UC ADU HEALTH ASSESSMENT EXAM
2024-2025 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS
|ALREADY GRADED
A+|NEWEST|GUARANTEED PASS
|LATEST UPDATE
Head inspection
Head centered, Hair thick, black, even distribution. Head symmetric, normocephalic size, regular and
rounded head shape, no visible lesions, irregularities, or abnormalities. Symmetric face, no drooping, no
weakness, or involuntary movement.
Palpation of head
No lumps, lesions, no tenderness palpated to scalp, head, and mandible. No palpable or enlarged glands
or lymph nodes.
inspection of neck
supple w/full ROM, no pain, no lymphadenopathy or masses, trachea midline, no lesions, masses,
swelling, or irregularities, symmetric. No visible lymph nodes.
Palpation
Thyroid not palpable (no thyromegaly), lymph nodes not palpable, no mass, lumps, lesions, or
tenderness. Carotid arteries palpable 2+/4 bilaterally.
Auscultation of neck
no bruits
Visual acuity
1|Page
,Snellen OD 20/20, OS 20/20. Fields normal by confrontation,
Inspection of eye
Corneal light reflex symmetric bilaterally, EOM's intact, brows & lashes present no ptosis, conjunctiva
clear, sclera white, no lesions, no drainage, no discoloration around eyes, PERRLA. Eye size symmetric
and no irregularities.
Funduscopic
(+) Positive Red reflex, discs flat with sharp margins, retinal background even with no hemorrhages or
exudate, or discoloration. Unable to clearly visualize ocular vessels, or macula.
A:V width ratio
2⁄3 or 4⁄5 diameter of vein, abn=constricted or
dilated. Caliber: a/v decrease as they extend outward,
abn=focal constriction, neovascularization
AV crossing
should be within 2DD of disc abn= nicking, pinching, engorged >2DD
Hearing tests
Hearing whispered words + bilaterally at 2 feet, Weber no lateralization, Rinne AC> BC bilaterally.
Inspection/Palpation
External: Pinna skin intact w/ no masses, lesions,
tenderness, or discharge.
Otoscopic
Otoscopic external canals clear w/ no redness, swelling, lesions, foreign body, discharge. Tympanic
membrane bilaterally pearly gray w/light reflex and landmarks intact, no perforations.
Nose Inspection
Symmetric, no deformity or lesions, nares patent, even color, no flaring, no swelling, no nasal bridge
irregularity or deformity.
Internal: Mucosa pink no discharge, lesions, polyps, no septal deviation or perforation.
Sinus palpation
frontal and maxillary sinus no tenderness to palpation no swelling
Transillumination: normal dim red glow to frontal and maxillary sinus
Mouth inspection/palpation
Can clench teeth, mucosa and gums pink no, masses or lesions. Teeth present, white color, in good
repair, tongue smooth, pink, no lesion, protrudes midline no Fasciculation. No Halitosis or abnormal
breath odor. Throat mucosa pink, no lesions or exudate. Uvula midline, normal size and proportion, with
2|Page
,no irregularities, or lesions, rises on phonation. Tonsils
1+/4 bilaterally, with no swelling, lesions, deformities, discharge, or stones. (+) gag reflex
Snellen Chart
tests acuity @ a distance, > the denominator the worse the vision. Refer if acuity difference between
eyes of 2 or more lines
Visual Fields
confrontation: gross measure of peripheral vision; abn: suggestive of peripheral loss and needs more
specialized testing. test one eye at a time to establish boundary of abnormality
Corneal Light relfex
assess parallel alignment of the eye axis; abnormal: deviation in alignment may be done to muscle
weakness or paralysis
Cover/uncover test
detects small degrees of deviated alignment
cardinal fields of gaze
done to detect muscle weakness during
movement: Normal: tracking of object with both eyes, abnormal: failure to follow indicates EOM
weakness or CN dysfunction (nystagmus or lid lag)
ophthamoscope
disc: nasal side of retina should be creamy yellow- orange, round or oval, margins distinct or sharply
demarcated. cup; disc ratio: horizontal diameter
Ocular Fundus
vessels follow a paired artery/vein to periphery.
arteries are bright light red with a central white reflex white
stripe, veins are larger, darker and have no white stripe,
abn=absence,
Tourtosity
mild in both eyes; usually congenital, abd: external asymmetry
Macula
1DD in size to 2DD temporal to disc, looks darker than the rest of fundus
Background Abnormalities
• papilledema (bulging disc) medical emergency, sign of
IICP, acute HTNA-V nicking: Long term HTN
• Flame Hemorrhage: HTN
3|Page
, • Retinal Hemorrhage: "red dots" sign of bleeding seen
with diabetics
• Microaneurysm: "red dots" bleeding, HTN, DM
• Neovascularization: small collateral, tortuous vessels,
sign of long term DM
• Cotton Wool Patches: "white fluffy spots", HTN, DM
Hard Exudates: hard "white spots' HTN, DM
• Drusen bodies: random white bodies normally seen
increase with age, earliest feature of age related macular degeneration
Weber
vibrating tuning fork midline of skull (normal-in both ears; abn-louder in 1 ear; conductive loss
lateralizes to poorer ear, sensorial loss to the good ear)
Rhine
compares air to bone conduction; place fork on mastoid process and have pt signal when no longer can
hear it, move fork near ear canal and have pt signal when no longer can hear it (norm-air conduction >
bone conduction; abn-bone conduction longer than air indicates conductive hearing loss)
Acuity
picked up during health history, how well does patient follow speech
Voice test
testing 1 ear at a time; close off one ear and standing
slightly behind (1-2 ft) whisper or use ticking watch; document how
far away pt can hear
Acoustic Blink reflex for infants
Blinking in response to a loud
noise; many children are not diagnosed with a hearing disorder until
they are 2; clues include parental concern/speech delay
Otoscope
child-pull pinna up and back; adult-pull pinna outward; insert
slowly and rotate; normal-tympanic membrane shiny, pearly gray; cone-shaped light reflex 5 o'clock in
right and 7 o'clock in left; and can see umbro manubrium, and short process
• Yellow/amber color of drum - serous otitis media
• Red color - acute otitis media
• Absent/diminished landmarks - chronic otitis media
• air/fluid bubbles behind drum - otitis media
• Bulging drum - increased pressure
• Blue or dark red color - blood/trauma
• Black/blood - perforated ear drum• Black/white dots in canal or drum - fungal infection (swimmer's
4|Page
