Maryville 612 Exam 1 Advanced Health
Assessment Questions With 100%
Pass
/. What is S4 indicative of? - Answer-In the 2nd phase of ventricular filling, vibration in
the valves, papillae, and ventricular walls produce S4. When there is increased
resistance to filling because ventricular walls have lost compliance. HTN, CAD or
increased stroke volume high output, anemia, pregnancy, and thyrotoxicosis. A loud S4
suggest pathology and deserves additional evaluation.
/.State the order of the abdominal exam? - Answer-Inspect, auscultate, percuss, and
palpate
/.The tonsil assessment, state how tonsils are graded, and the exam documented? -
Answer-Grade +1-+4. 1+ visible, 2+ halfway between tonsillar pillars and the uvula, 3+
nearly touching the uvula, 4+ touching each other.
/.Sinuses- How do you assess the sinuses? Anatomical location of the sinuses on the
face. Name the sinus cavities. - Answer-Assessment: inspect for swelling, tenderness,
and pain by palpating, frontal with thumbs, and either side of the nose, zygomatic
processes, and maxillary sinus, with thumbs or index finger-positive findings indicate
obstruction or infection.
Frontal, ethmoid, sphenoid, and maxillary
All in relation to the nasal cavity. Frontal is above, maxillary is along the lateral wall,
ethmoid sinuses lie behind frontal sinuses near superior portion of nasal cavity,
sphenoid sinuses are deep in the skull behind the ethmoid sinuses.
/.Know the oral cancer assessment, screening. - Answer-Inspecting the oral cavity,
have pt lift tongue, move side to side, up and stick out, palpate with gloved hand.
/.What is the most common site of oral cancer? - Answer-Vermilion border of the lips
(line that goes around the outside of the lips).
/.What are the steps of the hearing exam with the tuning fork? - Answer-Weber test-
used with a tuning fork for you to compare hearing by bone conduction with that by air
conduction. You're going to strike the tuning fork and you're going to put that at the top
of the patient's head and the ask them to tell you whether or not there is sound from the
vibration both ears equally or dose it lateralize to the affected side.
Rhinne Test- Assesses and compares patient's ability to hear both through bone and air
conduction. Again, you strike the tuning fork and you actually place it on the mastoid
, bone behind the patients ear one at a time and when the patient can no longer hear the
vibration, you move the tuning fork to place it next to the ear, laterally to the ear and
then ask the patient to tell you when the sound stops. You're going to compare the air
conduction with the bone conduction and the actual air conduction is supposed to be
more than bone conduction, which is normal, ac is more than bc.
/.What do both of the hearing tests meanin reference to length of sound and fork
positions? - Answer-Weber- should hear vibration bilaterally. Rhinne- 2:1 air to bone, air
should be twice as long.
/.What are the anatomical parts of the ear? - Answer-Helix, triangular fossa, antihelix,
antitraugus, traugus, lobule, and external auditory meatus.
/.What are the anatomical parts of the ear drum? - Answer-Malleus, incus, semicircular
canals, cochlea, oval window, round window, eustation tube, stapes, and footplate.
/.What are the different parts of the tympanic membrane? - Answer-Para tensa, para
flaccida, light reflex, surrounded by the annulus, its concave shaped or umbo.
/.Assessment and dx of otitis media? - Answer-Middle ear with fluid or pus, red, bulging
tympanic membrane, loss of red reflex, inability to visualize bone structures, conductive
hearing loss, pain, loud abnormal sounds, rupture, foul smelling drainage. Otitis media
with effusion-fluid in ear. Acute otitis media fluid becomes infected, pus.
/.Ear congestion assessment and dx: - Answer-Assessment: examine the external ear
structures. Manipulate the external ear to identify any tenderness before inserting the
otoscope. Examine the canal for masses or swelling. Observe the TM for dullness,
decreased light reflect, bulging, retraction, or inflammation, which may indicate fluid or
infection.
Dx: Meniere's dx (AOM, otitis externa), OM with effusion, allergies, cerumen impaction
of foreign body.
/.Eustachian tube malfunction assessment and diagnosis: - Answer-The Eustachian tub
drain into the posterior aspect of the inferior turbinate of the nose. The tubes help the
ears drain fluid. They also keep air pressure in the ears at the right level. When you
swallow or yawn, the tubes open briefly to let air in to make the pressure in the middle
ears equal to the pressure outside of the ears. Sometimes fluid or negative pressure
gets stuck in the middle ear. The pressure outside the ear gets to high. This causes ear
pain and sometimes trouble hearing.
/.What causes blocked Eustachian tubes? - Answer-Swelling from a cold, allergies, or a
sinus infection can keep the Eustachian tube from opening. This leads to pressure
changes. Fluid may collect in the middle ear. The pressure and fluid can cause pain.
You also can have ear pain from changes in pressure while you are flying an airplane,
driving up or down mountains, or scuba diving. Fluid in the ear can lead to an infection.
