2026 COMPREHENSIVE TEST PAPER
QUESTIONS WITH VERIFIED ANSWERS
◉ pleural friction rub best detected by Answer: auscultation
◉ A barrel-shaped chest is characterized by: Answer: equal
anteroposterior transverse diameter and ribs being horizontal
◉ Apex Answer: 3 to 4cm above inner third of clavicles
◉ base Answer: rests on diaphragm
◉ Lateral left Answer: 6th rib, midclavicular line
◉ lateral right Answer: fifth intercostal
◉ posterior apex Answer: C7
◉ normal chest Answer: Elliptic shape with an anteroposterior to
transverse diameter in the ratio of 1:2
,◉ barrel chest Answer: anteroposterior = transverse diameter
◉ pectus excavatum Answer: sunken sternum and adjacent
cartilages
◉ pectus carinatum Answer: forward protrusion of the sternum
◉ Scoliosis Answer: abnormal lateral curvature of the spine
◉ kyphosis Answer: excessive outward curvature of the spine,
causing hunching of the back.
◉ the precordium is Answer: the area on the anterior chest
overlying the heart and great vessels
◉ Description of Tricuspid Valve Answer: right atrioventricular
valve
◉ function of pulmonic valve Answer: protect the orifice between
the right ventricle and the pulmonary artery
◉ atrial systoles occurs during Answer: ventricular diastole
,◉ second heart sound is result of Answer: closing of the aortic and
pulmonic valves
◉ Abnormal finding of jugular venous pressure Answer: patient
elevated to 45 degrees , Internal jugular vein pulsation at 4 cm above
sternal angle
◉ normal sized apical impulse Answer: 1 x 2 cm
◉ Auscultation of Pulmonic Area Answer: 2nd intercostal space
◉ what differentiates a split s2 from s3 Answer: S3 is lower pitched
and is heard at the apex
◉ assessment to rule out pericardial friction rub Answer: listen with
diaphragm, patient sitting up and leaning forward, holding breath in
expiration
◉ First step in auscultating the heart Answer: identify S1 and S2
◉ You will hear a split S2 most clearly in which area? Answer:
pulmonic
, ◉ bell should be pressed lightly against skin so that Answer: is does
not act as a diaphragm
◉ A murmur heard after S1 and before S2 is classified as: Answer:
systolic, possibly benign
◉ Assessment of carotid artery Answer: palpate medial to
sternomastoid muscle, one side at a time
◉ S1 is best heard at the _____ of the heart, whereas S2 is loudest at
the _____ of the heart. S1 coincides with the pulse in the _____ and
coincides with the ______ wave if the patient is on an ECG monitor.
Answer: S1 heard at apex, S2 at base, S1 pulse coinsides with carotid
artery and R wave
◉ tough, fibrous, double-walled sac that surrounds and protects the
heart Answer: pericardium
◉ thin layer of endothelial tissue that lines the inner surface of the
heart chambers and valves Answer: endocardium
◉ reservoir for holding blood Answer: atrium