Old Knowledge
EYE/EAR
Thoracic/Lungs
ABDOMINAL
MUSCULOSKELETAL
100

True or False Increased cardiac output volume and increased viscosity of the blood causes an increase in blood pressure.

True

100

Name the cranial nerves responsible for extra-ocular muscle movement of the eye.

Cranial nerve 6, 4, 3

100

Explain what is meant by the "Apex" and "Base" in your lung assessment.

Apex - top, highest point of the lung

Base - bottom, lowest part of the lung

100
What is the proper assessment sequence in the abdomen?
Inspection, Auscultation, Percussion & Palpation
100
What is the function of the temporomandibular joint?
The TMJ permits jaw function for speaking and chewing. It lays anterior to the tragus of the ear
200
Give 2 examples of a subjective questions you would ask related to the severity of pain?
The patient could rate the pain on a 0-10 scale, Does it interfere with activities? How long does an episode last? Does it force you to sit, lie or slow down?
200

Name two eye tests you would perform for central visual acuity?

Snellen Eye Chart, & Near Vision reader

200

Name four functions of the Respiratory System?

Supply O2

Removes CO2

Maintains hemostatsis (acid-base balance)

Maintains heat exchange

200
Which quadrant would you find the stomach, the spleen & the pancreas?
Left Upper Quadrant (LUQ)
200
What are the functional units of the musculoskeletal system?
The joints because they permit the mobility needed for activities of daily living (ADLs)
300
What is the auscultatory gap? Is it an abnormal finding?
Silence for 30-40mm/hg, during deflation & yes it is an abnormal finding
300

What are three subjective questions you would ask related to the Ears?

Earaches, Infections, Discharge, Hearing loss, Environmental noise, Tinnitus

300

Demonstrate and Explain Symmetrical Expansion, posterior chest

Place your hands with thumbs pointed toward spine at T9 or T10 and have the patient take a deep breath, watch your hands move symmetrically when breath taken

300
In what condition would you expect to find an enlarged palpable spleen?
Mononucleosis
300
Describe joint pain versus muscle pain?
Joint pain: aching, stiffness, sharp or dull Muscle pain: cramping, aching
400
Your patient presents with a pigmented lesion on their lower right thigh. How would you proceed with your assessment of the lesion?
ABCDE rule
400

Explain the Otoscope exam in an adult? Describe what a normal tympanic membrane would look like?

Hold the otoscope upside down, pull the pinna up and back and TM is translucent, pearly-grey

400

Name the predominant percussion note in the lungs. 

Give an example of an abnormal note in the lungs.

Normal:  Resonance

Abnormal:  Dullness seen in pneumonia, Hyper-resonance seen in over inflated lungs, emphysema


400
Your patient is complaining of right lower quadrant pain (RLQ). Which palpation technique would you perform and explain how you would perform it?
Blumberg Sign
400
Demonstrate and explain the Phalen Test.
The Phalen test reproduces numbness and burning in a person with carpal tunnel syndrome
500

What are standard precautions and discuss how they provide a safe environment for hospitalized patients and staff.

Standard precautions are hand hygiene, use of gloves, gown, mask, eye protection/face shield and respiratory hygiene and cough etiquette. Prevents any possible transmission and infection between patients or patient and examiner.

500

Demonstrate Pupillary light reflex and Accommodation

Darken the room, ask patient to gaze ahead. Advance light in from the side and note response. Normally you will see constriction of the same-sided pupil and simultaneous constriction of the other pupil. Accommodation-ask the patient to focus on an object and slowly bring the object closer, the pupils will constrict and converge

500

Name the three normal breath sounds.  Where would you auscultate each sound, anterior and posterior chest.

Bronchial:  over trachea region

Bronchovesicular:  close to the spine posterior and sternum anterior

Vesicular:  in the periphery

500
What are the 3 predominant percussion notes and where would you hear them?
Tympany (hollow viscera), Dullness (solid organs) and Hyper-resonance (abd. distention from air & gas)
500
Name two changes in the aging adult in the musculoskeletal system?
Decrease in height, especially seen in 8th and 9th decades Slower gait, holds on to rails more for support Bends at the waist instead of at the knees Increase risk of falling