Answer questions 11-15 on a printed version of this exam or within your study notebook. Make sure to show all supporting work. When you are done with the exam questions, look into the camera and say, “I am done with the exam.” Then proceed to scan and upload your solutions and supporting work here on Canvas. You may use your phone or a document scanner for this. You may also access a web browser and email during this process, for example, to transfer your scan from your phone to the device where Canvas is open. Your upload must be a single PDF file. Make sure all questions are numbered and labeled correctly and in order. Make sure your scan is complete and clear. Missing work from the scan or unclear images cannot be corrected after you have ended your remote proctoring. Make sure to also scan your notecard, including both sides, and place it at the end of your PDF file.

Refer to Figure 1.  The vertebrae are joined to each other by two different intervertebral joints. Consider the numbered landmarks on this figure and answer the following questions. What is the SPECIFIC TYPE OF JOINT for the intervertebral joint that could be formed at LANDMARK #14? What is the FUNCTIONAL CLASSIFICATION for the intervertebral joint formed at LANDMARK #14? What parts of the vertebrae are held together to form this joint at LANDMARK #14?  Hint: what is the name of this landmark?

Patient information continued…. A CT scan of the abdomen and hepatic function tests were drawn to determine the cause of Mrs. Johnson’s symptoms. The CT scan shows a nodular liver consistent with cirrhosis. Her serum bilirubin, AST, and ALT were all elevated. She is admitted to the step-down unit for further evaluation. Several hours after admission. Mrs. Johnson reports having a black, tarry, and foul-smelling stool.    What is the term for black, tarry stool?

List the order in which physical examination of the abdomen should occur: 

Refer to Figure 5.  Certain boney landmarks of the skull are important support structures for soft tissues involved in our special senses.  NAME a boney LANDMARK (not just the name of a bone) on this figure that would support SIGHT: What NUMBER from the figure labels this landmark?:

Refer to Figure 6.  Each of the people labeled with a letter in this figure are using their facial muscles in order to emote.  What NUMBER on the figure is the FRONTALIS? Which of these people is using their FRONTALIS the most? Which of these people is using their FRONTALIS the least? EXPLAIN your choices by relating the appearance of these faces to the actions of this muscle:

Refer to Figure 6.   We will see some of the muscles of the skull again during the digestive system module in BIOL& 242. What is the name of the deep muscle attached to the maxilla and the mandible that helps compress the cheeks while chewing? Give the number for this muscle from the figure:

As the nurse, you would like to perform a full abdominal assessment, including an assessment for ascites. How is this performed?

The term for yellowing of skin is: 

Refer to Figure 6.   What is the name of the muscle attached to the pterygoid process of the sphenoid bone and the mandible that is involved in chewing by grinding the teeth and moving the jaw side to side? Give the number for this muscle from the figure: