- Latest Update 2024
1. Bell palsy. Left facial palsy (cranial nerve VII). Facies include asymmetry of one side of the
face, eyelid not closing completely, drooping lower eyelid and corner of mouth, and loss of
nasolabial fold.
2. Weber Test: Used to evaluate hearing loss. Turning fork place in top of the head, sound
should be heard equally in both ears, any problem in any ear then patient will not be able to
hear the test on that ear. SENSORINEURAL HEARING.
The Weber test is useful to assess unilateral conductive hearing and unilateral sensorineural
hearing. True or False
,3. Macule. Flat less than 1 cm, freckles, petechiae.
4. Papule: Elevated less than 1 cm, insect bite.
5. Nodule: Elevated, 1-2 cm deep in dermis, lipomas.
Vesicle: Elevated, superficial, filled with serous fluid,
less 1 cm. Herpes Zoster, herpes simplex, varicella.
6. When auscultating the apex of the lung, you should listen at a point:
a. even with the second rib.
b. 4 cm above the first rib.
c. higher on the right side.
d. on the convex diaphragm surface.
7. An aspect of traditional Western medicine that may be troublesome to many Hispanics,
Native Americans, Asians, and Arabs is Western medicine’s attempts to:
a. Use a holistic approach that views a particular medical problem as part of a bigger
picture.
b. Determine a specific cause for every problem in a precise way.
c. establish harmony between a person and the entire cosmos.
d. restore balance in an individual’s life.
8. Common Causes of Abdominal pain: Appendicitis, Peritonitis, Cholecystitis, Pancreatitis,
Salpingitis, Pelvic Inflammatory Disease, Diverticulitis, perforated gastric or duodenal ulcer,
Intestinal obstruction, leaking abdominal aneurysm, Biliary stones, colic, Renal Calculi,
Ectopic pregnancy, Rupture ovarian Cyst, Splenic Rupture.
, Which of the following are causes of abdominal pain? Select all that apply
a) tarsus rupture
b) diverticulitis
c) appendicitis
d) ectopic pregnancy
e) cholecystitis
9. When palpating the posterior chest, the clinician notes a decrease tactile fremitus over
the left lower lobe. This can be indicative of:
a) pleural effusion
b) emphysema
c) pneumonia
d) asthma
10. Daylight: Provide the best illumination for determining color variations, particularly
jaundice.
11. During auscultation of the chest, your exam reveals a loud grating sounds at the lower
anterolateral lung fields, at full inspiration and early expiration. This finding is consistent
with a) pneumothorax
b) pleural friction rub
c) pneumonia
d) B and C
12. Identify herpes simplex I and II (clustering lesions) and herpes zoster (linear lesions).
13. Rinne Test: Used to evaluate loss of hearing in one ear. It compares perception of sounds
transmitted by air conduction to those transmitted by bone conduction through the
mastoid. Use a turning fork on the mastoid bone and adjacent to the outer ear, bone
conduction allows the vibration sound to be transmitted to the inner ear. Normal finding:
Air conduction is better than bone conduction. The patient should be able to hear the
sound of the tuning fork adjacent to their ear, persist for approximately twice as long as the
sound they heard over their mastoid process. This is considered a "positive test.”
, 14. The following is a sexually transmitted disease infection that can cause pharyngitis and
cervical lymphadenopathy
a) hemolytic streptococcus
b) Epstein Barr virus
c) chlamydia trachomatis
d) cytomegalovirus
15. Tangential Light: Use to casts shadows, observing contour and variations in the body’s
surface.
The use of secondary, tangential lighting is most helpful in the detection of:
a. variations in skin color.
b. enlarged tonsils.
c. foreign objects in the nose or ear.
d. variations in contour of the body surface.
Tangential lighting is best used for inspecting skin:
a. color.
b. contour.
c. exudates.
d. symmetry.
16. Amaurosis fugax is a temporary loss of vision in one or both eyes due to a blood clot or
insufficient blood flow to the blood vessels that supply the eye.
A patient describes a brief episode of visual impairment where as if it was a dark shade was
gradually coming down over one eye. The vision returned a moment later. This is most
commonly described as
a) amarousis fugax
b) cataracts
c) macular degeneration
d) glaucoma