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507 Midterm
507 Midterm
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1
Landmark: what is found inferior to the sternum and is bordered by the ribs laterally?
sternal notch
sternal angle
costal angle
xiphoid process
2
Which line is represented most laterally?
Midaxillary line
Midsternal line
Midclavicular line
Anterior axillary line
3
Landmark: how do you locate the thyroid isthmus (standing posterior to pt)?
palpate just posterior to the thyroid cartilage
palpate just posterior to the cricoid cartilage
palpate just inferior to the thyroid cartilage
palpate just inferior to the cricoid cartilage
4
Mitral area or apex can be auscultated at the:
left 5th intercostal space (midclavicular line)
left 2nd intercostal space
left 3rd intercostal space (sternal border)
left 4th intercostal space (lower sternal border)
5
Landmark: what is found at the most inferior aspect of the sternum?
sternal angle
manubrium
sternal notch
xiphoid process
6
Which nerve roots innervate the triceps reflex?
C5
C7
C6
C8
7
Which rib/intercostal space does the inferior tip of the scapula lie at?
11th
12th
10th
7th
8
Which CN(s) innervates the consensual blink reflex?
cranial nerve V (motor)
cranial nerve VII (sensory)
cranial nerve (V) sensory
cranial nerve VII (motor)
9
What CN are you testing when you check for resistance of SCM and Trapezius strength?
CN X
CN XI
CN IX
CN XII
10
Where does the TMJ articulate?
postglenoid tubercle
articular tubercle
mandibular fossa
condylar process of mandible
11
pulmonary area can be auscultated at the:
left 4th intercostal space (lower sternal border)
right 2nd intercostal space
left 3rd intercostal space (sternal border)
left 2nd intercostal space
12
What are you testing when you stroke the lateral aspect of the sole from heel to ball of foot?
Gait
Babinski
ticklish reflex
Clonus
13
What are you checking when dragging a cotton applicator across dermatomes?
Sensation to touch
Sensation to pain
Vibratory sense
Proprioception
14
Which line is represented between the two outler lines?
Midclavicular line
Midaxillary line
Midsternal line
Anterior axillary line
15
Landmark: where do you check for turgor?
ventral forearm
upper arm
abdomen
dorsal forearm
16
Which line is represented medially and posteriorly?
Scapular line
Midaxillary line
Anterior axillary line
Vertebral line
17
What are you checking when drawing number or letter in pt's hand?
Graphesthesia
Stereognosis
Vibratory sense
Proprioception
18
erb's point can be auscultated at the:
left 3rd intercostal space (sternal border)
left 4th intercostal space (lower sternal border)
left 5th intercostal space (midclavicular line)
left 2nd intercostal space
19
The ___ Hz tuning fork is used for vibratory sense of the DIP
512
128
20
Landmark: between what two landmarks would you access the femoral pulse?
ilium
ASIS
symphosis pubis
pubis
21
Which aspect of the hands can you feel heaves or lifts with?
ball of the hand
finger pads
22
Landmark: find most lateral tendon at the wrist, then go laterally to that
brachial pulse
carpal pulse
ulnar pulse
radial pulse
23
Landmark: how do you access brachioradialis reflex?
1-2 inches distal to the styloid process of radius
1-2 inches proximal to styloid process of ulna
1-2 inches proximal to the styloid process of radius
1-2 inches distal to the styloid process of ulna
24
Landmark: how do you palpate the posterior tibial pulse?
curve fingers anterior to lateral malleolus
curve fingers posterior to lateral malleolus
curve fingers posterior to medial malleolus
curve fingers anterior to medial malleolus
25
The ___ Hz tuning fork is used for Rinne and Weber
512
128
26
Landmark: how do you access biceps reflex?
Medially to flexed biceps tendon
Laterally to flexed triceps tendon
Laterally to flexed biceps tendon
Medially to flexed triceps tendon
27
Needles and tubes should be placed along the superior rib margins.
False
True
28
Which ribs are known as the floating ribs?
1-12
1-7
8-10
11-12
29
Which line is represented at the medial border of the scapula?
Scapular line
Vertebral line
Midaxillary line
Anterior axillary line
30
What CN are you testing when you check for tongue movement, midline, and strength of tongue?
CN X
CN XII
CN XI
CN IX
31
Which line is represented medially?
Scapular line
Posterior axillary line
Midaxillary line
Anterior axillary line
32
What cranial nerve are you testing when you are testing nasal patency/sense of smell?
CN II
CN I
CN III
CN V
33
How many areas do you percuss and auscultate the lungs anteriorly?
14
6
12
34
Where do you place the cotton wisp when checking for consensual blink reflex?
