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NR 509/ NR509 MIDTERM EXAM: ADVANCED PHYSICAL
ASSESSMENT REVIEW| QUESTIONS & ANSWERS| GRADE A|
100% CORRECT (VERIFIED SOLUTIONS) NEW 2025/
2026 UPDATE - CHAMBERLAIN
1. How otosclerosis presents with Weber and Rinne test - ANS ✓- Weber: Sound
lateralizes to impaired ear. Room noise not well heard, so detection of vibrations
improves
- Rinne: BC longer than or equal to AC. While air conduction through the external or middle
ear is impaired, vibrations through bone bypass the problem to reach the cochlea.
2. Cherry angiomas - ANS ✓Benign
3. Interpreting visual acuity test - ANS ✓Vision of 20/200 means that at 20 feet the
patient can read print that a person with normal vision could read at 200 feet. The
larger the second number, the worse the vision. "20/40 corrected" means the patient
could read the 20/40 line with glasses (a correction).
4. Sequence of the interview - ANS ✓Preparation. Then, Greeting the patient and
establishing rapport. Establishing the agenda for the interview. Inviting the patient's
story. Exploring the patient's perspective. Identifying and responding to emotional
cues. Expand-ing and clarifying the patient's story. Generating and testing diagnostic
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hypotheses. Sharing the treatment plan. Closing the interview and the visit. Taking
time for self-reflection.
5. Patient consent - ANS ✓you need consent to carry out a visit with someone in the
room with them.
6. Health History - ANS ✓● Identifying data and source of the history; reliability ●
Chief complaint(s)
● Present illness ● Past history
● Family history
● Personal and social history ● Review of systems
7. Rotator cuff injury - ANS ✓Atrophy of the supraspinatus and infraspinatus with
increased prominence of scapular spine can appear within 2 to 3 weeks of a rotator
cuff tear; infraspinatus atrophy has a positive likelihood ratio (LR) of 2 for rotator
cuff disease.
8. prioritizing patient complaints - ANS ✓Problem list
- Most active and serious problems first
- then, problems that need future observation and attention
9. Condylar joints - ANS ✓Knee & TMJ
-Movement of two articulating surfaces not dissociable
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