TDP Written – Questions With Accurate Answers
What are some general concepts to keep in mind during an
integumentary system exam? Correct Answer - Make sure
there is adequate lighting, use a small ruler/measuring tape, patient
should be dressed in a gown with opening in the back, obtain
permission to expose area to be examined, wash hands before and
after the exam.
In what positions is the skin examined? Correct Answer - The
skin is examined in seated and standing positions.
What areas are inspected during the seated skin exam? Correct
Answer - Hair and scalp, head and neck, upper back, shoulders,
arms, hands, chest, abdomen, anterior thighs and legs, feet and toes.
What are some things to look for during a skin exam? Correct
Answer - Color changes, moisture, temperature, texture,
mobility, turgor.
What are the criteria for screening melanoma? Correct Answer -
Asymmetry, Border irregularity, Color variations, Diameter,
Evolving, Elevation, Firmness, Growing
What are the key details to note and document for each skin lesion?
Correct Answer - Location, Size, Number, Distribution,
Configuration, Texture, Color
What are the primary skin lesions? Correct Answer - Macule,
Patch, Papule, Nodule, Plaque, Wheal, Vesicle, Bulla, Pustule
What are some examples of secondary skin lesions? Correct
Answer - Erosion, ulcer, fissure, excoriation, atrophy, sclerosis,
,scale, crust, petechiae, purpura, ecchymosis, scar, keloid,
lichenification, telangiectasia
What is the Hair Pull Test used for? Correct Answer - To
examine for hair shedding
What is the Tug Test used for? Correct Answer - To examine
for hair fragility
What should be examined during a nail exam? Correct Answer -
Nail folds, lunula, nail bed, hyponychium, nail plate for
abnormalities in color and shape
What are the steps involved in the spine exam for inspection?
Correct Answer - Inspect contour of the spine, alignment of
shoulders, iliac crests, and skin creases, movement/coordination of
the neck, paravertebral muscles for spasm, and any skin markings,
tags, or masses.
What is the process of palpation during the spine exam? Correct
Answer - Palpate the spinous process of each vertebrae, facet
joints in the cervical region, vertebral 'step-offs' in the lumbar
region, paravertebral muscles for tenderness or spasm, and the
sacroiliac joint. Percuss the spine for tenderness and palpate the
sciatic nerve for pain/tenderness.
What does pain or tenderness while palpating the sciatic nerve
during the spine exam indicate? Correct Answer - Pain or
tenderness indicates a positive test, which may suggest a possible
herniated disc or nerve impingement.
What should be noted during the spine exam when the patient is
standing in a neutral position? Correct Answer - The contour
of the spine, alignment of shoulders, iliac crests, skin creases,
, movement/coordination of the neck, paravertebral muscles for
spasm, and any skin markings, tags, or masses should be noted.
What should be observed during the spine exam when the patient is
bending forward while standing? Correct Answer - Asymmetry
at the eye level with the patient should be observed during this part
of the spine exam.
What range of motion should be assessed first in the neck exam?
Correct Answer - Flexion, Extension, Rotation (L & R), Lateral
Bending (L & R)
What does the Cervical Compression Test (Spurling Test) assess for?
Correct Answer - Cervical nerve root compression, also known
as Cervical Radiculopathy
- pt looks over shoulder on side in question, then look up
- apply pressure onto head
- neck pain with radiation on same side of turned head = +
How is the Cervical Distraction Test performed? Correct Answer -
By pulling the patient's neck to an end range traction (away from
the patient's body)
+ is if there is relief
What does a positive Lhermitte Sign/ + barber chair indicate?
Correct Answer - A transient shock-like sensation extending
exclusively down the spine and/or upper/lower extremities when
flexing neck
- can be due to spinal cord compression, tumor, injury,
radiculopathy, MS
What does the Adson Test assess for? Correct Answer -
Thoracic Outlet Syndrome - compression between the anterior and
middle scalene muscles
What are some general concepts to keep in mind during an
integumentary system exam? Correct Answer - Make sure
there is adequate lighting, use a small ruler/measuring tape, patient
should be dressed in a gown with opening in the back, obtain
permission to expose area to be examined, wash hands before and
after the exam.
