NR568 ADVANCED HEALTH
ASSESSMENT MIDTERM EXAM
QUESTIONS AND ANSWERS
1. A 55-year-old male presents with a new onset of a harsh, mid-systolic crescendo-
decrescendo murmur heard best at the second right intercostal space, radiating to the
carotids. Which condition is most likely?
A. Mitral Regurgitation
B. Aortic Stenosis
C. Aortic Regurgitation
D. Mitral Stenosis
Answer: B
Conceptual Explanation: Aortic stenosis typically presents as a harsh crescendo-
decrescendo systolic murmur at the right upper sternal border with radiation to the neck.
2. When performing the Weber test, a patient with conductive hearing loss in the right ear
will experience which of the following?
A. Sound is not heard at all
,B. Sound lateralizes to the left ear
C. Sound is heard equally in both ears
D. Sound lateralizes to the right ear
Answer: D
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear because the background noise is masked by the conductive defect.
3. During an abdominal assessment, a positive Murphy’s sign is highly suggestive of:
A. Acute Cholecystitis
B. Acute Pancreatitis
C. Acute Appendicitis
D. Splenic Rupture
Answer: A
Conceptual Explanation: Murphy’s sign is specific for gallbladder inflammation; pain
occurs when the patient inhales while the examiner palpates the right upper quadrant.
4. A 65-year-old patient exhibits a ‘shuffling gait’ and ‘pill-rolling’ tremor. These clinical
findings are characteristic of:
A. Multiple Sclerosis
B. Parkinson’s Disease
, C. Huntington’s Disease
D. Amyotrophic Lateral Sclerosis
Answer: B
Conceptual Explanation: Parkinson’s disease is characterized by bradykinesia, resting
tremor (pill-rolling), and postural instability (shuffling gait).
5. Which cranial nerve is primarily responsible for the motor function of the muscles of
mastication?
A. CN XII (Hypoglossal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN V (Trigeminal)
Answer: D
Conceptual Explanation: The trigeminal nerve (CN V) controls the muscles of mastication
(chewing).
6. A patient presents with a ‘curtain-like’ shadow over their vision. This is a classic emergency
symptom of:
A. Retinal Detachment
B. Acute Angle-Closure Glaucoma
C. Macular Degeneration
ASSESSMENT MIDTERM EXAM
QUESTIONS AND ANSWERS
1. A 55-year-old male presents with a new onset of a harsh, mid-systolic crescendo-
decrescendo murmur heard best at the second right intercostal space, radiating to the
carotids. Which condition is most likely?
A. Mitral Regurgitation
B. Aortic Stenosis
C. Aortic Regurgitation
D. Mitral Stenosis
Answer: B
Conceptual Explanation: Aortic stenosis typically presents as a harsh crescendo-
decrescendo systolic murmur at the right upper sternal border with radiation to the neck.
2. When performing the Weber test, a patient with conductive hearing loss in the right ear
will experience which of the following?
A. Sound is not heard at all
,B. Sound lateralizes to the left ear
C. Sound is heard equally in both ears
D. Sound lateralizes to the right ear
Answer: D
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear because the background noise is masked by the conductive defect.
3. During an abdominal assessment, a positive Murphy’s sign is highly suggestive of:
A. Acute Cholecystitis
B. Acute Pancreatitis
C. Acute Appendicitis
D. Splenic Rupture
Answer: A
Conceptual Explanation: Murphy’s sign is specific for gallbladder inflammation; pain
occurs when the patient inhales while the examiner palpates the right upper quadrant.
4. A 65-year-old patient exhibits a ‘shuffling gait’ and ‘pill-rolling’ tremor. These clinical
findings are characteristic of:
A. Multiple Sclerosis
B. Parkinson’s Disease
, C. Huntington’s Disease
D. Amyotrophic Lateral Sclerosis
Answer: B
Conceptual Explanation: Parkinson’s disease is characterized by bradykinesia, resting
tremor (pill-rolling), and postural instability (shuffling gait).
5. Which cranial nerve is primarily responsible for the motor function of the muscles of
mastication?
A. CN XII (Hypoglossal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN V (Trigeminal)
Answer: D
Conceptual Explanation: The trigeminal nerve (CN V) controls the muscles of mastication
(chewing).
6. A patient presents with a ‘curtain-like’ shadow over their vision. This is a classic emergency
symptom of:
A. Retinal Detachment
B. Acute Angle-Closure Glaucoma
C. Macular Degeneration
