UC ADU HEALTH ASSESSMENT EXAM QUESTIONS AND
CORRECT ANSWERS|ACCURATE ACTUAL EXAM WITH
FREQUENTLY TESTED QUESTIONS AND STUDY GUIDE|
GUARANTEED PASS|ALREADY GRADED A+|LATEST
UPDATE 2024/2025.
Murphys - CORRECT ANSWER associated with cholecystitis; palpate at inspiration at liver
margin pain at inspiration= positive murphys
Illiopsoas muscle test - CORRECT ANSWER associated with abd pain/appendicitis, place hand
on R thigh and push down as patient raises leg, pain in RLQ=positive=inflamed appendix
Obtrurator test - CORRECT ANSWER assoc with irritation of obturator muscle flex R leg at
hip/knee, rotate leg internally and externally, pain in hypogastric area= positive sign= ruptured
appendix or pelvic abscess
RF for colorectal cancer - CORRECT ANSWER older age, AA, jewish, eastern european
descent, lifestyle, obesity, smoking, ETOH, diet high in red meats, processed foods, frying,
grilling, broiling, ovarian endometrial or breast CA, hx IBD, type 2 DM, fam hx: colorectal CA
or polyps, crohns dx, chronic ulcerative colitis
presentation of colorectal CA - CORRECT ANSWER symptoms often mean advanced dx
rectal bleeding, iron deficiency anemia, abd pain, change in bowel habits, intestinal obstruction
or perforation.
Bowel sounds - CORRECT ANSWER normal sounds are high pitched ever 5-30 secs, irregular
high pitched gurgling, cascading sound.
vascular sounds - CORRECT ANSWER no sound present normally
liver scratch test - CORRECT ANSWER outer margin of liver noted 1-2 cm below R costal
margin
bladder - CORRECT ANSWER bladder noted only if full
Percussion - CORRECT ANSWER normally tympanic throughout abd
liver span - CORRECT ANSWER 6-12 cm in range
spleen - CORRECT ANSWER resonance of lungs changes to dullness
costovertebral angle tenderness - CORRECT ANSWER normal is thud with no pain
fluid wave - CORRECT ANSWER no change is normal
,shifting dullness - CORRECT ANSWER normal is to only hear tympany throughout. Abd is to
hear tympany to dullness from fluid
palpation - CORRECT ANSWER light: no tenderness, guarding/rigidity, massess
deep: can feel xyphoid process, liver edge, muscle boarder, cecum, ascending colon, sigmoid,
full bladder
liver (palpation) - CORRECT ANSWER feel edges, firm, smooth, often non palpable
spleen (palpation) - CORRECT ANSWER normally not palpable
kidneys (palpation) - CORRECT ANSWER left kidney not palpable, right kidney usually not
palpable unless there's a mass.
aorta (palpation) - CORRECT ANSWER 2.5-4 cm wide
bladder (palpation) - CORRECT ANSWER only palpable if full
abdominal relfex - CORRECT ANSWER contraction of abd muscles and deviation of umbilicus
towards stimulus.
colorectal cancer - CORRECT ANSWER asc reccomends screening persons at avg. risk every
year at age 50 x 2, then every 3-5 years
digital rectal exam after 40, occult blood yearly at 50 yrs.
Hereditary non-polposis colorectal CA - CORRECT ANSWER colonoscopy q 3 yrs, start
testing at age 21
familial adenomatous polyposis - CORRECT ANSWER flex sig colonoscopy 10-12 yrs, genetic
consoling, possible preventative colon resection.
lynch syndrome - CORRECT ANSWER 3-5% of cancers, hereditary non-polyp CA, start at age
20-25 or 10 yrs prior to youngest onset in family, colonocopy 1-2 years genetic consoling
IBS/ulcerative colitis - CORRECT ANSWER colonoscopy w bx for dysplasia q 1-2 yrs
Cranial bones - CORRECT ANSWER frontal, parietal, occipital, temporal
sutures: coronal, saggital, lambdoid
facial bones - CORRECT ANSWER 14 articulate at sutures supported by C1-C7
Facial features (what nerve) - CORRECT ANSWER CN7
Neck Mucles (what nerve) - CORRECT ANSWER CN XI (spinal accessory)
anterior triangle: mandible above; sternomastoid laterally and midline of neck medially
posterior triangle: sternomastoid muscle, trapezius, and clavicle
,Thyroid - CORRECT ANSWER Straddles trachea midline, highly vascular, secreting t3 and t4,
2 lobes connected by isthmus, covered by cricoid cartilage.
