Nokea
During examination of the eyes, you check something known as consensual reflex. How is this done?
- A. Shine a light into one eye and observe pupil constriction in both eyes
- B. Shine a light into one eye and observe pupil dilation in the other eye
- C. Ask the patient to follow a moving object with both eyes
- D. Check pupil size in a darkened room
Correct Answer: A
Rationale: Consensual reflex is tested by shining a light into one eye, causing constriction in both the illuminated and opposite pupil.
You may also like to solve these questions
Which of the two heart sounds is the loudest?
- A. S1
- B. S2
- C. S3
- D. S4
Correct Answer: A
Rationale: S1 is typically louder than S2 because it involves the closure of the mitral and tricuspid valves, which produce a stronger sound.
At which of the following locations can you best hear the sound of the aortic valve?
- A. Just to the left of the sternum in the 3rd intercostal space
- B. To the left of the sternum in the 5th intercostal space in the midclavicular line
- C. Just to the right of the sternum in the 2nd intercostal space
- D. Just to the right of the sternum in the 4th intercostal space
Correct Answer: C
Rationale: The aortic valve is best heard at the right 2nd intercostal space near the sternum.
A 5-year-old child has a fever of 104.4°F axillary. When should you reassess the child's temperature?
- A. Within 60 minutes
- B. Within 90 minutes
- C. Within 2 hours
- D. Within 4 hours
Correct Answer: A
Rationale: A high fever in a child requires reassessment within 60 minutes to monitor response to interventions and prevent complications like febrile seizures.
Abnormal sounds that can be auscultated over the lung fields are called
- A. Crackles
- B. Wheezes
- C. Rhonchi
- D. Stridor
- E. Pleural friction rub
Correct Answer: A,B,C,D,E
Rationale: Abnormal lung sounds include crackles (rattling sounds), wheezes (high-pitched whistling), rhonchi (low-pitched rattling), stridor (high-pitched sound during breathing), and pleural friction rub (grating sound due to pleural inflammation).
If you hear a shrill, high-pitched, crowing sound coming from the room of a 3-year-old child who has croup, you recognize the ominous sign known as
- A. Crackles
- B. Rhonchi
- C. Wheezes
- D. Pleural friction rub
- E. Stridor
Correct Answer: E
Rationale: Stridor is a high-pitched, crowing sound associated with upper airway obstruction, common in croup.