In what positions is the skin examined? Correct Answer - The
skin is examined in seated and standing positions.
What areas are inspected during the seated skin exam? Correct
Answer - Hair and scalp, head and neck, upper back, shoulders,
arms, hands, chest, abdomen, anterior thighs and legs, feet and toes.
What are some things to look for during a skin exam? Correct
Answer - Color changes, moisture, temperature, texture,
mobility, turgor.
What are the criteria for screening melanoma? Correct Answer -
Asymmetry, Border irregularity, Color variations, Diameter,
Evolving, Elevation, Firmness, Growing
What are the key details to note and document for each skin lesion?
Correct Answer - Location, Size, Number, Distribution,
Configuration, Texture, Color
What are the primary skin lesions? Correct Answer - Macule,
Patch, Papule, Nodule, Plaque, Wheal, Vesicle, Bulla, Pustule
What are some examples of secondary skin lesions? Correct
Answer - Erosion, ulcer, fissure, excoriation, atrophy, sclerosis,
,scale, crust, petechiae, purpura, ecchymosis, scar, keloid,
lichenification, telangiectasia
What is the Hair Pull Test used for? Correct Answer - To
examine for hair shedding
What is the Tug Test used for? Correct Answer - To examine
for hair fragility
What should be examined during a nail exam? Correct Answer -
Nail folds, lunula, nail bed, hyponychium, nail plate for
abnormalities in color and shape
What are the steps involved in the spine exam for inspection?
Correct Answer - Inspect contour of the spine, alignment of
shoulders, iliac crests, and skin creases, movement/coordination of
the neck, paravertebral muscles for spasm, and any skin markings,
tags, or masses.
What is the process of palpation during the spine exam? Correct
Answer - Palpate the spinous process of each vertebrae, facet
joints in the cervical region, vertebral 'step-offs' in the lumbar
region, paravertebral muscles for tenderness or spasm, and the
sacroiliac joint. Percuss the spine for tenderness and palpate the
sciatic nerve for pain/tenderness.
What does pain or tenderness while palpating the sciatic nerve
during the spine exam indicate? Correct Answer - Pain or
tenderness indicates a positive test, which may suggest a possible
herniated disc or nerve impingement.
What should be noted during the spine exam when the patient is
standing in a neutral position? Correct Answer - The contour
of the spine, alignment of shoulders, iliac crests, skin creases,
, movement/coordination of the neck, paravertebral muscles for
spasm, and any skin markings, tags, or masses should be noted.
What should be observed during the spine exam when the patient is
bending forward while standing? Correct Answer - Asymmetry
at the eye level with the patient should be observed during this part
of the spine exam.
What range of motion should be assessed first in the neck exam?
Correct Answer - Flexion, Extension, Rotation (L & R), Lateral
Bending (L & R)
What does the Cervical Compression Test (Spurling Test) assess for?
Correct Answer - Cervical nerve root compression, also known
as Cervical Radiculopathy
- pt looks over shoulder on side in question, then look up
- apply pressure onto head
- neck pain with radiation on same side of turned head = +
How is the Cervical Distraction Test performed? Correct Answer -
By pulling the patient's neck to an end range traction (away from
the patient's body)
+ is if there is relief
What does a positive Lhermitte Sign/ + barber chair indicate?
Correct Answer - A transient shock-like sensation extending
exclusively down the spine and/or upper/lower extremities when
flexing neck
- can be due to spinal cord compression, tumor, injury,
radiculopathy, MS
What does the Adson Test assess for? Correct Answer -
Thoracic Outlet Syndrome - compression between the anterior and
middle scalene muscles
