is the most likely diagnosis for this patient?

Group of answer choices

Lumbar Radiculopathy

Herniated Lumbar Disk

Lumbar Stenosis

Ankylosing Spondylitis

A
Question 681 pts
The examiner percusses for diaphragmatic excursion along the:
Group of answer choices
midvertebral line.

midaxillary line.

scapular line.

sternum.
C
Question 691 pts
Postural hypotension is defined as a _____ when the patient stands, compared with
sitting or supine readings.
Group of answer choices

systolic pressure drop of more than 15 mm Hg with a pulse rate increase

pulse rate decrease with a systolic pressure increase of at least 15 mm Hg

diastolic pressure increase of more than 5 mm Hg and no pulse rate changes

pulse rate decrease and diastolic pressure decrease of more than 5 mm Hg

A
Question 701 pts
Palpation of epitrochlear nodes is part of the:
Group of answer choices

examination of the upper extremities.

assessment of the chest and thorax.

palpation of the abdomen.

examination of the head and neck.

A
Question 711 pts
The Mini-Mental State Examination should be administered for the patient who:
Group of answer choices

gets lost in her neighborhood.

sleeps an excessive amount of time.

has repetitive ritualistic behaviors.

uses illegal hallucinogenic drugs.

A
Question 721 pts
To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?
Group of answer choices

Triceps

Patellar

Biceps

Achilles
B
Question 731 pts
When assessing superficial pain, touch, vibration, and position perceptions, you are
testing:
Group of answer choices

motor function.

cerebellar function.

sensory function.

tendon reflexes.
 PreviousNext 
C
Question 741 pts
Adrian Thomas  is a 19-year-old girl who presents to the clinic with complaints of
severe, acute chest pain. Her father reports that Adrian, apart from occasional sinus
infections, Adrian is not prone to respiratory problems. What potential risk factor is most
important to assess with regards to Adrian's current problem?
Group of answer choices

Anorexia symptoms

Cocaine use

Last menses

Covid-19 contact
D
Question 751 pts
Which medical condition would exclude a person from sports participation?
Group of answer choices

Asthma

Fever

Controlled seizures

HIV-positive status
B
Question 761 pts
You are conducting a clinical breast examination for your 30-year-old patient. Her
breasts are symmetrical with bilateral, multiple tender masses that are freely moveable
with well-defined borders. You recognize that these symptoms and assessment findings
are consistent with:
Group of answer choices

fibroadenoma.

Paget disease.
cancer.

fibrocystic changes.
D
Question 771 pts
An examiner has rotated a brush several times into the cervical os. The brush was
withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative.
Which type of specimen requires this technique for collection?
Group of answer choices

Gonococcal culture

Cytology smear

Haemophilus smear

Trichomonas smear
B
Question 781 pts
An apical PMI palpated beyond the left fifth intercostal space may indicate:
Group of answer choices

decreased cardiac output.

left ventricular hypertrophy.

hyperventilation.

obesity.
B
Question 791 pts
While collecting personal and social history data from a woman complaining of breast
discomfort, you should question her regarding:
Group of answer choices
history of medication allergies.

alcohol, tobacco, and caffeine use.

level of personal education.

amount of personal income.

B
Question 801 pts
Which of the following statements is true regarding the examination of peripheral
arteries?
Group of answer choices

The thumb should never be used to assess pulses.

Palpate at least one pulse in each extremity, usually the most proximal one.

The pulses are most readily felt over bony prominences.

Extremity pulses do not normally generate waveforms.

C
Question 811 pts
The foramen ovale should close:
Group of answer choices

by 24 weeks of gestation.

within minutes of birth.

by 4 weeks of age.

by 12 months of age.
B
Question 821 pts
Tarry black stool should make you suspect:
Group of answer choices
internal hemorrhoids.

rectal fistula.

upper intestinal bleeding.

prostatic cancer.
C
Question 831 pts
The checkout station for preparticipation physical evaluation (PPE) is critical because at
this point:
Group of answer choices

all completed forms are distributed.

parental cosignatures are obtained.

the relevant history is obtained.

coordination of follow-ups is reviewed.

