REGIS NU650 Week 15 Final Exam Questions and
Answers
1. Order of Assessment - ANSWER: Inspection, Palpation, Percussion and
Auscultation. EXCEPT with abdomen
2. Comprehensive Health History - ANSWER: chief complaint, reason for visit,
ROS, past medical and surgical history, social history and family history
3. Pediatric Body measurements - ANSWER: length, height, weight, head
circumference from birth to 36 months
4. Normal/Hypertension cut off - ANSWER: <130 normal 140+ hypertension
5. Fontanel Closure - ANSWER: posterior 1-2 months, anterior 9mo-2years
6. otoscope - ANSWER: adult-up and back, peds- down and back, using largest
speculum that will fit comfortably
7. tympanic membrane - ANSWER: Cone of light R-5 l-7
8. EOM testing - ANSWER: CN III, IV, VI
9. AP diameter of chest - ANSWER: 1:2 (AP less than transverse)
10. barrel chest - ANSWER: COPD
11. Flat or Dull percussion - ANSWER: effusion or pneumonia
12. normal resonant percussion - ANSWER: healthy lung
13. Hyperresonance (percussion) - ANSWER: trapped air
14. crackles/rales - ANSWER: high pitched, discontinuous
15. Wheezes - ANSWER: high-pitched whistling or squeaking sounds during
inspiration or expiration
16. Rhonchi - ANSWER: snoring, rumbling sounds heard upon auscultation of the
chest during respiration-low pitched
17. tactile fremitus
- ANSWER: • INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation
such as with pneumonia)
, REGIS NU650 Week 15 Final Exam Questions and
Answers
- Remember Liquid or solid transmits vibrations better than air
• DECREASED FREMITUS
18. Means air trapping such as with emphysema or bronchial obstruction.
19. Bronchophony - ANSWER: the spoken voice sound heard through the
stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue,
clearer over disease
20. Egophony - ANSWER: abnormal change in tone of voice that is heard when
auscultating the lungs EE-->AA
21. UE Arteries - ANSWER: radial-thumb side, ulnar pinky side
22. Pulse grading - ANSWER: 0 absent
1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
23. PMI - ANSWER: point of maximal impulse mid-clavicular and 5th ICS
24. S1 - ANSWER: normal, closure of AV, Start of systole, loudest at Apex,
contraction of ventricles
25. S2 - ANSWER: normal, closure of semilunar, end of systole, loudest at base,
filling of ventricles
26. S3 - ANSWER: third heart sound (normal in pregnant young adults, and
children), gallop
27. S4 - ANSWER: extra heart sound, end of diastole, indicative of disease-AFIB
28. murmur grading scale - ANSWER: I-Barely Audible
II-Quiet, Clearly Audible
III-moderately Loud
IV-loud, thrill
V-Very loud, can palpate thrill
VI-Very loud, thrill palpable and visible
29. clubbing - ANSWER: bulbous enlargement of distal phalanges of fingers and
toes that occurs with chronic cyanotic heart and lung conditions
Answers
1. Order of Assessment - ANSWER: Inspection, Palpation, Percussion and
Auscultation. EXCEPT with abdomen
2. Comprehensive Health History - ANSWER: chief complaint, reason for visit,
ROS, past medical and surgical history, social history and family history
3. Pediatric Body measurements - ANSWER: length, height, weight, head
circumference from birth to 36 months
4. Normal/Hypertension cut off - ANSWER: <130 normal 140+ hypertension
5. Fontanel Closure - ANSWER: posterior 1-2 months, anterior 9mo-2years
6. otoscope - ANSWER: adult-up and back, peds- down and back, using largest
speculum that will fit comfortably
7. tympanic membrane - ANSWER: Cone of light R-5 l-7
8. EOM testing - ANSWER: CN III, IV, VI
9. AP diameter of chest - ANSWER: 1:2 (AP less than transverse)
10. barrel chest - ANSWER: COPD
11. Flat or Dull percussion - ANSWER: effusion or pneumonia
12. normal resonant percussion - ANSWER: healthy lung
13. Hyperresonance (percussion) - ANSWER: trapped air
14. crackles/rales - ANSWER: high pitched, discontinuous
15. Wheezes - ANSWER: high-pitched whistling or squeaking sounds during
inspiration or expiration
16. Rhonchi - ANSWER: snoring, rumbling sounds heard upon auscultation of the
chest during respiration-low pitched
17. tactile fremitus
- ANSWER: • INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation
such as with pneumonia)
, REGIS NU650 Week 15 Final Exam Questions and
Answers
- Remember Liquid or solid transmits vibrations better than air
• DECREASED FREMITUS
18. Means air trapping such as with emphysema or bronchial obstruction.
19. Bronchophony - ANSWER: the spoken voice sound heard through the
stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue,
clearer over disease
20. Egophony - ANSWER: abnormal change in tone of voice that is heard when
auscultating the lungs EE-->AA
21. UE Arteries - ANSWER: radial-thumb side, ulnar pinky side
22. Pulse grading - ANSWER: 0 absent
1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
23. PMI - ANSWER: point of maximal impulse mid-clavicular and 5th ICS
24. S1 - ANSWER: normal, closure of AV, Start of systole, loudest at Apex,
contraction of ventricles
25. S2 - ANSWER: normal, closure of semilunar, end of systole, loudest at base,
filling of ventricles
26. S3 - ANSWER: third heart sound (normal in pregnant young adults, and
children), gallop
27. S4 - ANSWER: extra heart sound, end of diastole, indicative of disease-AFIB
28. murmur grading scale - ANSWER: I-Barely Audible
II-Quiet, Clearly Audible
III-moderately Loud
IV-loud, thrill
V-Very loud, can palpate thrill
VI-Very loud, thrill palpable and visible
29. clubbing - ANSWER: bulbous enlargement of distal phalanges of fingers and
toes that occurs with chronic cyanotic heart and lung conditions
