NR 511 EXAM 4: ORTHOPEDICS,
NEUROLOGY, AND DERMATOLOGY
QUESTIONS & VERIFIED ANSWERS
2026/2027 UPDATE
1. Which physical examination maneuver is considered the most sensitive for detecting an
Anterior Cruciate Ligament (ACL) tear?
A. Lachman test
B. McMurray test
C. Posterior Drawer test
D. Valgus Stress test
Answer: A
Conceptual Explanation: The Lachman test is widely considered the most sensitive and
reliable clinical test for diagnosing an ACL injury compared to the Anterior Drawer test.
2. A 65-year-old female presents with morning stiffness in her hands lasting more than 60
minutes and symmetrical joint swelling. Which diagnosis is most likely?
A. Osteoarthritis
B. Gouty Arthritis
C. Rheumatoid Arthritis
,D. Psoriatic Arthritis
Answer: C
Conceptual Explanation: Rheumatoid Arthritis typically presents with symmetrical joint
involvement and prolonged morning stiffness, unlike Osteoarthritis which usually lasts less
than 30 minutes.
3. A patient presents with a ‘herald patch’ followed by a Christmas tree pattern of smaller
lesions on the trunk. What is the most likely diagnosis?
A. Tinea Corporis
B. Pityriasis Rosea
C. Secondary Syphilis
D. Guttate Psoriasis
Answer: B
Conceptual Explanation: Pityriasis Rosea is characterized by an initial herald patch
followed by a generalized exanthem in a Christmas tree distribution along skin cleavage
lines.
4. Which of the following is the ‘gold standard’ for diagnosing a meniscus tear?
A. MRI
B. CT Scan
C. X-ray
, D. Joint Aspiration
Answer: A
Conceptual Explanation: MRI is the non-invasive gold standard for visualizing soft tissue
structures like the meniscus and ligaments in the knee.
5. A patient complains of sudden, severe, unilateral facial pain triggered by chewing or
touching the face. Which cranial nerve is likely involved?
A. Cranial Nerve VII
B. Cranial Nerve III
C. Cranial Nerve V
D. Cranial Nerve X
Answer: C
Conceptual Explanation: Trigeminal neuralgia involves the Trigeminal Nerve (CN V) and
causes paroxysms of intense facial pain.
6. What is the first-line pharmacologic treatment for an acute attack of gout?
A. Allopurinol
B. NSAIDs or Colchicine
C. Probenecid
D. Febuxostat
NEUROLOGY, AND DERMATOLOGY
QUESTIONS & VERIFIED ANSWERS
2026/2027 UPDATE
1. Which physical examination maneuver is considered the most sensitive for detecting an
Anterior Cruciate Ligament (ACL) tear?
A. Lachman test
B. McMurray test
C. Posterior Drawer test
D. Valgus Stress test
Answer: A
Conceptual Explanation: The Lachman test is widely considered the most sensitive and
reliable clinical test for diagnosing an ACL injury compared to the Anterior Drawer test.
2. A 65-year-old female presents with morning stiffness in her hands lasting more than 60
minutes and symmetrical joint swelling. Which diagnosis is most likely?
A. Osteoarthritis
B. Gouty Arthritis
C. Rheumatoid Arthritis
,D. Psoriatic Arthritis
Answer: C
Conceptual Explanation: Rheumatoid Arthritis typically presents with symmetrical joint
involvement and prolonged morning stiffness, unlike Osteoarthritis which usually lasts less
than 30 minutes.
3. A patient presents with a ‘herald patch’ followed by a Christmas tree pattern of smaller
lesions on the trunk. What is the most likely diagnosis?
A. Tinea Corporis
B. Pityriasis Rosea
C. Secondary Syphilis
D. Guttate Psoriasis
Answer: B
Conceptual Explanation: Pityriasis Rosea is characterized by an initial herald patch
followed by a generalized exanthem in a Christmas tree distribution along skin cleavage
lines.
4. Which of the following is the ‘gold standard’ for diagnosing a meniscus tear?
A. MRI
B. CT Scan
C. X-ray
, D. Joint Aspiration
Answer: A
Conceptual Explanation: MRI is the non-invasive gold standard for visualizing soft tissue
structures like the meniscus and ligaments in the knee.
5. A patient complains of sudden, severe, unilateral facial pain triggered by chewing or
touching the face. Which cranial nerve is likely involved?
A. Cranial Nerve VII
B. Cranial Nerve III
C. Cranial Nerve V
D. Cranial Nerve X
Answer: C
Conceptual Explanation: Trigeminal neuralgia involves the Trigeminal Nerve (CN V) and
causes paroxysms of intense facial pain.
6. What is the first-line pharmacologic treatment for an acute attack of gout?
A. Allopurinol
B. NSAIDs or Colchicine
C. Probenecid
D. Febuxostat
