CORRECT SOLUTIONS||A+
GRADED||UPDATED 2026/2027
SYLLABUS||<<RECENT VERSION>>
Resonance in the lungs - ANSWER ✓ the expected sound, can usually be heard
over all areas of the lungs.
Hyperresonance in the lungs - ANSWER ✓ Associated with hyperinflation may
indicate emphysema, pneumothorax, or asthma.
Dullness or flatness in the lungs - ANSWER ✓ Diminished air movement and
suggests pneumonia, atelectasis, pleural effusion, or asthma.
Murphy's sign - ANSWER ✓ Pain with palplation of gall bladder (seen with
cholecystitis)
Causes for abdominal distention - ANSWER ✓ obstruction
diuretics
hypokalemia
Fluid Wave - ANSWER ✓ Supine, have another person to press hand firmly
along vertical midline of the abdomen. Place your hands on each side of the
abdomen and strike one side and feel for the impulse of a fluid wave of the other
hand
Iliopsoas Muscle Test - ANSWER ✓ Ask the patient to lie supine and then place
your hand over the lower right thigh. Ask the patient to raise the right leg, flexing
at the hip, while you push downward
Obturator muscle test - ANSWER ✓ If ruptured appendix or pelvic abscess
suspected
While in the supine position, ask the patient to flex the right leg at the hip and knee
to 90 degrees. Hold the leg just above the knee, grasp the ankle, and rotate the leg
laterally and medially
, Ballottement - ANSWER ✓ One hand, place your extended fingers, hand, and
forearm at a 90-degree angle to the abdomen. Push in toward the organ or mass
with the fingertips. If the mass is freely movable, it will float upward and touch the
fingertips as fluid and other structures are displaced by the maneuver.
Tanner stage 1 of females - ANSWER ✓ After 8th birthday
No changes
Tanner stage 2 of females - ANSWER ✓ From 9-11
Breast "buds" start to form, pubic hair starts to form
Tanner stage 3 of females - ANSWER ✓ after age 12
Acne first appears, armpit hair forms, height increases at its fastest rate
Tanner stage 4 of females - ANSWER ✓ Around age 13
1st period arrives
Tanner stage 5 of females - ANSWER ✓ Around age 15
Reproductive organs and genitals are fully developed
Tanner stage of regular menstrual cycle - ANSWER ✓ 75% of females are
menstruating at stage 4
Average interval between breast buds and menarch - ANSWER ✓ 2 years
Sentinel nodes (Virchow nodes) - ANSWER ✓ -fingers over the clavicle, and
rotate them over the entire supraclavicular fossa. Have the patient turn his or her
head toward the side being palpated, and raise the same shoulder, allowing your
fingers to reach more deeply into the fossa. Have the patient bend the head forward
to relax the sternocleidomastoid muscle
-any enlargement is highly significant. Sentinel nodes are indicators for invasion of
the lymphatics by cancer.
Importance of the rectovaginal exam - ANSWER ✓ It allows you to reach almost
2.5 cm (1 inch) higher into the pelvis, which enables you to better evaluate the
pelvic organs and structures