Advanced Health Assessment
Final EXAM QUESTIONS AND
VERIFIED CORRECT
ANSWERS LATEST 2026-2027
GRADED A+
leg at the hip makes the psoas muscle contract; extension stretches it. Increased abd pain with
either maneuver constitutes a positive sign
Obturator Sign - CORRECT ANSWER-Flex pt's right thigh at the hip, with knee bent, and rotate
the leg internally at the hip. It stretches the internal obturator muscle. Right hypogastric pain =
positive sign
Normal size of aorta - CORRECT ANSWER-under 3 cm
Spleen percussion/palpation - CORRECT ANSWER-Normally the lowest interspace in the left
anterior axillary line is tympanitic. After a deep breath, if percussion changes from tympanitic,
enlargement is suspected and you'll need to palpate the spleen, but be careful not to cause
rupture
Feeling the liver edge - CORRECT ANSWER-Normally feels smooth, soft, sharp, and regular.
Normally about 3 cm below the right costal margin in the midclavicular line
Grading of Heart Murmurs - CORRECT ANSWER-•Grade I -barely audible
•Grade 2-clearly audible but faint
•Grade 3-moderately loud, easy to hear
, •Grade 4- Loud, associated with thrill
•Grade 5- Very loud- partly off chest
•Grade 6- Loudest can be heard with stethoscope lifted off chest
S3 - CORRECT ANSWER-low frequency heard best at the apex, use bell and lay on the left side.
Ventricular gallop - means that ventricular compliance is low. Heard at the beginning of diastole.
Blood flowing into overfilled non-compliant left ventricle rapidly decelerates. Sound of it
"popping" open quickly. Ken-tuc-ky
S4 - CORRECT ANSWER-low frequency, heart best at the apex, use bell and lay on left side. Atrial
gallop, pericardial friction rub. Heard at the end of diastole. Atrial contraction trying to push
blood to the ventricle, but it is stiff. Ten-ness-ee.
Murmurs - CORRECT ANSWER-Caused by a flow of blood across a partial obstruction (valve
stenosis) or valve irregularity (leaks...) or increased flow through normal structures (pregnancy
and anemia), flow into a dilated chamber (aneurysm), backward flow, shunting of blood out of a
high pressure area through a hole
Heart conditions that accompany systolic murmurs - CORRECT ANSWER-•Aortic Stenosis:
pressure or gradient that the blood has to flow through due to a smaller valve. Increased
pumping pressure of Left ventricle
•Pulmonary Stenosis: same as above, heard with diaphragm at 2nd and 3rd intercostal space,
medium or rough quality, radiates to left shoulder and neck
•Tricuspid Insufficiency: supposed to be closed during systole, so causes a backward flow of
blood. Diaphragm at 5th intercostal space at the sternal border, radiates to left anterior sternal
line
•Mitral Insufficiency: loudest at the apex, 5th intercostal space, high pitched and blowing
quality
Final EXAM QUESTIONS AND
VERIFIED CORRECT
ANSWERS LATEST 2026-2027
GRADED A+
leg at the hip makes the psoas muscle contract; extension stretches it. Increased abd pain with
either maneuver constitutes a positive sign
Obturator Sign - CORRECT ANSWER-Flex pt's right thigh at the hip, with knee bent, and rotate
the leg internally at the hip. It stretches the internal obturator muscle. Right hypogastric pain =
positive sign
Normal size of aorta - CORRECT ANSWER-under 3 cm
Spleen percussion/palpation - CORRECT ANSWER-Normally the lowest interspace in the left
anterior axillary line is tympanitic. After a deep breath, if percussion changes from tympanitic,
enlargement is suspected and you'll need to palpate the spleen, but be careful not to cause
rupture
Feeling the liver edge - CORRECT ANSWER-Normally feels smooth, soft, sharp, and regular.
Normally about 3 cm below the right costal margin in the midclavicular line
Grading of Heart Murmurs - CORRECT ANSWER-•Grade I -barely audible
•Grade 2-clearly audible but faint
•Grade 3-moderately loud, easy to hear
, •Grade 4- Loud, associated with thrill
•Grade 5- Very loud- partly off chest
•Grade 6- Loudest can be heard with stethoscope lifted off chest
S3 - CORRECT ANSWER-low frequency heard best at the apex, use bell and lay on the left side.
Ventricular gallop - means that ventricular compliance is low. Heard at the beginning of diastole.
Blood flowing into overfilled non-compliant left ventricle rapidly decelerates. Sound of it
"popping" open quickly. Ken-tuc-ky
S4 - CORRECT ANSWER-low frequency, heart best at the apex, use bell and lay on left side. Atrial
gallop, pericardial friction rub. Heard at the end of diastole. Atrial contraction trying to push
blood to the ventricle, but it is stiff. Ten-ness-ee.
Murmurs - CORRECT ANSWER-Caused by a flow of blood across a partial obstruction (valve
stenosis) or valve irregularity (leaks...) or increased flow through normal structures (pregnancy
and anemia), flow into a dilated chamber (aneurysm), backward flow, shunting of blood out of a
high pressure area through a hole
Heart conditions that accompany systolic murmurs - CORRECT ANSWER-•Aortic Stenosis:
pressure or gradient that the blood has to flow through due to a smaller valve. Increased
pumping pressure of Left ventricle
•Pulmonary Stenosis: same as above, heard with diaphragm at 2nd and 3rd intercostal space,
medium or rough quality, radiates to left shoulder and neck
•Tricuspid Insufficiency: supposed to be closed during systole, so causes a backward flow of
blood. Diaphragm at 5th intercostal space at the sternal border, radiates to left anterior sternal
line
•Mitral Insufficiency: loudest at the apex, 5th intercostal space, high pitched and blowing
quality
