NR 509 ADVANCED PHYSICAL ASSESSMENT
MIDTERM EXAM 5 SCRIPT 2026 QUESTIONS
AND SOLUTIONS COMPREHENSIVE STUDY
SHEET FULL PRACTICE SET
◉ Presentation of retinal detachment.
Answer: If sudden visual loss is unilateral and painless,
◉ Obtunded.
Answer: patient opens the eyes and looks at you but responds slowly
and is somewhat confused. Alertness and interest in the
environment are decreased.
◉ Cranial nerve for lateral gaze.
Answer: CN6: Abducens
◉ Adult Illnesses.
Answer: Medical: Illnesses such as diabetes, hypertension, hepatitis,
asthma, and human immunodeficiency virus (HIV); hospitalizations;
number and gender of sexual partners; and risk-taking sexual
practices
■ Surgical: Dates, indications, and types of operations
,■ Obstetric/Gynecologic: Obstetric history, menstrual history,
methods of contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations,
and treatments
◉ Present Illness.
Answer: chronologic description of the problems prompting the
patient's visit, including the onset of the problem, the setting in
which it developed, its manifestations, and any treatments to
date.Each problem/symptom needs: (1) location; (2) quality; (3)
quantity or severity; (4) timing, including onset, duration, and
frequency; (5) the setting in which it occurs; (6) factors that have
aggravated
-meds, allergies, tobacco use, ETOH and drug use
◉ Absence of red reflex.
Answer: an opacity of the lens (cataract) or, possibly, the vitreous (or
even an artificial eye). Less commonly, a detached retina or, in
children, a retinoblastoma may obscure this reflex.
◉ S/S of seasonal allergies.
Answer: Itching, watery eyes, sneezing, ear congestion, postnasal
drainage
◉ Presentation of optic neuritis.
, Answer: Enlarged blind spot, vision loss in 1 eye, loss of color vision,
hole in center of vision, trouble seeing to the side, eye pain
◉ pityriasis rosea.
Answer: Multiple round to oval scaling violaceous plaques on
abdomen and back
◉ Acromion.
Answer: tip of shoulder
◉ What to do for + finding on physical exam, but - workup.
Answer: continue using test, but less lab and diagnostics
◉ Cause of falsely high BP.
Answer: -too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
◉ Check for nystagmus.
Answer: -involuntary jerking movement of the eyes with quick and
slow components.
MIDTERM EXAM 5 SCRIPT 2026 QUESTIONS
AND SOLUTIONS COMPREHENSIVE STUDY
SHEET FULL PRACTICE SET
◉ Presentation of retinal detachment.
Answer: If sudden visual loss is unilateral and painless,
◉ Obtunded.
Answer: patient opens the eyes and looks at you but responds slowly
and is somewhat confused. Alertness and interest in the
environment are decreased.
◉ Cranial nerve for lateral gaze.
Answer: CN6: Abducens
◉ Adult Illnesses.
Answer: Medical: Illnesses such as diabetes, hypertension, hepatitis,
asthma, and human immunodeficiency virus (HIV); hospitalizations;
number and gender of sexual partners; and risk-taking sexual
practices
■ Surgical: Dates, indications, and types of operations
,■ Obstetric/Gynecologic: Obstetric history, menstrual history,
methods of contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations,
and treatments
◉ Present Illness.
Answer: chronologic description of the problems prompting the
patient's visit, including the onset of the problem, the setting in
which it developed, its manifestations, and any treatments to
date.Each problem/symptom needs: (1) location; (2) quality; (3)
quantity or severity; (4) timing, including onset, duration, and
frequency; (5) the setting in which it occurs; (6) factors that have
aggravated
-meds, allergies, tobacco use, ETOH and drug use
◉ Absence of red reflex.
Answer: an opacity of the lens (cataract) or, possibly, the vitreous (or
even an artificial eye). Less commonly, a detached retina or, in
children, a retinoblastoma may obscure this reflex.
◉ S/S of seasonal allergies.
Answer: Itching, watery eyes, sneezing, ear congestion, postnasal
drainage
◉ Presentation of optic neuritis.
, Answer: Enlarged blind spot, vision loss in 1 eye, loss of color vision,
hole in center of vision, trouble seeing to the side, eye pain
◉ pityriasis rosea.
Answer: Multiple round to oval scaling violaceous plaques on
abdomen and back
◉ Acromion.
Answer: tip of shoulder
◉ What to do for + finding on physical exam, but - workup.
Answer: continue using test, but less lab and diagnostics
◉ Cause of falsely high BP.
Answer: -too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
◉ Check for nystagmus.
Answer: -involuntary jerking movement of the eyes with quick and
slow components.
