F108B Cumulative Blackboard Exam | Questions and -
answer -s | 2026 Update | 100% Correct - Command
and General Staff College.
Question 1: Complete Physical Exam Sequence
When performing a complete head-to-toe assessment, the correct sequence is:
A) Neurological, cardiovascular, respiratory, abdominal, musculoskeletal
B) General survey, vital signs, systems assessment from head to toe
C) Most critical systems first based on patient presentation
D) Whatever order is most comfortable for the examiner
Rotation: What is the SINGLE most important principle guiding assessment sequence?
A) Patient comfort
B) Clinical judgment based on presentation
C) Systematic approach to avoid omissions
D) Time efficiency
- answer -: B (first part), C (second part)
Question 2: Critical Thinking in Assessment
A patient presents with dyspnea, crackles in lung bases, and +2 pedal edema. Your NEXT assessment
priority is:
A) Detailed respiratory assessment
B) Comprehensive cardiac assessment
C) Renal function evaluation
D) Neurological status check
Rotation: Which finding would indicate the MOST urgent need for intervention?
A) Oxygen saturation 92% on room air
B) Jugular venous distention 6 cm
C) New onset confusion
D) Blood pressure 150/90 mmHg
- answer -: B (first part), C (second part)
Section 2: Advanced Assessment Techniques
,Question 3: Complex Neurological Assessment
A patient with suspected stroke shows right-sided weakness, aphasia, and right facial droop. Which
vascular territory is MOST likely affected?
A) Right middle cerebral artery
B) Left middle cerebral artery
C) Right posterior cerebral artery
D) Left anterior cerebral artery
Rotation: What additional finding would suggest a more posterior circulation stroke?
A) Homonymous hemianopsia
B) Ipsilateral ataxia
C) Crossed findings (ipsilateral cranial nerve, contralateral motor)
D) All of the above
- answer -: B (first part), D (second part)
Question 4: Cardiovascular Assessment Integration
You auscultate a grade III/VI holosystolic murmur at the apex radiating to the axilla. The patient has
dyspnea on exertion and bibasilar crackles. The MOST likely diagnosis is:
A) Aortic stenosis
B) Mitral regurgitation
C) Aortic regurgitation
D) Mitral stenosis
Rotation: Which additional finding would suggest acute decompensation?
A) S3 gallop
B) S4 gallop
C) Fixed split S2
D) Paradoxical split S2
- answer -: B (first part), A (second part)
Section 3: Diagnostic Reasoning & Clinical Judgment
Question 5: Abdominal Pain Differential
A 45-year-old female presents with acute RLQ pain, nausea, and fever. McBurney's point tenderness is
present. What is the MOST specific physical exam finding for appendicitis?
A) Rovsing's sign
B) Obturator sign
C) Psoas sign
D) Migration of pain from periumbilical to RLQ
Rotation: If the patient were 8 months pregnant, where would you expect maximal tenderness?
A) Same location
B) Right upper quadrant
, C) Right flank
D) Suprapubic area
- answer -: D (first part), B (second part)
Question 6: Respiratory Distress Differentiation
A patient with COPD presents with acute dyspnea. Assessment reveals:
• Barrel chest
• Hyperresonance to percussion
• Decreased breath sounds bilaterally
• Prolonged expiratory phase
Which new finding would suggest pneumonia rather than pure COPD exacerbation?
A) Increased wheezing
B) Focal crackles with egophony
C) Increased accessory muscle use
D) Pursed-lip breathing
Rotation: Which ABG finding would indicate impending respiratory failure?
A) pH 7.35, PaCO2 50, PaO2 65
B) pH 7.25, PaCO2 60, PaO2 55
C) pH 7.40, PaCO2 40, PaO2 75
D) pH 7.50, PaCO2 30, PaO2 80
- answer -: B (first part), B (second part)
Section 4: Special Populations Assessment
Question 7: Geriatric Assessment Complexities
The SPICES tool assesses which geriatric syndromes?
A) Sleep disorders, problems with eating, incontinence, confusion, evidence of falls, skin breakdown
B) Sensory deficits, psychological issues, infections, cognitive impairment, elimination problems, social
isolation
C) Stroke risk, pneumonia risk, injury risk, cancer screening, endocrine issues, sepsis risk
D) Medication interactions, nutritional status, immunization status, cognitive function, exercise
tolerance, social support
Rotation: Which finding in an elderly patient is LEAST likely to be age-related normal change?
