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Smaranda Grigorescu 50 questions

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Questions in this quiz (50)

  1. 151. During the physical the following steps must be taken:
    1. AA. Palpation of the heart is used to identify the heart sounds
    2. BB. When evaluating the cardiovascular system, it is important to identify the pulse, blood pressure and bowel sounds.
    3. CC. During palpation of the respiratory system, we can identify the estimated vocal fremitus (vibrations).
    4. DD. During auscultation of the heart, we can identify the pulsation of the chest wall.
    5. EE. Ptosis, exophthalmos, edema of lids can be identifed during the head examination
    6. FF. During the upper limbs’ examination, we must pay attention to the hands, nails, axillae, and joints.
    7. GG. During the inspection of the respiratory system, we can identify the rate and character of breathing
    8. HH. Cough, sputum, hemoptysis, and wheezing is identifed during the examination of the cardiovascular system.
    9. II. In the general assessment, we evaluate the general aspect, temperature, height and weight, skin colour, nutrition,
      subcutaneous tissues, and the breasts.
  2. 252. The following statements about inspection during physical examination are true:
    1. AA. The examination is done for bottom to top.
    2. BB. The inspected area must be free of clothing.
    3. CC. During the inspection the physician is seated in front of the patient.
    4. DD. The back of the body may be skipped due to the lack of clinical signs.
    5. EE. The patient must remove all his cloths to do a correct inspection.
    6. FG. The inspection is done in a one-to-one intimate environment.
    7. GH. The inspection if preferred to be done in natural sunlight.
    8. HJ. Its diagnostic importance is decisive in certain diseases (i.e., Basedow’s disease)
    9. II. The inspection should only be caried out after fnishing the medical interview.
  3. 353. Which of the following statements regarding palpation during the objective clinical examination are true?
    1. AA. During palpation we must watch the face of the patient to detect signs of discomfort or pain.
    2. BB. Clinical palpation has lost its importance due to advanced imaging investigations.
    3. CC. Palpation is always done with the patient in siting position.
    4. DD. The palpation is made with the palm for superfcial palpation and with the tips of the fngers for deep palpation.
    5. EE. Before starting the examination, we must ensure that our hands are warm.
    6. FF. The palpation needs to be frm and persistent to correctly identify any lesions.
    7. GH. The mobility of a mass can be evaluated through palpation
    8. HI. Sensitivity of a specifc organ ca be identifed through palpation.
    9. IJ. Palpation offers data concerning the volume of the surface.
  4. 454. The following statements about percussion during clinical examination are correct:
    1. AA. The hand that is struck during percussion needs to be softly placed against the skin.
    2. BB. Percussion of the liver will yield a resonant sound.
    3. CC. Percussion errors are caused by the improper position of the middle finger of the left hand.
    4. DD. The percussion of the lungs will yield a tympanic resonance.
    5. EE. The percussion movement must be a free pendular action of the elbow.
    6. FG. It is one of the 4 important steps of clinical examination.
    7. GH. A resonant sound can be identifed when we do percussion of the lungs or of the abdomen.
    8. HI. It helps to identify the type of structure under the skin by the resulting sounds.
    9. IJ. Dull sound is associated with airless tissues and organs.
  5. 555. The following statements about auscultation during clinical examination are correct:
    1. AA. The ears pieces must be perfectly adapted to the external auditory meatus.
    2. BB. Through auscultation we can identify resonance and dull sounds
    3. CC. Auscultation has lost its importance due to advanced imaging investigations.
    4. DD. Auscultation is especially important when evaluating the cardiovascular and respiratory system
    5. EG. The auscultation must be done in perfect silence.
    6. FH. De diaphragm of the stethoscope must be properly positioned on the skin surface