Medial aspect of the cornea
Lateral aspect of the cornea
Lateral aspect of the sclera
Medial aspect of the sclera
35
Which tip of the rib can be felt posteriorly?
10th
7th
12th
11th
36
When you observe routine ambulation, what are you observing?
balance
Gait
Fine motor skills
Rapid rhythmic alternating movements
37
What cranial nerve are you testing when you test symmetrical movement of facial expression?
CN III
CN II
CN VII
CN VI
38
Which line is represented most posteriorly?
Scapular line
Midaxillary line
Anterior axillary line
Posterior axillary line
39
Landmark: artery just medial to the bicep tendon
brachial artery
brachial tendon
biceps artery
ulnar nerve
40
What CN are you testing when you have pt clench teeth and feel for muscle symmetry and tone of masseter and temporalis?
CN V (sensory)
CN V (motor)
41
When you have the patient turn palms up and down gradually increasing speed, what are you observing?
Rapid rhythmic alternating movements
balance
Fine motor skills
Gait
42
What cranial nerve are you testing when you check central vision with snellen chart?
CN V
CN II
CN III
CN I
43
Which ribs articulate with costal cartilage above them?
1-7
8-10
1-12
11-12
44
What are you testing when you dorsiflex the ankle and hold?
Clonus
Gait
Babinski
45
Tricuspid area can be auscultated at the:
left 4th intercostal space (lower sternal border)
left 2nd intercostal space
left 3rd intercostal space (sternal border)
left 5th intercostal space (midclavicular line)
46
What are you checking for when inspecting appropriate movement of the tympanic membrane?
TM motility
TM mobility
TM modality
TM morality
47
Landmark: how do you access Abdominal (superficial) reflex?
stroking from all 4 quadrants of abdomen towards umbilicus diagonally
stroking from umbilicus towards all 4 quadrants of the abdomen diagonally
48
Which line is represented most anteriorly?
Scapular line
Midaxillary line
Anterior axillary line
Posterior axillary line
49
Aortic area can be auscultated at the:
left 4th intercostal space (lower sternal border)
right 2nd intercostal space
left 2nd intercostal space
left 3rd intercostal space (sternal border)
50
What are you checking when placing a common object in pt's hand?
Graphesthesia
Proprioception
Stereognosis
Vibratory sense
51
Which lymph node would you only use one hand to palpate?
Preauricular
Submental
Tonsillar
Submandibular
52
Landmark: how do you access patellar reflex?
Strike at the patella
Strike inferior to patella, superior to tibia
Strike superior to patella, inferior to tibia
Strike inferior to femur and superior to patella
53
Which tip of the rib can be felt laterally?
7th
12th
11th
10th
54
What cranial nerve are you testing when you use an opthalmoscope to look at the back of the patient's eye?
CN V
CN II
CN I
CN III
55
Where do the clavicles communicate with?
sternum
xiphoid process
suprasternal notch
sternoclavicular joints
56
Landmark: how do you palpate dorsalis pedis pulse?
just medial to extensor tendon of pinky toe
just lateral to extensor tendon of great toe
just medial to extensor tendon of great toe
just lateral to extensor tendon of pinky toe
57
When asking the patient to recall 3 words you gave them 1-3 minutes ago, what are you testing?
Remote memory
Relative memory
Recent memory
Cognitive Function
58
When asking the patient to recall 2 events of the past (tailored to age/education level), what are you testing?
Cognitive Function
Recent memory
Relative memory
Remote memory
59
Landmark: how do you access triceps reflex?
Striking over biceps tendon while arm is relaxed and lifted to side
Striking under triceps tendon while arm is relaxed and lifted to side
Striking under biceps tendon while arm is relaxed and lifted to side
Striking over triceps tendon while arm is relaxed and lifted to side
60
What are you checking when using a 128 Hz tuning fork over DIP for vibration?
Sensation to pain
Sensation to touch
Vibratory sense
Proprioception
61
Landmark: where do you access the PMI?
5th intercostal space, anterior axillary line
4th intercostal space, midclavicular line
4th intercostal space, anterior axillary line
5th intercostal space, midclavicular line
62
Landmark: how do you access achilles reflex?
Dorsiflex the foot and strike mid-portion of achilles tendon
Plantarflex the foot and strike mid-portion of achilles tendon
63
Which test requires the pt to say "99" as you auscultate the lungs posteriorly?
egophony
bronchophony
whispered pectoriloquy
64
What CN are you testing when you perform Weber and Rinne test?
CN VII
CN VIII
CN IX
CN VI
65
When you have the pt stand with their eyes closed and both arms forward palms up, what are you observing?
