EXAM 2 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2025 MARYVILLE UNIVERSITY
1. When percussing over the liver, which sound should you expect to hear?
A. Tympany
B. Hyperresonance
C. Dullness
D. Resonance
Dullness indicates a dense organ such as the liver, which lies beneath the
rib cage.
2. Which cranial nerve is responsible for facial symmetry when smiling?
A. CN V
B. CN VII
C. CN IX
D. CN X
,Cranial Nerve VII (Facial) controls facial movements, including smiling and
frowning.
3. Which assessment technique is used first in a physical examination?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
Inspection is always the first step in any physical assessment sequence.
4. A positive Babinski reflex in an adult suggests:
A. Normal finding
B. Upper motor neuron lesion
C. Lower motor neuron lesion
D. Cerebellar dysfunction
In adults, a positive Babinski is abnormal and indicates upper motor
neuron damage.
5. The "lub-dub" sound of the heart is caused by:
A. Opening of heart valves
B. Closure of heart valves
C. Turbulent blood flow
D. Heart muscle contraction
The "lub" (S1) and "dub" (S2) sounds represent valve closures during the
cardiac cycle.
, 6. Where is the apical impulse best palpated?
A. Right 2nd intercostal space
B. Left 5th intercostal space, midclavicular line
C. Left 2nd intercostal space
D. Epigastric area
The apical impulse is best felt at the 5th intercostal space on the left side.
7. The term for high-pitched, musical breath sounds is:
A. Rales
B. Rhonchi
C. Wheezes
D. Crackles
Wheezes are high-pitched sounds due to narrowed airways, common in
asthma.
8. A bruit is best heard with the:
A. Flat diaphragm
B. Bell of the stethoscope
C. Fingertips
D. Dorsum of the hand
Bruits are low-pitched sounds; the bell is better for detecting them.
9. The Snellen chart tests for:
A. Peripheral vision
B. Visual acuity
C. Depth perception