SHADOW HEALTH EXAM WITH WELL
ELABORATED QUESTONS AND A+GRADED
ACCURATE ANSWERS
What is the correct way to perform the Whisper test to assess hearing?
A) whisper a combination of 3 letters and numbers out of the patient's sight while
occluding the other ear and have them repeat it, then test the other side.
B) whisper, "Can you hear me?"
C) have someone whisper a sentence outside the exam room door and have the patient
repeat it
D) whisper a sentence of 5 words and have the patient repeat it. - CORRECT
ANSWERA) whisper a combination of 3 letters and numbers out of the patient's sight
while occluding the other ear and have them repeat it, then test the other side.
The Whisper test is recommended to be a combination of 3 letters and numbers while
occluding the other ear. Have the patient repeat it, then test the other ear. (Bates, p246-
247)
Macular degeration effects:
A) lateral vision
B) peripheral vision
C) central vision
D) none of the above - CORRECT ANSWERC) central vision
Bates, p 242
Which of the following is not an ABCDE screening for melanoma?
A) asymmetry
B) borders
C) clarity
D) diameter - CORRECT ANSWERC) clarity
Asymmetry, Border, Color, Diameter, and Evolution are the ABCDE for melanoma
detection. (Bates, p179)
Ms. Jones complains of visible blood in her urine. This is called:
A) hematochezia
B) melena
C) gross hematuria
D) microscopic hematuria - CORRECT ANSWERC) gross hematuria
,Blood visible in urine with the naked eye is called gross hematuria. If the blood is not
visible with the human eye and only when examined with a microscope, it is microscopic
hematuria. (Bates, p463)
Hepatitis A is transmitted via:
A) IV drug use
B) sexual contact
C) fecal-oral route
D) blood and body fluids - CORRECT ANSWERC) fecal-oral route
Bates, p466
Which of the following is the most common bloodborne pathogen in the United States?
A) Hepatitis C
B) HIV
C) Hepatitis A
D) Hepatitis B - CORRECT ANSWERA) Hepatitis C
Hepatitis C is the most common bloodborne pathogen in the United States with about
2% of the population having the virus. Bates, p467-468
In which order should the abdomen be examined in?
A) auscultation, inspection, percussion, palpation
B) inspection, percussion, auscultation, palpation
C) percussion, palpation, inspection, auscultation
D) inspection, auscultation, percussion, palpation - CORRECT ANSWERD) inspection,
auscultation, percussion, palpation
Bates 471-475
Auscultate for abdominal bruits of the following areas during abdominal exam:
A) aorta, renal arteries, iliac arteries, femoral arteries
B) lower right and left quadrants
C) liver and spleen only
D) femoral arteries and aorta only - CORRECT ANSWERA) aorta, renal arteries, iliac
arteries, femoral arteries
Bates 472-473
What is the measurement of the liver in the right mid-clavicular line?
A) 10-14 cm
B) 4-6 cm
C) 6-12 cm
D) 3-5 cm - CORRECT ANSWERC) 6-12 cm
Bates, p 476
, The normal abdominal aorta in a 50 year old adult should be no bigger in diameter than:
A) 5cm
B) 6cm
C) 1.5cm
D) 3cm - CORRECT ANSWERD) 3cm
Bates, p483
Which of the following is NOT an examination technique to detect appendicitis?
A) McBurney's Sign
B) Murphy's Sign
C) Obturator Sign
D) Rovsings Sign - CORRECT ANSWERB) Murphy's Sign
All except Murphy's sign are tests for appendicitis. Murphy's sign is to detect gall
bladder disease. Bates, p485-486
The cone of light of the tympanic membrane is found:
A) on the posterior lower TM
B) on the lower anterior part of the TM
C) on the posterior upper TM
D) on the upper anterior TM - CORRECT ANSWERB) on the lower anterior part of the
TM
The cone of light is found on the anterior lower TM (Bates, p243)
A serous (otitis) effusion looks like:
A) bright red bulging
B) dull and retracted
C) amber fluid or bubbles behind the tympanic membrane
D) like a hole in the tympanic membrane - CORRECT ANSWERC) amber fluid or
bubbles behind the tympanic membrane
A serous (otitis) effusion appears as an air/fluid level or bubbles with amber colored fluid
(Bates, p288).
Psoriasis lesions are best described as:
A) clustered pustules
B) silvery scaly plaques/papules
C) vesicular lesions progressing to craters
D) macular patches - CORRECT ANSWERB) silvery scaly plaques/papules
Bates, p192
When looking at the retina, a macular star is usually caused by:
ELABORATED QUESTONS AND A+GRADED
ACCURATE ANSWERS
What is the correct way to perform the Whisper test to assess hearing?
