NR511 ADVANCED PHYSICAL
ASSESSMENT AND DIFFERENTIAL
DIAGNOSIS EXAM STUDY GUIDE
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED.
CHAMBERLAIN
1. A 28-year-old female presents with a red, swollen, and painful area on her lower leg that
has been spreading for two days. The borders are ill-defined. What is the most likely
diagnosis?
A. Erysipelas
B. Necrotizing fasciitis
C. Cellulitis
D. Contact dermatitis
Answer: C
Conceptual Explanation: Cellulitis typically presents with poorly defined borders and
involves the deeper dermis and subcutaneous fat, whereas erysipelas has sharply
demarcated borders and involves the upper dermis.
2. Which of the following physical exam findings is most suggestive of acute cholecystitis?
A. Rovsing sign
,B. McBurney point tenderness
C. Psoas sign
D. Murphy sign
Answer: D
Conceptual Explanation: Murphy sign is a specific physical exam finding for gallbladder
inflammation where the patient experiences sudden pain and cessation of inspiration
during deep palpation of the right upper quadrant.
3. A patient presents with a ‘herald patch’ followed by a generalized eruption of lesions in a
‘Christmas tree’ distribution. What is the recommended treatment?
A. Oral acyclovir
B. Topical corticosteroids and reassurance
C. Oral cephalexin
D. Permethrin cream
Answer: B
Conceptual Explanation: Pityriasis rosea is a self-limiting condition. Treatment is
generally supportive using topical steroids or antihistamines for pruritus, as it usually
resolves spontaneously.
, 4. According to the Centor criteria, which of the following patients is most likely to require
testing for Group A Streptococcus?
A. A patient with cough, rhinorrhea, and low-grade fever
B. A patient with a sore throat and vesicles on the soft palate
C. A patient with a sandpaper-like rash and posterior cervical lymphadenopathy
D. A patient with tonsillar exudates, tender anterior cervical lymphadenopathy, and
absence of cough
Answer: D
Conceptual Explanation: The Centor criteria award points for fever, tonsillar exudates,
tender anterior cervical nodes, and absence of cough to estimate the probability of
bacterial pharyngitis.
5. Which antibiotic is considered first-line treatment for an adult with uncomplicated acute
bacterial rhinosinusitis and no drug allergies?
A. Azithromycin
B. Levofloxacin
C. Doxycycline
D. Amoxicillin-clavulanate
Answer: D
ASSESSMENT AND DIFFERENTIAL
DIAGNOSIS EXAM STUDY GUIDE
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED.
CHAMBERLAIN
1. A 28-year-old female presents with a red, swollen, and painful area on her lower leg that
has been spreading for two days. The borders are ill-defined. What is the most likely
diagnosis?
A. Erysipelas
B. Necrotizing fasciitis
C. Cellulitis
D. Contact dermatitis
Answer: C
Conceptual Explanation: Cellulitis typically presents with poorly defined borders and
involves the deeper dermis and subcutaneous fat, whereas erysipelas has sharply
demarcated borders and involves the upper dermis.
2. Which of the following physical exam findings is most suggestive of acute cholecystitis?
A. Rovsing sign
,B. McBurney point tenderness
C. Psoas sign
D. Murphy sign
Answer: D
Conceptual Explanation: Murphy sign is a specific physical exam finding for gallbladder
inflammation where the patient experiences sudden pain and cessation of inspiration
during deep palpation of the right upper quadrant.
3. A patient presents with a ‘herald patch’ followed by a generalized eruption of lesions in a
‘Christmas tree’ distribution. What is the recommended treatment?
A. Oral acyclovir
B. Topical corticosteroids and reassurance
C. Oral cephalexin
D. Permethrin cream
Answer: B
Conceptual Explanation: Pityriasis rosea is a self-limiting condition. Treatment is
generally supportive using topical steroids or antihistamines for pruritus, as it usually
resolves spontaneously.
, 4. According to the Centor criteria, which of the following patients is most likely to require
testing for Group A Streptococcus?
A. A patient with cough, rhinorrhea, and low-grade fever
B. A patient with a sore throat and vesicles on the soft palate
C. A patient with a sandpaper-like rash and posterior cervical lymphadenopathy
D. A patient with tonsillar exudates, tender anterior cervical lymphadenopathy, and
absence of cough
Answer: D
Conceptual Explanation: The Centor criteria award points for fever, tonsillar exudates,
tender anterior cervical nodes, and absence of cough to estimate the probability of
bacterial pharyngitis.
5. Which antibiotic is considered first-line treatment for an adult with uncomplicated acute
bacterial rhinosinusitis and no drug allergies?
A. Azithromycin
B. Levofloxacin
C. Doxycycline
D. Amoxicillin-clavulanate
Answer: D