Vessels - CORRECT ANSWER carotid, external jugular, internal jugular
Lymph - CORRECT ANSWER preauricular, posterior auricular, occipital, sumental,
submaxillary, retropharylgeal, superficial cervical, deep cervical, posterior cervical,
supraclavicular.
Eyelids - CORRECT ANSWER lower lid margin at limbus border cornea and
sclera; upper lid margin covers part of the iris but not pupil; Meibomian glands within the tarsal
plates secrete lubrication onto the lids
Conjunctiva - CORRECT ANSWER thin mucous membrane folded like an envelope between
eyelids and eyeball; palpebral lines lids is clear with small vessels; bulbar overlays eyeball with
the sclera showing through; conjunctiva merges with cornea at the limbus to cover and protect
the iris and pupil
Lacrimal Apparatus - CORRECT ANSWER provides constant irrigation to keep
conjunctiva and cornea moist; lacrimal gland in upper outer corner secretes which drain into
puncta at the inner canthus then into the nasolacrimal sac and empty into the inferior meatus
inside the nose
4 Layers of muscles that form the ventral wall - CORRECT ANSWER Linea alba, tendinous
seam, rectus abdominus, external oblique
Viscera - CORRECT ANSWER internal organs
hollow organs - CORRECT ANSWER shape depends on content (stomach, intestine, colon,
bladder, uterus)
Solid organs - CORRECT ANSWER maintain their shape
RUQ - CORRECT ANSWER liver gallbladder, head of pancreas, right kidney and adrenal,
hepatic flexure of colon, part of ascending and transverse colon
LUQ - CORRECT ANSWER stomach, spleen, left lobe of liver, body of pancreas, left kidney
and adrenal, splenic flexure of coon, part of transverse and descending colon
RLQ - CORRECT ANSWER cecum, appendix, right ovary, right ureter, right spermatic cord
LLQ - CORRECT ANSWER part of descending colon, sigmoid colon, left ovary/tube, left
ureter, left spermatic cord
midline - CORRECT ANSWER aorta, uterus, bladder
, Abnormal findings on inspection - CORRECT ANSWER restless, colicky pain, absolute
stillness in gut, knees flexed and facial grimacing
Abnormal on auscultation - CORRECT ANSWER bruit, no BS
abnormal on percussion - CORRECT ANSWER dullness over distended bladder, fat or fluid
filled mass, hyperresonance with gaseous distention.
abnormal on palpation - CORRECT ANSWER light palpation: muscle guarding, rigidity, large
mass and tenderness
deep palpation: tenderness with local inflammation, peritoneum or organ.
health history clues for abd. CC - CORRECT ANSWER adult: appetite, diet changes,
dysphagia, food intolerance, nutrition concerns, N/V/D, abd pain, bowel habits, medication use,
stressors, lifestyle, c/o burning has upset stomach, blood or urine in stool
infant: colic, distention, poor feeding, vomiting, rigidity, change in elimination
Inspection - CORRECT ANSWER contour, symmetry, umbilicus, skin, striae, pulsations, hair
distribution, respiratory movement.
auscultation - CORRECT ANSWER bowel sounds, vascular sounds, liver border scratch test,
bladder distention, scratch test
percussion - CORRECT ANSWER liver span, spleen, costovertebral angle tenderness, fluid
wave, shifting dullness
Palpation - CORRECT ANSWER deep and light, liver spleen, kidneys, aorta, bladder
Mcburneys point - CORRECT ANSWER peritoneal inflammation, apply pressure @ point and
release
positive=inflammation
rovsings sign - CORRECT ANSWER associated with peritoneal inflammation press deeply for
5 secs in LLQ pain in RLQ= positive appendicitis
Extraocular Muscles - CORRECT ANSWER 6 muscles attach eyeball to orbit
o Straight movement - superior, inferior, lateral, and
medial rectus muscles
o Rotary movement - 2 slanting or oblique muscles
are the superior and inferior
o eyes move as pair b/c of binocular vision
o movement stimulated by CN VI (abducens)
innervates lateral rectus (oculomotor) innervates
the rest
