NR509 Advanced Physical
Assessment Final Exam Study Set
(Core Concepts 1-400) | 100%
Correct Guide (Latest 2025/2026)
This comprehensive Stuvia study set features
400 high-yield, core physical assessment
concepts tailored exactly to the Chamberlain
NR509 curriculum. Each entry is meticulously
formatted with distinct question blocks and bold
italicized answers to ensure maximum
scannability and memorization. Covering
advanced orthopedic maneuvers, neurological
reflexes, cardiac triads, and specialized
diagnostic tests, this guide guarantees a
seamless upload and an A-grade performance
on your final exam.
,1. Question:
Valgus Stress Test
Answer: Abduct the knee joint; pain or a distinct gap along the medial joint line
indicates structural laxity or a partial/complete tear of the medial collateral
ligament (MCL). This represents the most frequent location for ligamentous knee
trauma.
2. Question:
Varus Stress Test
Answer: Adduct the knee joint; pain or a distinct gap along the lateral joint line
indicates structural laxity or a partial/complete tear of the lateral collateral
ligament (LCL)
3. Question:
Lachman Test
Answer: Flex the knee to 20-30 degrees, stabilize the distal femur with one hand,
and pull the proximal tibia forward with the other; asymmetric, excessive anterior
translation or a soft endpoint indicates an anterior cruciate ligament (ACL) tear.
This is clinically recognized as the most sensitive physical test for ACL integrity.
4. Question:
McMurray Test
,Answer: Flex the knee, hold the heel, and internally or externally rotate the lower
leg while slowly extending the joint; a palpable or audible click, snap, or pop
associated with joint-line tenderness indicates a meniscus tear.
5. Question:
Phalen’s Test
Answer: Instruct the patient to hold the dorsal surfaces of both hands together
with wrists flexed at a maximal 90-degree angle for 60 seconds; numbness,
burning, or tingling radiating within the median nerve distribution indicates carpal
tunnel syndrome.
6. Question:
Tinel’s Sign (Wrist)
Answer: Percuss or lightly tap directly over the course of the median nerve at the
volar aspect of the wrist; a positive result elicits tingling, numbness, or an
electric shock sensation traveling into the hand, indicating carpal tunnel
syndrome.
7. Question:
Straight Leg Raise Test
Answer: Passively raise the patient's extended leg while they are resting in a
supine position; sharp, shooting pain radiating down the posterior aspect of the
leg below the knee between 30 and 70 degrees of elevation indicates lumbar
radiculopathy or a herniated nucleus pulposus.
8. Question:
Drop Arm Test
Answer: Passively abduct the patient's arm to 90 degrees and instruct them to
slowly lower it to their side; an inability to control the downward movement
smoothly or a sudden drop of the arm due to severe weakness indicates a
, massive or full-thickness rotator cuff tear, specifically of the supraspinatus
tendon.
9. Question:
Empty Can Test (Jobe’s Test)
Answer: Abduct the patient's arms to 90 degrees, bring them forward 30 degrees
horizontally, and instruct them to point their thumbs downward while resisting
downward manual pressure; pronounced weakness or localized pain indicates an
isolated tear or severe tendinopathy of the supraspinatus muscle.
10. Question:
Neer Impingement Test
Answer: Passively elevate the patient's arm forward into full, overhead flexion
while stabilizing the scapula to press the greater tuberosity against the acromion;
subacromial pain or grimacing indicates subacromial impingement or rotator cuff
tendinitis.
11. Question:
Hawkins Impingement Sign
Answer: Flex the patient's shoulder and elbow to 90 degrees, then force the
humerus into internal rotation to compress the greater tuberosity against the
coracoacromial ligament; severe subacromial shoulder pain indicates rotator cuff
impingement syndrome.
12. Question:
Finkelstein’s Test
Answer: Instruct the patient to flex their thumb across the palm, close their
fingers over the thumb to form a fist, and actively deviate the wrist toward the
ulnar side; sharp, localized pain over the styloid process of the radius indicates
de Quervain's tenosynovitis.
