3Ps UPDATED ACTUAL Exam Questions
and CORRECT Answers
Recommend a method or test to help assess a patient's cerebellar function. - CORRECT
ANSWER - Finger-nose-finger testing
Choose an accurate statement regarding deep tendon reflexes and their location of assessment. -
CORRECT ANSWER - Achilles reflex corresponds to L2-S2.
Brachioradialis reflex corresponds to C5-C6.
Determine a finding that would be abnormal in a motor assessment. - CORRECT
ANSWER - Presence of tremor
Muscle weakness
Propose an accurate statement regarding the sensory assessment. - CORRECT ANSWER -
Tactile discrimination of fine touch assesses the sensory cortex.
Decide what should be considered in assessing a patient's appearance and behavior. - CORRECT
ANSWER - Level of consciousness
Determine the accurate description regarding the strength of reflex. - CORRECT
ANSWER - Hypoactive or diminished response is classified as 1+.
Very brisk, hyperactive response is classified as 4+.
Determine a step or technique in the assessment of the trigeminal nerve. - CORRECT
ANSWER - Assess muscles of mastication.
,Ask the patient to identify the location of the light touch sensation on the forehead while eyes are
closed.
Recommend an appropriate examination method to assess spinal accessory nerve function. -
CORRECT ANSWER - Ask the patient to shrug shoulders against resistance.
Ask the patient to rotate the head forcibly against resistance.
Determine an important item to assess while testing a patient's language and comprehension. -
CORRECT ANSWER - Expressive or receptive aphasia
Language coherency
All of the following are components of the classic ophthalmological emergency except
__________. - CORRECT ANSWER - purulent eye discharge
Mrs. Murphy is a 58-year-old woman presenting with a sudden left-sided headache that is most
painful in her left eye. Her vision is blurred, and her left pupil is slightly dilated and poorly
reactive. The left conjunctiva is markedly injected, and the eyeball is firm. Vision screen with the
Snellen chart is 20/30 OD and 20/90 OS.
When caring for Mrs. Murphy, the most appropriate next action is __________. - CORRECT
ANSWER - prompt referral to an ophthalmologist
Recommend an appropriate question to ask when assessing a patient's mood and affect. -
CORRECT ANSWER - How are you?
Propose an accurate statement regarding the mental status examination. - CORRECT
ANSWER - A patient's overall appearance is part of the mental status examination.
Determine an appropriate question to ask when assessing a patient's perception. - CORRECT
ANSWER - Do you feel as if you're being watched?
,How do people treat you?
Choose an accurate description of expressive aphasia. - CORRECT ANSWER - Having
difficulty in expressing words
Describe the technique to assess facial nerve function. - CORRECT ANSWER - Ask the
patient to smile.
Instruct the patient to lift eyebrows.
Ask the patient to close eyelids tightly against your attempt to open them.
What is a common vision problem in a person with untreated primary open-angle glaucoma
(POAG)? - CORRECT ANSWER - Peripheral vision loss
Propose a component of assessing the thought process of a patient. - CORRECT
ANSWER - Screening for suicidal thoughts
Which of the following is the most likely to be found on the funduscopic examination of a
patient with untreated POAG? - CORRECT ANSWER - Excessive cupping of the optic
disk
Propose an indicator that a headache can be the presenting symptom of a serious illness and may
require neuroimaging. - CORRECT ANSWER - Headache causing confusion, dizziness,
or lack of coordination
Headache causing awakening from sleep
Sudden or new-onset headache
, A clinician is performing a middle ear assessment on a 15-year-old patient. When examining the
right tympanic membrane, the clinician sees the presence of dense white patches. The tympanic
membrane is otherwise unremarkable. It is pearly, with the light reflex at 5 o'clock and
landmarks visible. Propose a statement that reflects this finding. - CORRECT ANSWER -
This is known as tympanosclerosis.
This is associated with calcification of the tympanic membrane.
There are scars caused from frequent ear infection.
This is associated with calcification of the tympanic membrane.
A clinician is testing the hearing of a 78-year-old man. Establish which of the following is
important to keep in mind in terms of changes in hearing that occur with aging. - CORRECT
ANSWER - The aging person may find it harder to hear consonants than vowels.
Sounds may be garbled and difficult to localize.
The tympanic membrane thickens with age.
The progression is slow.
Propose a way to examine a patient who presents to your office with vertigo. - CORRECT
ANSWER - Ask the patient to close his or her eyes and march in place for 30 seconds.
Perform the Romberg test.
