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PHYSICAL ASSESSMENT PRACTICE MIDTERM 2

2025 QUESTIONS AND ANSWERS PLUS

RATIONALES| GUARANTEED PASS | LATEST

UPDATE | CHAMBERLAIN UNIVERSITY

• When auscultating heart sounds, S1 corresponds with which cardiac event?
• Opening of the aortic valve
• Closure of the mitral and tricuspid valves
• Closure of the aortic and pulmonic valves
• Atrial contraction

Rationale: S1 is caused by the closure of the atrioventricular valves (mitral and tricuspid) at the beginning of systole.

• Which cranial nerve is assessed by evaluating facial symmetry during smiling

and frowning?

• CN V – Trigeminal
• CN VII – Facial 1 / 4

• CN IX – Glossopharyngeal
• CN X – Vagus

Rationale: Cranial Nerve VII controls the muscles of facial expression.

• A patient has a 3+ deep tendon reflex. How is this best interpreted?
• Normal response
• Brisker than average, possibly indicative of disease
• Very brisk, hyperactive, with clonus
• Hypoactive

Rationale: A 3+ reflex is brisker than average and may indicate hyperreflexia.

• While auscultating the lungs, you hear high-pitched, musical sounds during

expiration. What are these called?

• Crackles
• Rhonchi
• Wheezes
• Stridor

Rationale: Wheezes are musical and high-pitched sounds heard predominantly

during expiration in obstructive diseases like asthma.

• During abdominal percussion, a dull sound over the left lower quadrant might

indicate:

• Normal bowel gas 2 / 4

• Fecal mass or tumor
• Fluid accumulation
• Gastric air bubble

Rationale: Dullness in the LLQ may indicate a fecal mass or a solid organ/tumor.

• Which of the following best describes a grade 2/6 heart murmur?
• Very faint, heard only with difficulty
• Clearly audible, but faint
• Loud, with a palpable thrill
• Audible without a stethoscope

Rationale: A grade 2 murmur is soft but easily heard without difficulty.

• The "six cardinal fields of gaze" are used to assess which cranial nerves?

A. II, III, V

B. III, IV, VI

C. V, VII, VIII

D. III, V, VII

Rationale: Cranial nerves III (oculomotor), IV (trochlear), and VI (abducens)

control eye movements.

8. Egophony is tested during lung assessment by asking the patient to say:

• "One-two-three"
• "Ninety-nine" 3 / 4

• "E"
• "Ah"

Rationale: If "E" sounds like "A" over the lung fields, this suggests consolidation, such as pneumonia.

9. When palpating the thyroid from behind the patient, you ask them to:

• Cough
• Swallow
• Say "Ah"
• Look up

Rationale: Swallowing allows the thyroid gland to rise and aids in palpation.

10. A positive Murphy's sign indicates:

• Appendicitis
• Cholecystitis
• Pancreatitis
• Gastritis

Rationale: Murphy's sign is pain on inspiration while palpating the right upper

quadrant, suggestive of gallbladder inflammation.

11. A bounding pulse (4+) is most commonly associated with:

• Dehydration
• Hyperthyroidism
• / 4