Rapid rhythmic alternating movements
balance (pronator drift)
Gait
balance (romberg)
66
Which nerve roots innervate the patellar reflex?
L4
L2
L3
S1
67
Which ribs articulate with the sternum?
8-10
11-12
1-7
1-12
68
What cranial nerve(s) are you testing when you test eye movements using the H test looking for nystagmus or lid lag?
CN II
CN IV
CN VI
CN III
69
Landmark: what is found inferiorly to the sternal notch that can be palpated to located attachment of 2nd rib?
1st rib
sternal angle
manubrium
sternal notch
70
Landmark: how do you access popliteal pulse?
behind knee in extension w/ leg relaxed, press deep into popliteal fossa
behind knee in flexion w/ leg relaxed, press deep into popliteal fossa
behind ankle in flexion w/ leg relaxed, press deep into popliteal fossa
behind knee in flexion w/ leg relaxed, press deep into pubic fossa
71
Which test requires the pt to say "e" as you auscultate the lungs posteriorly?
egophony
bronchophony
whispered pectoriloquy
72
What CN are you testing when you perform whisper test or finger rub test?
CN VIII
CN VI
CN IX
CN VII
73
Which nerve roots innervate the achilles reflex?
L3
S1
L4
L2
74
When asking the patient to count backwards from 100 by 7's or spell "world" backwards, what are you testing?
Cognitive Function
Relative memory
Remote memory
Recent memory
75
What are you checking when positioning DIP in up or down position?
Graphesthesia
Proprioception
Vibratory sense
Stereognosis
76
When asking the patient to count backwards from 100 by 7's or spell "world" backwards, what are you testing?
Cognitive Function
Relative memory
Remote memory
Recent memory
77
When you have the pt touch their index finger to their nose then touch your finger while moving, what are you observing?
Gait
Rapid rhythmic alternating movements
Fine motor skills
balance
78
Which muscles can be observed for labored breathing?
External intercostals
Scalenes
Sternocleidomastoids
Abdominal muscles
79
Landmark: what is found at the most superior portion in the midline of the sternum?
sternal notch
1st rib
sternal angle
manubrium
80
Which nerve roots innervate the biceps reflex?
C6
C7
C5
C8
81
Which line is represented most medially and anteriorly?
Anterior axillary line
Midsternal line
Midaxillary line
Midclavicular line
82
When observing respirations, you want to be looking for...
effort
rhythm
depth
rate
83
You want to palpate the carotids before you auscultate.
False
True
84
What CN are you testing when you check for sense of touch and dull/pain sensation on all 3 branches of face?
CN V (motor)
CN V (sensory)
85
Which aspect of the hands can you feel thrills with?
ball of the hand
finger pads
86
What CN(s) are you testing when you check for rise and fall of soft palate and uvula and check for gag reflex?
CN IX
CN X
CN VII
CN VIII
87
Which test requires the pt to whisper "1,2,3" as you auscultate the lungs posteriorly?
whispered pectoriloquy
egophony
bronchophony
88
Which sinuses are you palpating when performing ENT exam?
Maxillary
Frontal
Ethmoid
Sphenoid
89
How many areas do you percuss and auscultate the lungs posteriorly?
6
12
14
90
What are you checking when differentiating between dull and pain sense across dermatomes?
Proprioception
Sensation to pain
Vibratory sense
Sensation to touch
91
Which nerve roots innervate the abdominal reflex?
T12
T10
T11
T8 and T9
92
What cranial nerve(s) are you testing when you evaluate pupil size, shape, and direct and consensual light response?
CN I
CN V
CN II
CN III
93
What cranial nerve are you testing when you check peripheral vision with finger wiggle test?
CN III
CN I
CN II
CN V
94
Landmark: anterior, or ventral, crease of the elbow
epicondyle
Brachial artery
Olecranon
Antecubital crease/fossa
95
What test assesses normal blood flow through peripheral tissue?
Nail refill
Capillary refill
Cuticle refill
nail plate refill
96
Which nerve roots innervate the brachioradialis reflex?
C6
C7
C8
C5
97
When you have the pt slide their heel on the opposite shin down to the big toe, what are you observing?
Gait
Rapid rhythmic alternating movements
balance
Fine motor skills
98
When you have the pt stand with their eyes closed for 30 sec, what are you observing?
balance (romberg)
balance (pronator drift)
Gait
Rapid rhythmic alternating movements
99
When testing for thoracic expansion, where do you want to place your hands on the patient?
anterio aspect of inferior 1/3 of pt's ribs
anterior aspect of superior 1/3 of pt's ribs
anterior aspect of middle 1/3 of pt's ribs
posterior aspect of inferior 1/3 of pt's ribs