ADVANCED HEALTH ASSESSMENT AND
CLINICAL DIAGNOSIS IN PRIMARY CARE
7TH EDITION ACTUAL PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ How do you calculate BMI? Answer:
⩥ Stages of HTN Answer: Normal: under 120/80
Prehypertension: 120-139/80-89
Stage 1: 140-159/90-99
Stage 2: over 160/100
If diabetes or renal disease: goal is under 130/80
⩥ Waist Circumference Answer: Risk if over 35in for women
Risk if over 40in for men
⩥ Cranial Nerves Answer: 1. Olfactory: Sensory
2. Optic: Sensory
3. Occulomotor: Motor
4. Trochlear: Motor
5. Trigeminal: Both
,6. Abducens: Motor
7. Facial: Both
8. Acoustic: Sensory
9. Glossopharyngeal: Both
10. Vagus: Both
11. Spinal Accessory: Motor
12. Hypoglossal: Motor
⩥ Romberg Test Answer: Stand with hands to the sides and eyes closed,
observe swaying
⩥ Pronator Drift Answer: Stand with arms out, eyes closed, and hands
supine -- watch for hands pronating.
⩥ Graphesthesia Answer: The inability to recognize numbers written on
the hand. Suggests a lesion in the sensory cortex.
⩥ Astereognosis: Answer: Inability to recognize objects placed in the
hand
⩥ Kernig Answer: Flex patient's leg at hip and knee, then straighten the
knee. Discomfort behind the knee during full extension should not cause
pain.
, ⩥ Brudzinski Answer: Pt supine, your hands behind pt's head and flex
the neck forward, until chin touches the chest if possible. Neck stiffness
with resistance and flexion of hips and knees is a positive sign. May be a
sign of acute bacterial meningitis or subarachnoid hemorrhage
⩥ Straight Leg Raising Answer: Lift the straight leg, if pt has low back
pain with nerve pain that radiates down the leg = sciatica from
compression of the spinal nerve root as it passes through the vertebral
foramen
⩥ Plantar (Babinski) Reflex Answer: Dorsiflexion of the big toe is a
positive Babinski response from a CNS lesion in the corticospinal tract
⩥ Finkelstein Test Answer: Pt grabs thumb with hand and you pull down
to see if there is tendon tenderness - if positive, might mean tendonitis
⩥ Tinel's Sign Answer: Tap on the Median Nerve
⩥ Phalen's Test Answer: Bend wrists at 90 degrees and put back of
hands against each other for 1 minute and see if there is
numbness/tingling
⩥ Ballotment Answer: Leg extended, compress the suprapatellar pouch
and then push the patella sharply against the femur, watching for fluid
returning to the pouch
CLINICAL DIAGNOSIS IN PRIMARY CARE
7TH EDITION ACTUAL PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ How do you calculate BMI? Answer:
⩥ Stages of HTN Answer: Normal: under 120/80
Prehypertension: 120-139/80-89
Stage 1: 140-159/90-99
Stage 2: over 160/100
If diabetes or renal disease: goal is under 130/80
⩥ Waist Circumference Answer: Risk if over 35in for women
Risk if over 40in for men
⩥ Cranial Nerves Answer: 1. Olfactory: Sensory
2. Optic: Sensory
3. Occulomotor: Motor
4. Trochlear: Motor
5. Trigeminal: Both
,6. Abducens: Motor
7. Facial: Both
8. Acoustic: Sensory
9. Glossopharyngeal: Both
10. Vagus: Both
11. Spinal Accessory: Motor
12. Hypoglossal: Motor
⩥ Romberg Test Answer: Stand with hands to the sides and eyes closed,
observe swaying
⩥ Pronator Drift Answer: Stand with arms out, eyes closed, and hands
supine -- watch for hands pronating.
⩥ Graphesthesia Answer: The inability to recognize numbers written on
the hand. Suggests a lesion in the sensory cortex.
⩥ Astereognosis: Answer: Inability to recognize objects placed in the
hand
⩥ Kernig Answer: Flex patient's leg at hip and knee, then straighten the
knee. Discomfort behind the knee during full extension should not cause
pain.
, ⩥ Brudzinski Answer: Pt supine, your hands behind pt's head and flex
the neck forward, until chin touches the chest if possible. Neck stiffness
with resistance and flexion of hips and knees is a positive sign. May be a
sign of acute bacterial meningitis or subarachnoid hemorrhage
⩥ Straight Leg Raising Answer: Lift the straight leg, if pt has low back
pain with nerve pain that radiates down the leg = sciatica from
compression of the spinal nerve root as it passes through the vertebral
foramen
⩥ Plantar (Babinski) Reflex Answer: Dorsiflexion of the big toe is a
positive Babinski response from a CNS lesion in the corticospinal tract
⩥ Finkelstein Test Answer: Pt grabs thumb with hand and you pull down
to see if there is tendon tenderness - if positive, might mean tendonitis
⩥ Tinel's Sign Answer: Tap on the Median Nerve
⩥ Phalen's Test Answer: Bend wrists at 90 degrees and put back of
hands against each other for 1 minute and see if there is
numbness/tingling
⩥ Ballotment Answer: Leg extended, compress the suprapatellar pouch
and then push the patella sharply against the femur, watching for fluid
returning to the pouch
