NURS 5220 - ADVANCED PHYSICAL
ASSESSMENT EXAM 3: NEURO,
MUSCULOSKELETAL, AND CLINICAL
INTEGRATION. QUESTIONS WITH
CORRECT VERIFIED ANSWERS |
GURANTEED A+
1. When assessing a patient for a suspected meniscus tear, which maneuver involves internal
and external rotation of the knee while applying valgus and varus stress with the knee
flexed?
A. McMurray Test
B. Lachman Test
C. Drawer Test
D. Bulge Sign
Answer: A
Conceptual Explanation: The McMurray test is specifically used to evaluate for meniscal
tears by rotating the tibia and applying stress while extending the knee. A click or pop
along the joint line is a positive finding.
,2. A 65-year-old patient presents with a ‘resting tremor’ that disappears with purposeful
movement. This finding is most characteristic of which condition?
A. Multiple Sclerosis
B. Cerebellar Ataxia
C. Essential Tremor
D. Parkinson’s Disease
Answer: D
Conceptual Explanation: A resting tremor, often described as ‘pill-rolling,’ is a hallmark of
Parkinson’s disease. Essential tremors usually occur with action, and cerebellar tremors
occur at the end of a purposeful movement.
3. During a neurological exam, you ask the patient to identify a common object (like a key)
placed in their hand while their eyes are closed. What is this specific sensory function called?
A. Graphesthesia
B. Proprioception
C. Two-point discrimination
D. Stereognosis
Answer: D
Conceptual Explanation: Stereognosis is the ability to recognize objects by touch.
Graphesthesia is the ability to ‘read’ a number or letter traced on the skin.
, 4. Which physical exam finding is most sensitive for detecting an Anterior Cruciate Ligament
(ACL) tear?
A. Positive McMurray Test
B. Positive Lachman Test
C. Positive Anterior Drawer Test
D. Positive Apley Compression Test
Answer: B
Conceptual Explanation: While the Anterior Drawer test is common, the Lachman test is
widely considered more sensitive and reliable for detecting ACL instability because it
minimizes the protective stabilization of the hamstrings.
5. You observe a patient’s gait and notice they are lifting their knee high to prevent their toes
from dragging on the floor. This is known as a ‘steppage gait.’ Which nerve is likely
compromised?
A. Sciatic nerve
B. Tibial nerve
C. Common peroneal (fibular) nerve
D. Femoral nerve
Answer: C
ASSESSMENT EXAM 3: NEURO,
MUSCULOSKELETAL, AND CLINICAL
INTEGRATION. QUESTIONS WITH
CORRECT VERIFIED ANSWERS |
GURANTEED A+
1. When assessing a patient for a suspected meniscus tear, which maneuver involves internal
and external rotation of the knee while applying valgus and varus stress with the knee
flexed?
A. McMurray Test
B. Lachman Test
C. Drawer Test
D. Bulge Sign
Answer: A
Conceptual Explanation: The McMurray test is specifically used to evaluate for meniscal
tears by rotating the tibia and applying stress while extending the knee. A click or pop
along the joint line is a positive finding.
,2. A 65-year-old patient presents with a ‘resting tremor’ that disappears with purposeful
movement. This finding is most characteristic of which condition?
A. Multiple Sclerosis
B. Cerebellar Ataxia
C. Essential Tremor
D. Parkinson’s Disease
Answer: D
Conceptual Explanation: A resting tremor, often described as ‘pill-rolling,’ is a hallmark of
Parkinson’s disease. Essential tremors usually occur with action, and cerebellar tremors
occur at the end of a purposeful movement.
3. During a neurological exam, you ask the patient to identify a common object (like a key)
placed in their hand while their eyes are closed. What is this specific sensory function called?
A. Graphesthesia
B. Proprioception
C. Two-point discrimination
D. Stereognosis
Answer: D
Conceptual Explanation: Stereognosis is the ability to recognize objects by touch.
Graphesthesia is the ability to ‘read’ a number or letter traced on the skin.
, 4. Which physical exam finding is most sensitive for detecting an Anterior Cruciate Ligament
(ACL) tear?
A. Positive McMurray Test
B. Positive Lachman Test
C. Positive Anterior Drawer Test
D. Positive Apley Compression Test
Answer: B
Conceptual Explanation: While the Anterior Drawer test is common, the Lachman test is
widely considered more sensitive and reliable for detecting ACL instability because it
minimizes the protective stabilization of the hamstrings.
5. You observe a patient’s gait and notice they are lifting their knee high to prevent their toes
from dragging on the floor. This is known as a ‘steppage gait.’ Which nerve is likely
compromised?
A. Sciatic nerve
B. Tibial nerve
C. Common peroneal (fibular) nerve
D. Femoral nerve
Answer: C
