Answer: b. The average position for the top of the ear pinna is on a line drawn from the inner to the outer canthus of the eye. 7. You assess mouth and document the fact that he has a geographic tongue. How should Joey’s this finding be best interpreted? a. His tongue is rough appearing and uneven. His tongue is swollen and tender to touch. b. His tongue has ulcers along the medial borders. c. d. He does not have full range of motion in his tongue. Answer: a. A geographic tongue refers to a common finding in children where the surface of their tongue is uneven and rough appearing. 8. When you assess cardiovascular system and note he has physiologic splitting. This Joey’s means: a. heartbeat sounds far away or under water. Joey’s b. His second heart sound is split when Joey inhales. c. The first heart sound is absent when Joey talks. d. You cannot tell the first from the second sound. Answer: b. Physiologic splitting is an extra heart sound caused by late closure of the pulmonary valve on inspiration. You are assessing abdomen. To assess if liver is enlarged, what technique would 9. Joey’s Joey’s you use? a. Percuss the entire abdomen for a hollow sound. b. Measure abdominal girth and compare it to age-based norms. Joey’s c. Auscultate his abdomen for increased bowel sounds. d. Palpate the abdomen below right rib cage. Joey’s Answer: d. An enlarged liver will be palpable below the right rib cage. 10. When Joey reaches adolescence, you would want to teach him how to do a self-testicular exam. A precaution that you would include in this would be:
Answer: b. The average position for the top of the ear pinna is on a line drawn from the inner to the outer canthus of the eye. 7. You assess Joey’s mouth and document the fact that he has a geographic tongue. How should this finding be best interpreted? a. His tongue is rough appearing and uneven. b. His tongue is swollen and tender to touch. c. His tongue has ulcers along the medial borders. d. He does not have full range of motion in his tongue. Answer: a. A geographic tongue refers to a common finding in children where the surface of their tongue is uneven and rough appearing. 8. When you assess Joey’s cardiovascular system and note he has physiologic splitting. This means: a. Joey’s heartbeat sounds far away or under water. b. His second heart sound is split when Joey inhales. c. The first heart sound is absent when Joey talks. d. You cannot tell the first from the second sound. Answer: b. Physiologic splitting is an extra heart sound caused by late closure of the pulmonary valve on inspiration. 9. You are assessing Joey’s abdomen. To assess if Joey’s liver is enlarged, what technique would you use? a. Percuss the entire abdomen for a hollow sound. b. Measure Joey’s abdominal girth and compare it to age-based norms. c. Auscultate his abdomen for increased bowel sounds. d. Palpate the abdomen below Joey’s right rib cage. Answer: d. An enlarged liver will be palpable below the right rib cage. 10. When Joey reaches adolescence, you would want to teach him how to do a self-testicular exam. A precaution that you would include in this would be:
IDPS_Chapter_34.docx