Assessment Final Exam Study Set
(Core Concepts 1-400) | 100%
Correct Guide (Latest 2025/2026)
This comprehensive Stuvia study set features
400 high-yield, core physical assessment
concepts tailored exactly to the Chamberlain
NR509 curriculum. Each entry is meticulously
formatted with distinct question blocks and bold
italicized answers to ensure maximum
scannability and memorization. Covering
advanced orthopedic maneuvers, neurological
reflexes, cardiac triads, and specialized
diagnostic tests, this guide guarantees a
seamless upload and an A-grade performance
on your final exam.
,1. Question:
Valgus Stress Test
Answer: Abduct the knee joint; pain or a distinct gap along the medial joint line
indicates structural laxity or a partial/complete tear of the medial collateral
ligament (MCL). This represents the most frequent location for ligamentous knee
trauma.
2. Question:
Varus Stress Test
Answer: Adduct the knee joint; pain or a distinct gap along the lateral joint line
indicates structural laxity or a partial/complete tear of the lateral collateral
ligament (LCL)
3. Question:
Lachman Test
Answer: Flex the knee to 20-30 degrees, stabilize the distal femur with one hand,
and pull the proximal tibia forward with the other; asymmetric, excessive anterior
translation or a soft endpoint indicates an anterior cruciate ligament (ACL) tear.
This is clinically recognized as the most sensitive physical test for ACL integrity.
4. Question:
McMurray Test
,Answer: Flex the knee, hold the heel, and internally or externally rotate the lower
leg while slowly extending the joint; a palpable or audible click, snap, or pop
associated with joint-line tenderness indicates a meniscus tear.
5. Question:
Phalen’s Test
Answer: Instruct the patient to hold the dorsal surfaces of both hands together
with wrists flexed at a maximal 90-degree angle for 60 seconds; numbness,
burning, or tingling radiating within the median nerve distribution indicates carpal
tunnel syndrome.
6. Question:
Tinel’s Sign (Wrist)
Answer: Percuss or lightly tap directly over the course of the median nerve at the
volar aspect of the wrist; a positive result elicits tingling, numbness, or an
electric shock sensation traveling into the hand, indicating carpal tunnel
syndrome.
7. Question:
Straight Leg Raise Test
Answer: Passively raise the patient's extended leg while they are resting in a
supine position; sharp, shooting pain radiating down the posterior aspect of the
leg below the knee between 30 and 70 degrees of elevation indicates lumbar
radiculopathy or a herniated nucleus pulposus.
8. Question:
Drop Arm Test
Answer: Passively abduct the patient's arm to 90 degrees and instruct them to
slowly lower it to their side; an inability to control the downward movement
smoothly or a sudden drop of the arm due to severe weakness indicates a
, massive or full-thickness rotator cuff tear, specifically of the supraspinatus
tendon.
9. Question:
Empty Can Test (Jobe’s Test)
Answer: Abduct the patient's arms to 90 degrees, bring them forward 30 degrees
horizontally, and instruct them to point their thumbs downward while resisting
downward manual pressure; pronounced weakness or localized pain indicates an
isolated tear or severe tendinopathy of the supraspinatus muscle.
10. Question:
Neer Impingement Test
Answer: Passively elevate the patient's arm forward into full, overhead flexion
while stabilizing the scapula to press the greater tuberosity against the acromion;
subacromial pain or grimacing indicates subacromial impingement or rotator cuff
tendinitis.
11. Question:
Hawkins Impingement Sign
Answer: Flex the patient's shoulder and elbow to 90 degrees, then force the
humerus into internal rotation to compress the greater tuberosity against the
coracoacromial ligament; severe subacromial shoulder pain indicates rotator cuff
impingement syndrome.
12. Question:
Finkelstein’s Test
Answer: Instruct the patient to flex their thumb across the palm, close their
fingers over the thumb to form a fist, and actively deviate the wrist toward the
ulnar side; sharp, localized pain over the styloid process of the radius indicates
de Quervain's tenosynovitis.
