1. Examination of the patient in the lithotomy, or knee-chest, position

includes:

The examiner can inspect the external and internal female genitalia and perform rectal

examination to assess and palpate anal sphincter tone

2. To spread the breast tissue evenly over the chest wall, you should ask the woman to

lie supine with: One arm over her head and a pillow under her shoulder.

3. An apical PMI palpated beyond the left fifth intercostal space may indicate: left

ventricular hypertrophy.

4. Breath odors may clue the examiner to certain underlying metabolic conditions. The

odor of ammonia on the breath may signify: ammonia-like suggests uremia, a renal

condition; cinnamon- tuberculosis; musty fish or clover hepatic -failure; sweet and

fruity - diabetic ketoacidosis; and foul or feculent- intestinal obstruction.

5. Which cranial nerves are usually evaluated during the examination of the eyes? III

Oculomotor Motor, IV Trochlear, VI Abducens.

6. Loss of immediate and recent memory with retention of remote memory suggests:

Dementia

7. Recent unilateral inversion of a previously everted nipple suggests: Cancer

8. A parent is advised to restrict contact or collision sports participation for their child.

An example of a sport in which this child could participate is: Hockey or diving.

9. 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: Fingertips.

10. A red, hot swollen joint in a 40-year-old man should lead you to suspect: Gout

11. Normal changes of the aging brain include: Diminished touch and pain

12. 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withdrawn and stroked lightly on a glass slide.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? Cytology Smear

13. During a routine prenatal visit, Ms. T. was noted as having dependent edema,

varicosities of the legs, and hemorrhoids. She expressed concern about these

symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic

veins and her inferior vena cava. You would further explain that these findings: Are

usual conditions during a pregnancy.

14. 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?

An individual or a patient with peripheral artery disease of claudication will have thin

skin with localized pallor and cyanosis, a loss of body warmth in the affected area and

loss of hair over the extremities.

15. The Mini-Mental State Examination should be administered for the patient who:

Getting lost in familiar territory is a sign of possible cognitive impairment.

16. The physical assessment technique most frequently used to assess joint symmetry is:

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