NR509 / NR 509 Advanced Physical Assessment 2027 Midterm Exam -
Complete Study Guide with Questions and Verified Answers - 100%
Correct - Grade A+
Question 1.
Presentation of retinal detachment
Correct Answer: If sudden visual loss is unilateral and painless,
Question 2.
Obtunded
Correct Answer: patient opens the eyes and looks at you but responds slowly
and is somewhat confused. Alertness and interest in the environment are
decreased.
Question 3.
Cranial nerve for lateral gaze
Correct Answer: CN6: Abducens
Question 4.
Adult Illnesses
Correct 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 ✓✓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
Question 5.
Absence of red reflex
Correct 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.
, Question 6.
S/S of seasonal allergies
Correct Answer: Itching, watery eyes, sneezing, ear congestion, postnasal
drainage
Question 7.
Presentation of optic neuritis
Correct 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
Question 8.
pityriasis rosea
Correct Answer: Multiple round to oval scaling violaceous plaques on abdomen
and back
Question 9.
Acromion
Correct Answer: tip of shoulder
Question 10.
What to do for + finding on physical exam, but - workup
Correct Answer: continue using test, but less lab and diagnostics
• Cause of falsely high BP ✓✓-too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Question 11.
Check for nystagmus
Correct Answer: -involuntary jerking movement of the eyes with quick and
slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear
ophthalmoplegia
Question 12.
Jaundice
Correct Answer: yellow sclera
Complete Study Guide with Questions and Verified Answers - 100%
Correct - Grade A+
Question 1.
Presentation of retinal detachment
Correct Answer: If sudden visual loss is unilateral and painless,
Question 2.
Obtunded
Correct Answer: patient opens the eyes and looks at you but responds slowly
and is somewhat confused. Alertness and interest in the environment are
decreased.
Question 3.
Cranial nerve for lateral gaze
Correct Answer: CN6: Abducens
Question 4.
Adult Illnesses
Correct 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 ✓✓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
Question 5.
Absence of red reflex
Correct 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.
, Question 6.
S/S of seasonal allergies
Correct Answer: Itching, watery eyes, sneezing, ear congestion, postnasal
drainage
Question 7.
Presentation of optic neuritis
Correct 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
Question 8.
pityriasis rosea
Correct Answer: Multiple round to oval scaling violaceous plaques on abdomen
and back
Question 9.
Acromion
Correct Answer: tip of shoulder
Question 10.
What to do for + finding on physical exam, but - workup
Correct Answer: continue using test, but less lab and diagnostics
• Cause of falsely high BP ✓✓-too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Question 11.
Check for nystagmus
Correct Answer: -involuntary jerking movement of the eyes with quick and
slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear
ophthalmoplegia
Question 12.
Jaundice
Correct Answer: yellow sclera