Assessment Questions With 100%
Pass
/. What is S4 indicative of? - Answer-In the 2nd phase of ventricular filling, vibration in
the valves, papillae, and ventricular walls produce S4. When there is increased
resistance to filling because ventricular walls have lost compliance. HTN, CAD or
increased stroke volume high output, anemia, pregnancy, and thyrotoxicosis. A loud S4
suggest pathology and deserves additional evaluation.
/.State the order of the abdominal exam? - Answer-Inspect, auscultate, percuss, and
palpate
/.The tonsil assessment, state how tonsils are graded, and the exam documented? -
Answer-Grade +1-+4. 1+ visible, 2+ halfway between tonsillar pillars and the uvula, 3+
nearly touching the uvula, 4+ touching each other.
/.Sinuses- How do you assess the sinuses? Anatomical location of the sinuses on the
face. Name the sinus cavities. - Answer-Assessment: inspect for swelling, tenderness,
and pain by palpating, frontal with thumbs, and either side of the nose, zygomatic
processes, and maxillary sinus, with thumbs or index finger-positive findings indicate
obstruction or infection.
Frontal, ethmoid, sphenoid, and maxillary
All in relation to the nasal cavity. Frontal is above, maxillary is along the lateral wall,
ethmoid sinuses lie behind frontal sinuses near superior portion of nasal cavity,
sphenoid sinuses are deep in the skull behind the ethmoid sinuses.
/.Know the oral cancer assessment, screening. - Answer-Inspecting the oral cavity,
have pt lift tongue, move side to side, up and stick out, palpate with gloved hand.
/.What is the most common site of oral cancer? - Answer-Vermilion border of the lips
(line that goes around the outside of the lips).
/.What are the steps of the hearing exam with the tuning fork? - Answer-Weber test-
used with a tuning fork for you to compare hearing by bone conduction with that by air
conduction. You're going to strike the tuning fork and you're going to put that at the top
of the patient's head and the ask them to tell you whether or not there is sound from the
vibration both ears equally or dose it lateralize to the affected side.
Rhinne Test- Assesses and compares patient's ability to hear both through bone and air
conduction. Again, you strike the tuning fork and you actually place it on the mastoid
, bone behind the patients ear one at a time and when the patient can no longer hear the
vibration, you move the tuning fork to place it next to the ear, laterally to the ear and
then ask the patient to tell you when the sound stops. You're going to compare the air
conduction with the bone conduction and the actual air conduction is supposed to be
more than bone conduction, which is normal, ac is more than bc.
/.What do both of the hearing tests meanin reference to length of sound and fork
positions? - Answer-Weber- should hear vibration bilaterally. Rhinne- 2:1 air to bone, air
should be twice as long.
/.What are the anatomical parts of the ear? - Answer-Helix, triangular fossa, antihelix,
antitraugus, traugus, lobule, and external auditory meatus.
/.What are the anatomical parts of the ear drum? - Answer-Malleus, incus, semicircular
canals, cochlea, oval window, round window, eustation tube, stapes, and footplate.
/.What are the different parts of the tympanic membrane? - Answer-Para tensa, para
flaccida, light reflex, surrounded by the annulus, its concave shaped or umbo.
/.Assessment and dx of otitis media? - Answer-Middle ear with fluid or pus, red, bulging
tympanic membrane, loss of red reflex, inability to visualize bone structures, conductive
hearing loss, pain, loud abnormal sounds, rupture, foul smelling drainage. Otitis media
with effusion-fluid in ear. Acute otitis media fluid becomes infected, pus.
/.Ear congestion assessment and dx: - Answer-Assessment: examine the external ear
structures. Manipulate the external ear to identify any tenderness before inserting the
otoscope. Examine the canal for masses or swelling. Observe the TM for dullness,
decreased light reflect, bulging, retraction, or inflammation, which may indicate fluid or
infection.
Dx: Meniere's dx (AOM, otitis externa), OM with effusion, allergies, cerumen impaction
of foreign body.
/.Eustachian tube malfunction assessment and diagnosis: - Answer-The Eustachian tub
drain into the posterior aspect of the inferior turbinate of the nose. The tubes help the
ears drain fluid. They also keep air pressure in the ears at the right level. When you
swallow or yawn, the tubes open briefly to let air in to make the pressure in the middle
ears equal to the pressure outside of the ears. Sometimes fluid or negative pressure
gets stuck in the middle ear. The pressure outside the ear gets to high. This causes ear
pain and sometimes trouble hearing.
/.What causes blocked Eustachian tubes? - Answer-Swelling from a cold, allergies, or a
sinus infection can keep the Eustachian tube from opening. This leads to pressure
changes. Fluid may collect in the middle ear. The pressure and fluid can cause pain.
You also can have ear pain from changes in pressure while you are flying an airplane,
driving up or down mountains, or scuba diving. Fluid in the ear can lead to an infection.
