NR509 - Advanced Physical Assessment Chamberlain
EXAM LATEST 2026-2027 120 QUESTIONS AND 100%
Verified ANSWERS
A 70-year-old man complains of double vision. Which of the following associated symptoms or signs
would be worrying about an underlying neurological problem (as opposed to pathology in the eye)?
a. Abnormality in extraocular movements on examination
b. Diplopia persisting in the right eye when the left eye is closed
c. An associated conjunctivitis
d. Worsening vision bilaterally on examination
e. Symptoms of flashing lights - answer>>a. Abnormality in extraocular movements on examination
An 82-year-old gentleman seems to be speaking loudly during an examination, suggesting that he may
not be hearing well. What is a good question to ask him to help identify whether or not he has hearing
loss?
a. Has he been listening to loud music?
b. How well does he understand people in a noisy environment such as a restaurant?
c. Does he have vertigo?
d. Has he been having an earache?
e. Does he have discharge from his ear? - answer>>b. How well does he understand people in a noisy
environment such as a restaurant?
A 25-year-old construction worker is complaining of a swishing noise in both ears that never goes away
and has occurred for about 6 months. He is otherwise healthy, is able to work on his job (operating
large, vibrating machinery) without problems, and is not taking any medications. A complete
examination reveals an abnormality. Which of the following abnormality is most often associated with
tinnitus?
,a. Bilateral earache
b. Wax in both ears
c. Headache
d. Vertigo
e. Mild tremor - answer>>d. Vertigo
A patient with cystic fibrosis (CF) has been complaining of fullness in his left nasal cavity. Examination
of his nose using an otoscope and a speculum reveals a normal nasal septum, but a pale, saclike
growth of inflamed tissue that is obstructing a large part of the nasal cavity. What is the most likely
diagnosis?
a. Ulcer
b. Viral rhinitis
c. Allergic rhinitis
d. Deviated nasal septum
e. Nasal polyp - answer>>e. Nasal polyp
1. A 65-year-old overweight male presents at the clinic with hoarseness which has lasted for around 2
months. He thinks it began along with a cold. He is not feeling badly other than frequent heartburn,
and he has continued to work as a bartender (for the past 30 years), but he is having difficulty being
heard and understood because of his hoarse voice. A diagnosis that is on the differential list includes
which of the following?
a. Voice strain from bartending and talking amidst loud ambient noise
b. Viral infection
c. Acid reflux
d. Inhalation of fumes
e. Environmental allergies - answer>>c. Acid reflux
,A 39-year-old architect comes to the clinic for a 2-day history of fever, chills, cough productive of green
sputum, and dyspnea. He has no history of serious illness. His temperature is 101.2oF. His other vital
signs are within normal limits. Late inspiratory crackles are heard on auscultation over the left lower
lung posteriorly. When the clinician listens over that area and instructs the patient to say "ee," it
sounds like "A." Which of the following would most likely be found on percussion of his lungs?
a. Flatness
b. Hyperresonance
c. Stridor
d. Tympany
e. Dullness - answer>>e. Dullness
A student is practicing the performance of a lung examination on a classmate. Which of the following is
the correct order for performing the components of the lung examination?
a. Auscultation, inspection, palpation, and percussion
b. Auscultation, percussion, palpation, and inspection
c. Inspection, palpation, percussion, and auscultation
d. Auscultation, inspection, palpation, and percussion
e. Inspection, auscultation, percussion, and palpation
f. Palpation, inspection, auscultation, and percussion - answer>>c. Inspection, palpation, percussion,
and auscultation
A 14-year-old high school student comes to the clinic for a 3-month history of periodic dyspnea when
playing basketball. It resolves shortly after resting. He has not had fever, chills, cough, sputum
production, or chest pain. He has no history of serious illness. Based on the boy's history, asthma is
suspected. Which of the following sounds heard on expiration during lung auscultation would be most
suggestive of asthma?
a. Mediastinal crunch
b. Pleural rub
, c. Rhonchi
d. Wheezes
e. Stridor - answer>>d. Wheezes
A clinician is percussing the lungs of a patient with chronic obstructive pulmonary disease to see if they
sound hyperresonant. Which of the following is an example of good technique for percussion?
a. Strike using the tip of the third finger.
b. The proximal interphalangeal joint is the joint that is struck.
c. Put the third and fourth fingers next to each other on the chest.
d. Strike using the finger pad of the fourth finger.
e. The wrist is kept still during percussion. - answer>>a. Strike using the tip of the third finger.
A 29-year-old waiter comes to the clinic for a 2-month history of a cough. When he lowers his gown so
the clinician can listen to his lungs, the clinician notices a depression of the lower part of his sternum.
Which of the following best describes the appearance of his chest?
a. Barrel chest
b. Flail chest
c. Pectus excavatum
d. Pigeon chest
e. Thoracic kyphoscoliosis - answer>>c. Pectus excavatum
A 13-year-old girl is brought by her mother to the clinic one day before the start of eighth grade
because of a 3-day history of episodes of shortness of breath. When she gets the shortness of breath,
she also notices tingling around her lips. She has no fever, cough, sputum production, or chest pain.
She has no history of serious illness and takes no medications. Vital signs are within normal limits.
Cardiac, lung, and extremity examinations show no abnormalities. Which of the following is the most
likely diagnosis?