A) whisper a combination of 3 letters and numbers out of the patient's sight while
occluding the other ear and have them repeat it, then test the other side.
B) whisper, "Can you hear me?"
C) have someone whisper a sentence outside the exam room door and have the patient
repeat it
D) whisper a sentence of 5 words and have the patient repeat it. - CORRECT
ANSWERA) whisper a combination of 3 letters and numbers out of the patient's sight
while occluding the other ear and have them repeat it, then test the other side.
The Whisper test is recommended to be a combination of 3 letters and numbers while
occluding the other ear. Have the patient repeat it, then test the other ear. (Bates, p246-
247)
Macular degeration effects:
A) lateral vision
B) peripheral vision
C) central vision
D) none of the above - CORRECT ANSWERC) central vision
Bates, p 242
Which of the following is not an ABCDE screening for melanoma?
A) asymmetry
B) borders
C) clarity
D) diameter - CORRECT ANSWERC) clarity
Asymmetry, Border, Color, Diameter, and Evolution are the ABCDE for melanoma
detection. (Bates, p179)
Ms. Jones complains of visible blood in her urine. This is called:
A) hematochezia
B) melena
C) gross hematuria
D) microscopic hematuria - CORRECT ANSWERC) gross hematuria
,Blood visible in urine with the naked eye is called gross hematuria. If the blood is not
visible with the human eye and only when examined with a microscope, it is microscopic
hematuria. (Bates, p463)
Hepatitis A is transmitted via:
A) IV drug use
B) sexual contact
C) fecal-oral route
D) blood and body fluids - CORRECT ANSWERC) fecal-oral route
Bates, p466
Which of the following is the most common bloodborne pathogen in the United States?
A) Hepatitis C
B) HIV
C) Hepatitis A
D) Hepatitis B - CORRECT ANSWERA) Hepatitis C
Hepatitis C is the most common bloodborne pathogen in the United States with about
2% of the population having the virus. Bates, p467-468
In which order should the abdomen be examined in?
A) auscultation, inspection, percussion, palpation
B) inspection, percussion, auscultation, palpation
C) percussion, palpation, inspection, auscultation
D) inspection, auscultation, percussion, palpation - CORRECT ANSWERD) inspection,
auscultation, percussion, palpation
Bates 471-475
Auscultate for abdominal bruits of the following areas during abdominal exam:
A) aorta, renal arteries, iliac arteries, femoral arteries
B) lower right and left quadrants
C) liver and spleen only
D) femoral arteries and aorta only - CORRECT ANSWERA) aorta, renal arteries, iliac
arteries, femoral arteries
Bates 472-473
What is the measurement of the liver in the right mid-clavicular line?
A) 10-14 cm
B) 4-6 cm
C) 6-12 cm
D) 3-5 cm - CORRECT ANSWERC) 6-12 cm
Bates, p 476
, The normal abdominal aorta in a 50 year old adult should be no bigger in diameter than:
A) 5cm
B) 6cm
C) 1.5cm
D) 3cm - CORRECT ANSWERD) 3cm
Bates, p483
Which of the following is NOT an examination technique to detect appendicitis?
A) McBurney's Sign
B) Murphy's Sign
C) Obturator Sign
D) Rovsings Sign - CORRECT ANSWERB) Murphy's Sign
All except Murphy's sign are tests for appendicitis. Murphy's sign is to detect gall
bladder disease. Bates, p485-486
The cone of light of the tympanic membrane is found:
A) on the posterior lower TM
B) on the lower anterior part of the TM
C) on the posterior upper TM
D) on the upper anterior TM - CORRECT ANSWERB) on the lower anterior part of the
TM
The cone of light is found on the anterior lower TM (Bates, p243)
A serous (otitis) effusion looks like:
A) bright red bulging
B) dull and retracted
C) amber fluid or bubbles behind the tympanic membrane
D) like a hole in the tympanic membrane - CORRECT ANSWERC) amber fluid or
bubbles behind the tympanic membrane
A serous (otitis) effusion appears as an air/fluid level or bubbles with amber colored fluid
(Bates, p288).
Psoriasis lesions are best described as:
A) clustered pustules
B) silvery scaly plaques/papules
C) vesicular lesions progressing to craters
D) macular patches - CORRECT ANSWERB) silvery scaly plaques/papules
Bates, p192
When looking at the retina, a macular star is usually caused by:
