NU 578 UNIT 5: ADVANCED PHYSICAL
ASSESSMENT - EENT, NEUROLOGICAL,
AND MUSCULOSKELETAL SYSTEMS
QUESTIONS & ANSWERS 100%
GUARANTEE PASS | UNIVERSITY OF
SOUTH ALABAMA
1. When performing the Weber test, a patient with conductive hearing loss in the right ear
will experience which of the following?
A. Sound lateralizes to the left ear.
B. Sound is heard equally in both ears.
C. Sound lateralizes to the right ear.
D. Air conduction is longer than bone conduction.
Answer: C
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear because the affected ear is not distracted by background room noise.
2. During an ophthalmoscopic exam, you observe ‘copper wiring’ and AV nicking. These
findings are most characteristic of:
A. Diabetic retinopathy
,B. Macular degeneration
C. Open-angle glaucoma
D. Chronic hypertension
Answer: D
Conceptual Explanation: Copper wiring and arteriovenous (AV) nicking are classic signs
of hypertensive retinopathy due to thickened arteriolar walls.
3. A patient presents with a sudden onset of ‘curtain-like’ vision loss and flashes of light
(photopsia). What is the most likely diagnosis?
A. Retinal detachment
B. Acute angle-closure glaucoma
C. Cataracts
D. Optic neuritis
Answer: A
Conceptual Explanation: Retinal detachment typically presents with photopsia, floaters,
and a sensation of a shadow or curtain coming across the visual field.
4. Which cranial nerve is primarily responsible for the motor component of the corneal
reflex?
A. CN V (Trigeminal)
B. CN III (Oculomotor)
, C. CN VII (Facial)
D. CN VI (Abducens)
Answer: C
Conceptual Explanation: The sensory limb of the corneal reflex is CN V, but the motor
response (blinking) is mediated by CN VII.
5. The Lachman test is considered the most sensitive clinical test for detecting an injury to
which ligament?
A. Medial collateral ligament (MCL)
B. Posterior cruciate ligament (PCL)
C. Anterior cruciate ligament (ACL)
D. Lateral collateral ligament (LCL)
Answer: C
Conceptual Explanation: The Lachman test, performed at 20-30 degrees of flexion, is the
most sensitive physical exam maneuver for ACL deficiency.
6. A positive Phalen’s test and Tinel’s sign are indicative of:
A. De Quervain’s tenosynovitis
B. Carpal tunnel syndrome
C. Ulnar nerve entrapment
ASSESSMENT - EENT, NEUROLOGICAL,
AND MUSCULOSKELETAL SYSTEMS
QUESTIONS & ANSWERS 100%
GUARANTEE PASS | UNIVERSITY OF
SOUTH ALABAMA
1. When performing the Weber test, a patient with conductive hearing loss in the right ear
will experience which of the following?
A. Sound lateralizes to the left ear.
B. Sound is heard equally in both ears.
C. Sound lateralizes to the right ear.
D. Air conduction is longer than bone conduction.
Answer: C
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear because the affected ear is not distracted by background room noise.
2. During an ophthalmoscopic exam, you observe ‘copper wiring’ and AV nicking. These
findings are most characteristic of:
A. Diabetic retinopathy
,B. Macular degeneration
C. Open-angle glaucoma
D. Chronic hypertension
Answer: D
Conceptual Explanation: Copper wiring and arteriovenous (AV) nicking are classic signs
of hypertensive retinopathy due to thickened arteriolar walls.
3. A patient presents with a sudden onset of ‘curtain-like’ vision loss and flashes of light
(photopsia). What is the most likely diagnosis?
A. Retinal detachment
B. Acute angle-closure glaucoma
C. Cataracts
D. Optic neuritis
Answer: A
Conceptual Explanation: Retinal detachment typically presents with photopsia, floaters,
and a sensation of a shadow or curtain coming across the visual field.
4. Which cranial nerve is primarily responsible for the motor component of the corneal
reflex?
A. CN V (Trigeminal)
B. CN III (Oculomotor)
, C. CN VII (Facial)
D. CN VI (Abducens)
Answer: C
Conceptual Explanation: The sensory limb of the corneal reflex is CN V, but the motor
response (blinking) is mediated by CN VII.
5. The Lachman test is considered the most sensitive clinical test for detecting an injury to
which ligament?
A. Medial collateral ligament (MCL)
B. Posterior cruciate ligament (PCL)
C. Anterior cruciate ligament (ACL)
D. Lateral collateral ligament (LCL)
Answer: C
Conceptual Explanation: The Lachman test, performed at 20-30 degrees of flexion, is the
most sensitive physical exam maneuver for ACL deficiency.
6. A positive Phalen’s test and Tinel’s sign are indicative of:
A. De Quervain’s tenosynovitis
B. Carpal tunnel syndrome
C. Ulnar nerve entrapment
