CHAMBERLAIN NR509 FINAL EXAMINATION
TEST QUESTIONS WITH COMPLETE
SOLUTIONS 2026
◉ 2. A 72-year-old retired truck driver comes to the clinic with his
wife for evaluation of hearing loss. He has noticed some decreased
ability to hear what his wife and grandchildren are saying to him. He
admits to lip-reading more. He has a history of noise exposure in his
young adult years: He worked as a sound engineer at a local arena
and had to attend a lot of concerts. Based on this information, what
is the most likely finding regarding his hearing acuity?
A) Loss of acuity for middle-range sounds
B) Increase of acuity for low-range sounds
C) Loss of acuity for high-range sounds
D) Increase of acuity for high-range sounds. Answer: Ans: A
Human speech is considered to be a middle-range sound. During the
aging process there is a loss of acuity, starting with high-pitched
sounds but extending to the middle range and then into the low
range.
◉ 3. A 79-year-old retired banker comes to your office for evaluation
of difficulty with urination; he gets up five to six times per night to
urinate and has to go at least that often in the daytime. He does not
feel as if his bladder empties completely; the strength of the urinary
stream is diminished. He denies dysuria or hematuria. This problem
,has been present for several years but has worsened over the last 8
months. You palpate his prostate. What is your expected physical
examination finding, based on this description?
A) Normal size, smooth
B) Normal size, boggy
C) Enlarged size, smooth
D) Enlarged size, boggy. Answer: Ans: C
This is the expected physical examination finding in benign prostatic
hyperplasia (BPH).
◉ 4. A 70-year-old retired auto mechanic comes to your office
because his neighbor is concerned about his memory. The patient
himself admits to misplacing his keys more often and forgets what
he is supposed to buy from the grocery store and where he has
parked the car. He denies getting lost in familiar places. Upon further
questioning, he states that his wife of 40 years died 8 months ago;
his three children live in three different states; and he has limited his
activities because the people he interacted with were "his wife's
friends, not his." He drinks a six-pack of beer daily; he does not
smoke or use illicit drugs. You perform a mini-mental state
examination and obtain a total score of 24 out of 28. Based on this
information, what is your most likely diagnosis?
A) Benign forgetfulness
B) Dementia
C) Meningitis
, D) Depression. Answer: Ans: D
The patient has symptoms of depression: His wife died, he has no
real social support system, and he has isolated himself from his
usual activities. He also drinks a considerable amount of alcohol on a
daily basis, which can further depress his mood. Depression can
masquerade as dementia in the elderly and must be considered in a
patient with memory loss.
◉ 5. An 85-year-old retired teacher comes to your office for
evaluation of weakness. You obtain a complete history, perform a
thorough physical examination, and order laboratory tests. You
diagnose her with hyperthyroidism. Based on her age, which of the
atypical symptoms of hyperthyroidism is more likely to be seen?
A) Fatigue
B) Weight loss
C) Tachycardia
D) Anorexia. Answer: Ans: D
This is an atypical symptom of hyperthyroidism that is more likely to
be seen in the older patient.
◉ 6. A 78-year-old retired seamstress comes to the office for a
routine check-up. You obtain an ECG (electrocardiogram) because of
her history of hypertension. You diagnose a previous myocardial
infarction and ask her if she had any symptoms related to this.
Which of the following symptoms would be more common in this
patient's age group for an acute myocardial infarction?
TEST QUESTIONS WITH COMPLETE
SOLUTIONS 2026
◉ 2. A 72-year-old retired truck driver comes to the clinic with his
wife for evaluation of hearing loss. He has noticed some decreased
ability to hear what his wife and grandchildren are saying to him. He
admits to lip-reading more. He has a history of noise exposure in his
young adult years: He worked as a sound engineer at a local arena
and had to attend a lot of concerts. Based on this information, what
is the most likely finding regarding his hearing acuity?
A) Loss of acuity for middle-range sounds
B) Increase of acuity for low-range sounds
C) Loss of acuity for high-range sounds
D) Increase of acuity for high-range sounds. Answer: Ans: A
Human speech is considered to be a middle-range sound. During the
aging process there is a loss of acuity, starting with high-pitched
sounds but extending to the middle range and then into the low
range.
◉ 3. A 79-year-old retired banker comes to your office for evaluation
of difficulty with urination; he gets up five to six times per night to
urinate and has to go at least that often in the daytime. He does not
feel as if his bladder empties completely; the strength of the urinary
stream is diminished. He denies dysuria or hematuria. This problem
,has been present for several years but has worsened over the last 8
months. You palpate his prostate. What is your expected physical
examination finding, based on this description?
A) Normal size, smooth
B) Normal size, boggy
C) Enlarged size, smooth
D) Enlarged size, boggy. Answer: Ans: C
This is the expected physical examination finding in benign prostatic
hyperplasia (BPH).
◉ 4. A 70-year-old retired auto mechanic comes to your office
because his neighbor is concerned about his memory. The patient
himself admits to misplacing his keys more often and forgets what
he is supposed to buy from the grocery store and where he has
parked the car. He denies getting lost in familiar places. Upon further
questioning, he states that his wife of 40 years died 8 months ago;
his three children live in three different states; and he has limited his
activities because the people he interacted with were "his wife's
friends, not his." He drinks a six-pack of beer daily; he does not
smoke or use illicit drugs. You perform a mini-mental state
examination and obtain a total score of 24 out of 28. Based on this
information, what is your most likely diagnosis?
A) Benign forgetfulness
B) Dementia
C) Meningitis
, D) Depression. Answer: Ans: D
The patient has symptoms of depression: His wife died, he has no
real social support system, and he has isolated himself from his
usual activities. He also drinks a considerable amount of alcohol on a
daily basis, which can further depress his mood. Depression can
masquerade as dementia in the elderly and must be considered in a
patient with memory loss.
◉ 5. An 85-year-old retired teacher comes to your office for
evaluation of weakness. You obtain a complete history, perform a
thorough physical examination, and order laboratory tests. You
diagnose her with hyperthyroidism. Based on her age, which of the
atypical symptoms of hyperthyroidism is more likely to be seen?
A) Fatigue
B) Weight loss
C) Tachycardia
D) Anorexia. Answer: Ans: D
This is an atypical symptom of hyperthyroidism that is more likely to
be seen in the older patient.
◉ 6. A 78-year-old retired seamstress comes to the office for a
routine check-up. You obtain an ECG (electrocardiogram) because of
her history of hypertension. You diagnose a previous myocardial
infarction and ask her if she had any symptoms related to this.
Which of the following symptoms would be more common in this
patient's age group for an acute myocardial infarction?