Check for nystagmus.
and CORRECT Answers
Recommend a method or test to help assess a patient's cerebellar function. - CORRECT
ANSWER - Finger-nose-finger testing
Choose an accurate statement regarding deep tendon reflexes and their location of assessment. -
CORRECT ANSWER - Achilles reflex corresponds to L2-S2.
Brachioradialis reflex corresponds to C5-C6.
Determine a finding that would be abnormal in a motor assessment. - CORRECT
ANSWER - Presence of tremor
Muscle weakness
Propose an accurate statement regarding the sensory assessment. - CORRECT ANSWER -
Tactile discrimination of fine touch assesses the sensory cortex.
Decide what should be considered in assessing a patient's appearance and behavior. - CORRECT
ANSWER - Level of consciousness
Determine the accurate description regarding the strength of reflex. - CORRECT
ANSWER - Hypoactive or diminished response is classified as 1+.
Very brisk, hyperactive response is classified as 4+.
Determine a step or technique in the assessment of the trigeminal nerve. - CORRECT
ANSWER - Assess muscles of mastication.
,Ask the patient to identify the location of the light touch sensation on the forehead while eyes are
closed.
Recommend an appropriate examination method to assess spinal accessory nerve function. -
CORRECT ANSWER - Ask the patient to shrug shoulders against resistance.
Ask the patient to rotate the head forcibly against resistance.
Determine an important item to assess while testing a patient's language and comprehension. -
CORRECT ANSWER - Expressive or receptive aphasia
Language coherency
All of the following are components of the classic ophthalmological emergency except
__________. - CORRECT ANSWER - purulent eye discharge
Mrs. Murphy is a 58-year-old woman presenting with a sudden left-sided headache that is most
painful in her left eye. Her vision is blurred, and her left pupil is slightly dilated and poorly
reactive. The left conjunctiva is markedly injected, and the eyeball is firm. Vision screen with the
Snellen chart is 20/30 OD and 20/90 OS.
When caring for Mrs. Murphy, the most appropriate next action is __________. - CORRECT
ANSWER - prompt referral to an ophthalmologist
Recommend an appropriate question to ask when assessing a patient's mood and affect. -
CORRECT ANSWER - How are you?
Propose an accurate statement regarding the mental status examination. - CORRECT
ANSWER - A patient's overall appearance is part of the mental status examination.
Determine an appropriate question to ask when assessing a patient's perception. - CORRECT
ANSWER - Do you feel as if you're being watched?
,How do people treat you?
Choose an accurate description of expressive aphasia. - CORRECT ANSWER - Having
difficulty in expressing words
Describe the technique to assess facial nerve function. - CORRECT ANSWER - Ask the
patient to smile.
Instruct the patient to lift eyebrows.
Ask the patient to close eyelids tightly against your attempt to open them.
What is a common vision problem in a person with untreated primary open-angle glaucoma
(POAG)? - CORRECT ANSWER - Peripheral vision loss
Propose a component of assessing the thought process of a patient. - CORRECT
ANSWER - Screening for suicidal thoughts
Which of the following is the most likely to be found on the funduscopic examination of a
patient with untreated POAG? - CORRECT ANSWER - Excessive cupping of the optic
disk
Propose an indicator that a headache can be the presenting symptom of a serious illness and may
require neuroimaging. - CORRECT ANSWER - Headache causing confusion, dizziness,
or lack of coordination
Headache causing awakening from sleep
Sudden or new-onset headache
, A clinician is performing a middle ear assessment on a 15-year-old patient. When examining the
right tympanic membrane, the clinician sees the presence of dense white patches. The tympanic
membrane is otherwise unremarkable. It is pearly, with the light reflex at 5 o'clock and
landmarks visible. Propose a statement that reflects this finding. - CORRECT ANSWER -
This is known as tympanosclerosis.
This is associated with calcification of the tympanic membrane.
There are scars caused from frequent ear infection.
This is associated with calcification of the tympanic membrane.
A clinician is testing the hearing of a 78-year-old man. Establish which of the following is
important to keep in mind in terms of changes in hearing that occur with aging. - CORRECT
ANSWER - The aging person may find it harder to hear consonants than vowels.
Sounds may be garbled and difficult to localize.
The tympanic membrane thickens with age.
The progression is slow.
Propose a way to examine a patient who presents to your office with vertigo. - CORRECT
ANSWER - Ask the patient to close his or her eyes and march in place for 30 seconds.
Perform the Romberg test.
Check for nystagmus.