    7. GI. Auscultation can be omitted if we do a good percussion during the clinical examination.
    8. HJ. The auscultation is performed with the stethoscope under certain conditions.
  6. 656. Which of the following statements regarding the physical examination of the alimentary system are correct?
    1. AA. A correct physical examination of the abdomen implies inspection, palpation, percussion and auscultation.
    2. BB. Abdominal percussion is helpful in identifying the limits of individual organs.
    3. CC. Bowel sounds can be identifed during percussion.
    4. DD. By examining the pharynx, we can evaluate the state of the tonsils.
    5. EE. Abdominal lymph nodes are identifed by inspection.
    6. FF. During abdomen auscultation we can identify lung murmurs.
    7. GG. During inspection of the abdomen, we can evaluate the shape, size, respiratory movements of the abdomen wall.
    8. HH. A good clinician also examines the mouth and the throat.
  7. 757. Regarding exophthalmos, the following statements are true:
    1. AA. Endocrine exophthalmia is usually unilateral
    2. BB. Non-endocrine exophthalmos is generally bilateral
    3. CC. Endocrine exophthalmia is usually bilateral, the representative type being that of Basedow's disease
    4. DD. It represents a change in the eyelids
    5. EE. Non-endocrine exophthalmia is found in brain-cranial diseases (pituitary tumors)
    6. FF. It represents the clogging of the eyeballs in the orbits
    7. GG. Non-endocrine exophthalmos is generally unilateral
    8. HH. Non-endocrine exophthalmia is found in orbito-ocular diseases (traumas, malformations, malignant tumors,
      phlegmon)
    9. II. It represents the protrusion of the eyeballs outside the orbits
  8. 858. Regarding changes in the pupils, the following statements are true:
    1. AA. Pupillary hippus is characterized by changes in the diameter of the pupils (Landolf's sign), due to the pulsations
      of the iris vessels in aortic insuffciency
    2. BB. Mydriasis (enlargement, dilation of the pupil) occurs in physiological (looking at a distant object) and pathological
      (administration of atropine, in the dying) states
    3. CC. Pupillary inequality (anisochoria) occurs in nervous syphilis
    4. DD. Mydriasis means the pupil shrinks
    5. EE. The Argyll-Robertson sign is defned by the preservation of the photomotor refex with loss of distance
      accommodation
    6. FF. The Argyll-Robertson sign is found in tabes and cranial tumors
    7. GG. Miosis (shrinkage of the pupil) occurs in physiological (looking at an object up close) and pathological conditions
      (paralysis of the cervical sympathetic, opiate intoxication)
    8. HH. Miosis means enlargement, dilation of the pupil
    9. II. Anisocoria occurs in congenital syphilis
  9. 959. Regarding the facies, the following are true:
    1. AA. Rhinophyma consists of a big, deformed, lobated nose
    2. BB. In hyperthyroidism the patients have puffy facies, bagginess under the eyes, loss or thinning of the outer third of
      the eyebrows
    3. CC. In congenital syphilis the patients have a big, deformed, lobated nose
    4. DE. In facial paralysis, the features of the face deviate toward the healthy side
    5. EH. In pituitary dwarfsm, the skin of the face has a mixed character, infantile and old at the same time
    6. FG. “Risus sardonicus” is specifc for tetanus
    7. GI. In systemic lupus erythematosus, the facies is called “butterfy like” because of erythematous plaque covering the
      nose and cheeks
    8. HJ. In systemic lupus erythematosus, the facies is called “Byzantine icon” because of erythematous plaque covering
      the nose and cheeks
    9. IF. In Parkinson’s disease the patients have lack of expression with well stretched skin and the nose and lips are thin
  10. 1060. The facies in Down’s syndrome has the following features:
    1. AA. Low set ears
    2. BB. Oblique palpebral fssures
    3. CC. Small ears
    4. DD. Small chin
    5. EE. Protruded tongue
    6. FF. Flat nasal bridge
    7. GG. Small mouth
    8. HH. Exophthalmos
    9. II. Fish-like mouth

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medium semiomed sem1 Quiz on bulk2 , created by Smaranda Grigorescu on 10/01/2026.
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