D
Question 841 pts
Nerves that arise from the brain rather than the spinal cord are called:
Group of answer choices

sympathetic.

parasympathetic.

cranial.

autonomic.
C
Question 851 pts
A positive straight leg raise test usually indicates:
Group of answer choices

leg length discrepancy.

lumbar nerve root irritation.

hip bursitis.

improperly conditioned muscles.

B
Question 861 pts
As Mr. B. enters the room, you observe that his gait is wide based and he staggers from
side to side while swaying his trunk. You would document Mr. B.'s pattern as:
Group of answer choices

dystonic ataxia.

cerebellar ataxia.

steppage gait.

tabetic stamping.
B
Question 871 pts
The goals of preparticipation sports evaluation include:
Group of answer choices

screening for steroid use or abuse.

determining the best fit for positions in each sport.

identifying risk of injury or death during sports participation.

securing a legal contract before recommending limiting participation.

C
Question 881 pts
A chest radiography is performed on your patient that complains of having dyspnea,
coughing productive sputum and chest pain. The image results shows consolidation and
infiltrates. You compare this to your physical exam findings of distant or absent breath
sounds and absent vocal fremitus. What is the most likely diagnosis?

Group of answer choices

COPD

Pneumonia

Congestive Heart Failure

Cystic Fibrosis

B
Question 891 pts
Throughout the history and physical examination, the clinician should:
Group of answer choices

concentrate on emotional issues.

follow an inflexible sequence.

deal only with previously identified problems.

evaluate the whole patient.

D
Question 901 pts
You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight
and cannot be easily retracted. You should:
Group of answer choices

chart the finding as paraphimosis.

inquire about previous penile infections.

retract the foreskin firmly.

transilluminate the glans.
B
Question 911 pts
Which portion of the physical examination is best done with the patient standing?
Group of answer choices

Spinal

Rectal

Neurologic

Musculoskeletal
A
Question 921 pts
Your patient's chief complaint is repeated pencil-like stools. Further examination should
include:
Group of answer choices

stool culture.

parasite testing.

digital rectal examination (DRE).

prostate examination.
C
Question 931 pts
Which condition is considered progressive rather than reversible?
Group of answer choices

Delirium

Dementia
Depression

Anxiety
B
Question 941 pts
Which one of the following is a proper technique for use of a speculum during a vaginal
examination?
Group of answer choices

Allow labia to spread; insert speculum slightly open.

Press introitus downward; insert closed speculum obliquely.

Spread labia; insert closed speculum horizontally.

Insert one finger; insert opened speculum.

B
Question 951 pts
A common finding in markedly obese and pregnant women is:
Group of answer choices

kyphosis.

lordosis.

paraphimosis.

scoliosis.
B
Question 961 pts
Functional assessment is most important during the examination of a(n):
Group of answer choices

adolescent.
infant.

older adult.

young adult.
C
Question 971 pts
A finding that is indicative of osteoarthritis is:
Group of answer choices

swan neck deformities.

Bouchard nodes.

ganglions.

Heberden nodes.
D
Question 981 pts
Anterior cruciate ligament integrity is assessed via the _____ test.
Group of answer choices

Lachman

straight leg raise

Homan

Thomas
A
Question 991 pts
You are conducting an examination of Mr. Curtis's heart and blood vessels and
auscultate a grade III murmur. The intensity of this murmur is:
Group of answer choices
barely discernible.

moderately loud.

loud with palpable thrill.

very loud without a stethoscope.

B
Question 1001 pts
Part of the screening orthopedic component of the examination includes evaluating the
person while he or she is:
Group of answer choices

performing push-ups.

duck walking.

twisting at the waist.

crossing the arms over the chest.

B