EXAM LATEST 2026-2027 120 QUESTIONS AND 100%
Verified ANSWERS
A 70-year-old man complains of double vision. Which of the following associated symptoms or signs
would be worrying about an underlying neurological problem (as opposed to pathology in the eye)?
a. Abnormality in extraocular movements on examination
b. Diplopia persisting in the right eye when the left eye is closed
c. An associated conjunctivitis
d. Worsening vision bilaterally on examination
e. Symptoms of flashing lights - answer>>a. Abnormality in extraocular movements on examination
An 82-year-old gentleman seems to be speaking loudly during an examination, suggesting that he may
not be hearing well. What is a good question to ask him to help identify whether or not he has hearing
loss?
a. Has he been listening to loud music?
b. How well does he understand people in a noisy environment such as a restaurant?
c. Does he have vertigo?
d. Has he been having an earache?
e. Does he have discharge from his ear? - answer>>b. How well does he understand people in a noisy
environment such as a restaurant?
A 25-year-old construction worker is complaining of a swishing noise in both ears that never goes away
and has occurred for about 6 months. He is otherwise healthy, is able to work on his job (operating
large, vibrating machinery) without problems, and is not taking any medications. A complete
examination reveals an abnormality. Which of the following abnormality is most often associated with
tinnitus?
,a. Bilateral earache
b. Wax in both ears
c. Headache
d. Vertigo
e. Mild tremor - answer>>d. Vertigo
A patient with cystic fibrosis (CF) has been complaining of fullness in his left nasal cavity. Examination
of his nose using an otoscope and a speculum reveals a normal nasal septum, but a pale, saclike
growth of inflamed tissue that is obstructing a large part of the nasal cavity. What is the most likely
diagnosis?
a. Ulcer
b. Viral rhinitis
c. Allergic rhinitis
d. Deviated nasal septum
e. Nasal polyp - answer>>e. Nasal polyp
1. A 65-year-old overweight male presents at the clinic with hoarseness which has lasted for around 2
months. He thinks it began along with a cold. He is not feeling badly other than frequent heartburn,
and he has continued to work as a bartender (for the past 30 years), but he is having difficulty being
heard and understood because of his hoarse voice. A diagnosis that is on the differential list includes
which of the following?
a. Voice strain from bartending and talking amidst loud ambient noise
b. Viral infection
c. Acid reflux
d. Inhalation of fumes
e. Environmental allergies - answer>>c. Acid reflux
,A 39-year-old architect comes to the clinic for a 2-day history of fever, chills, cough productive of green
sputum, and dyspnea. He has no history of serious illness. His temperature is 101.2oF. His other vital
signs are within normal limits. Late inspiratory crackles are heard on auscultation over the left lower
lung posteriorly. When the clinician listens over that area and instructs the patient to say "ee," it
sounds like "A." Which of the following would most likely be found on percussion of his lungs?
a. Flatness
b. Hyperresonance
c. Stridor
d. Tympany
e. Dullness - answer>>e. Dullness
A student is practicing the performance of a lung examination on a classmate. Which of the following is
the correct order for performing the components of the lung examination?
a. Auscultation, inspection, palpation, and percussion
b. Auscultation, percussion, palpation, and inspection
c. Inspection, palpation, percussion, and auscultation
d. Auscultation, inspection, palpation, and percussion
e. Inspection, auscultation, percussion, and palpation
f. Palpation, inspection, auscultation, and percussion - answer>>c. Inspection, palpation, percussion,
and auscultation
A 14-year-old high school student comes to the clinic for a 3-month history of periodic dyspnea when
playing basketball. It resolves shortly after resting. He has not had fever, chills, cough, sputum
production, or chest pain. He has no history of serious illness. Based on the boy's history, asthma is
suspected. Which of the following sounds heard on expiration during lung auscultation would be most
suggestive of asthma?
a. Mediastinal crunch
b. Pleural rub
, c. Rhonchi
d. Wheezes
e. Stridor - answer>>d. Wheezes
A clinician is percussing the lungs of a patient with chronic obstructive pulmonary disease to see if they
sound hyperresonant. Which of the following is an example of good technique for percussion?
a. Strike using the tip of the third finger.
b. The proximal interphalangeal joint is the joint that is struck.
c. Put the third and fourth fingers next to each other on the chest.
d. Strike using the finger pad of the fourth finger.
e. The wrist is kept still during percussion. - answer>>a. Strike using the tip of the third finger.
A 29-year-old waiter comes to the clinic for a 2-month history of a cough. When he lowers his gown so
the clinician can listen to his lungs, the clinician notices a depression of the lower part of his sternum.
Which of the following best describes the appearance of his chest?
a. Barrel chest
b. Flail chest
c. Pectus excavatum
d. Pigeon chest
e. Thoracic kyphoscoliosis - answer>>c. Pectus excavatum
A 13-year-old girl is brought by her mother to the clinic one day before the start of eighth grade
because of a 3-day history of episodes of shortness of breath. When she gets the shortness of breath,
she also notices tingling around her lips. She has no fever, cough, sputum production, or chest pain.
She has no history of serious illness and takes no medications. Vital signs are within normal limits.
Cardiac, lung, and extremity examinations show no abnormalities. Which of the following is the most
likely diagnosis?
