GUIDE PRACTICE SET
◉ Positive Murphy's sign . Answer: Abdominal exam findings =
cholecystitis
◉ Severe RLQ pain with pallor and sweating . Answer: Symptom
from young adolescent in early phase of appendicitis
◉ frontal and maxillary sinuses . Answer: Pt presents with sinus
pain, pressure and yellow nasal discharge. Assessment would
include palpitation of
◉ Picking at their nose . Answer: 4-year-old with mother & c/o
frequent bloody nose. Common cause of epistaxis for this age group
◉ Retinoblastoma . Answer: 9 month old and do not see the red
reflex on the fundoscopic exam
◉ Patient denies eye pain or change in vision . Answer: 60-year-old
male presents w/ 3-day history of left eye irritation. Which finding
should be recorded in the subjective review of systems?
, ◉ Weber test . Answer: Test done by placing the stem of a vibrating
tuning fork on the midline of the head and having the patient
indicate in which ear the tone can be heard.
◉ soft palate . Answer: During a physical exam of the throat, which
part of the following structures of the mouth/throat should rise
when the patient says "Ahh"?
◉ Tonsils visualized grade 1 . Answer: Tonsils bilaterally extending
just past the anterior and posterior pillars
◉ Snellen test . Answer: Assess visual acuity
◉ Enlarged Supraclavicular nodes . Answer: These warrants follow
up when assessing the lymph nodes in the head and neck
◉ Neck, Lungs, Heart, Mouth, Nose, Left ear, and Right ear . Answer:
3-year-old presents with right ear pain; order of assessment
◉ Use the largest speculum that will fit the canal
Hold the otoscope upside-down along your fingers and brace the
dorsal aspect of your hand on the patient's head, pull the ear lobe