A) Decreased visual accommodation
B) Increased systolic blood pressure
C) Acute confusion
D) Mild short-term memory loss
answer -s | 2026 Update | 100% Correct - Command
and General Staff College.
Question 1: Complete Physical Exam Sequence
When performing a complete head-to-toe assessment, the correct sequence is:
A) Neurological, cardiovascular, respiratory, abdominal, musculoskeletal
B) General survey, vital signs, systems assessment from head to toe
C) Most critical systems first based on patient presentation
D) Whatever order is most comfortable for the examiner
Rotation: What is the SINGLE most important principle guiding assessment sequence?
A) Patient comfort
B) Clinical judgment based on presentation
C) Systematic approach to avoid omissions
D) Time efficiency
- answer -: B (first part), C (second part)
Question 2: Critical Thinking in Assessment
A patient presents with dyspnea, crackles in lung bases, and +2 pedal edema. Your NEXT assessment
priority is:
A) Detailed respiratory assessment
B) Comprehensive cardiac assessment
C) Renal function evaluation
D) Neurological status check
Rotation: Which finding would indicate the MOST urgent need for intervention?
A) Oxygen saturation 92% on room air
B) Jugular venous distention 6 cm
C) New onset confusion
D) Blood pressure 150/90 mmHg
- answer -: B (first part), C (second part)
Section 2: Advanced Assessment Techniques
,Question 3: Complex Neurological Assessment
A patient with suspected stroke shows right-sided weakness, aphasia, and right facial droop. Which
vascular territory is MOST likely affected?
A) Right middle cerebral artery
B) Left middle cerebral artery
C) Right posterior cerebral artery
D) Left anterior cerebral artery
Rotation: What additional finding would suggest a more posterior circulation stroke?
A) Homonymous hemianopsia
B) Ipsilateral ataxia
C) Crossed findings (ipsilateral cranial nerve, contralateral motor)
D) All of the above
- answer -: B (first part), D (second part)
Question 4: Cardiovascular Assessment Integration
You auscultate a grade III/VI holosystolic murmur at the apex radiating to the axilla. The patient has
dyspnea on exertion and bibasilar crackles. The MOST likely diagnosis is:
A) Aortic stenosis
B) Mitral regurgitation
C) Aortic regurgitation
D) Mitral stenosis
Rotation: Which additional finding would suggest acute decompensation?
A) S3 gallop
B) S4 gallop
C) Fixed split S2
D) Paradoxical split S2
- answer -: B (first part), A (second part)
Section 3: Diagnostic Reasoning & Clinical Judgment
Question 5: Abdominal Pain Differential
A 45-year-old female presents with acute RLQ pain, nausea, and fever. McBurney's point tenderness is
present. What is the MOST specific physical exam finding for appendicitis?
A) Rovsing's sign
B) Obturator sign
C) Psoas sign
D) Migration of pain from periumbilical to RLQ
Rotation: If the patient were 8 months pregnant, where would you expect maximal tenderness?
A) Same location
B) Right upper quadrant
, C) Right flank
D) Suprapubic area
- answer -: D (first part), B (second part)
Question 6: Respiratory Distress Differentiation
A patient with COPD presents with acute dyspnea. Assessment reveals:
• Barrel chest
• Hyperresonance to percussion
• Decreased breath sounds bilaterally
• Prolonged expiratory phase
Which new finding would suggest pneumonia rather than pure COPD exacerbation?
A) Increased wheezing
B) Focal crackles with egophony
C) Increased accessory muscle use
D) Pursed-lip breathing
Rotation: Which ABG finding would indicate impending respiratory failure?
A) pH 7.35, PaCO2 50, PaO2 65
B) pH 7.25, PaCO2 60, PaO2 55
C) pH 7.40, PaCO2 40, PaO2 75
D) pH 7.50, PaCO2 30, PaO2 80
- answer -: B (first part), B (second part)
Section 4: Special Populations Assessment
Question 7: Geriatric Assessment Complexities
The SPICES tool assesses which geriatric syndromes?
A) Sleep disorders, problems with eating, incontinence, confusion, evidence of falls, skin breakdown
B) Sensory deficits, psychological issues, infections, cognitive impairment, elimination problems, social
isolation
C) Stroke risk, pneumonia risk, injury risk, cancer screening, endocrine issues, sepsis risk
D) Medication interactions, nutritional status, immunization status, cognitive function, exercise
tolerance, social support
Rotation: Which finding in an elderly patient is LEAST likely to be age-related normal change?
A) Decreased visual accommodation
B) Increased systolic blood pressure
C) Acute confusion
D) Mild short-term memory loss
