NR509 2024-2025 update/NR509 / NR 509 Midterm Exam
(Latest ): Advanced Physical Assessment -
Chamberlain/GET IT 100% ACCU- RATE! /GRADED A+
1. A 34-year-old male with a history of complex social and medical needs (in-
cluding current substance abuse) presents to a primary care teaching clinic.
The patient has experienced a number of adversarial relationships with prior
clinicians, including voluntarily leaving two practices within the previous year
and being asked to leave care at a third clinic due to misbehavior. The
attending physician desires to utilize the approaches to this patient that are
most likely lead to comprehensive care and patient compliance. Which of the
following is the most appropriate interview style for the attending physician
to use?
a. Focusing on the need for immediate diagnostic certainty over personal
connection
b. Taking charge of the interaction to meet the clinician's desire to acquire
diagnostic information
c. Following the patient's lead to understand their thoughts, ideas, concerns,
and requests
d. Deferring respect, empathy,: c. Following the patient's lead to understand their thoughts, ideas,
concerns, and requests
2. A 36-year-old female air traffic controller presents to her primary care
provider for a routine visit 3 months after losing her spouse to a lengthy
battle with a neurodegenerative disease. The patient denies any psychiatric
symptoms on review of systems and, in fact, states that she has slept better
in the last month than she had in the previous years. She endorses a healthy
support system, including the extended family of her deceased spouse, with
whom she is still close. She becomes wistful and briefly tearful when speaking
, NR509 2024-2025 update/NR509 / NR 509 Midterm Exam
(Latest ): Advanced Physical Assessment -
Chamberlain/GET IT 100% ACCU- RATE! /GRADED A+
of the plans that they had when they first married that were never fulfilled;
she then changes the subject rapidly to whether her Pap smear is due. Which
of the following is an example of an empathetic response to this patient?
a. Assuming that the event caused her to become depressed and expressing
the same feeling on behalf of the patient
, NR509 2024-2025 update/NR509 / NR 509 Midterm Exam
(Latest ): Advanced Physical Assessment -
Chamberlain/GET IT 100% ACCU- RATE! /GRADED A+
b. Recognizing the patient's emotions by asking or con: b. Recognizing the patient's
emotions by asking or confirming how she feels about the event
3. A 19-year-old student of art history presents to clinic after a syncopal
(faint- ing) episode at school. He is notably thin; on a thorough review of his
medical history, he admits that he eats only minimally to maintain a very low
body weight that he feels is ideal. He is embarrassed that his issues were
discussed by peers after this episode, especially because he believes that this
is a problem that is only faced by girls and women. Concerning the two most
common eat- ing disorders (anorexia nervosa and bulimia nervosa), which of
the following statements is true?
a. Men and women are both afflicted, but with a female:male prevalence ratio
estimated at ~2:1.
b. Both of these eating disorders are associated with a body mass index (BMI)
of <17.5.
c. Both of these eating disorders are associated with a real or imagined fear of
appearing fat.
d. Persons with eating disorders are generally easily identified by their appeara-
: c. Both of these eating disorders are associated with a real or imagined fear of appearing fat.
4. A 23-year-old physician assistant (PA) student found that she felt nervous
when called upon to examine men in her age group. On one occasion, she
encountered a young male patient who appeared embarrassed to see her
walk into the room. What should the PA do to minimize their mutual
discomfort?
(Latest ): Advanced Physical Assessment -
Chamberlain/GET IT 100% ACCU- RATE! /GRADED A+
1. A 34-year-old male with a history of complex social and medical needs (in-
cluding current substance abuse) presents to a primary care teaching clinic.
The patient has experienced a number of adversarial relationships with prior
clinicians, including voluntarily leaving two practices within the previous year
and being asked to leave care at a third clinic due to misbehavior. The
attending physician desires to utilize the approaches to this patient that are
most likely lead to comprehensive care and patient compliance. Which of the
following is the most appropriate interview style for the attending physician
to use?
a. Focusing on the need for immediate diagnostic certainty over personal
connection
b. Taking charge of the interaction to meet the clinician's desire to acquire
diagnostic information
c. Following the patient's lead to understand their thoughts, ideas, concerns,
and requests
d. Deferring respect, empathy,: c. Following the patient's lead to understand their thoughts, ideas,
concerns, and requests
2. A 36-year-old female air traffic controller presents to her primary care
provider for a routine visit 3 months after losing her spouse to a lengthy
battle with a neurodegenerative disease. The patient denies any psychiatric
symptoms on review of systems and, in fact, states that she has slept better
in the last month than she had in the previous years. She endorses a healthy
support system, including the extended family of her deceased spouse, with
whom she is still close. She becomes wistful and briefly tearful when speaking
, NR509 2024-2025 update/NR509 / NR 509 Midterm Exam
(Latest ): Advanced Physical Assessment -
Chamberlain/GET IT 100% ACCU- RATE! /GRADED A+
of the plans that they had when they first married that were never fulfilled;
she then changes the subject rapidly to whether her Pap smear is due. Which
of the following is an example of an empathetic response to this patient?
a. Assuming that the event caused her to become depressed and expressing
the same feeling on behalf of the patient
, NR509 2024-2025 update/NR509 / NR 509 Midterm Exam
(Latest ): Advanced Physical Assessment -
Chamberlain/GET IT 100% ACCU- RATE! /GRADED A+
b. Recognizing the patient's emotions by asking or con: b. Recognizing the patient's
emotions by asking or confirming how she feels about the event
3. A 19-year-old student of art history presents to clinic after a syncopal
(faint- ing) episode at school. He is notably thin; on a thorough review of his
medical history, he admits that he eats only minimally to maintain a very low
body weight that he feels is ideal. He is embarrassed that his issues were
discussed by peers after this episode, especially because he believes that this
is a problem that is only faced by girls and women. Concerning the two most
common eat- ing disorders (anorexia nervosa and bulimia nervosa), which of
the following statements is true?
a. Men and women are both afflicted, but with a female:male prevalence ratio
estimated at ~2:1.
b. Both of these eating disorders are associated with a body mass index (BMI)
of <17.5.
c. Both of these eating disorders are associated with a real or imagined fear of
appearing fat.
d. Persons with eating disorders are generally easily identified by their appeara-
: c. Both of these eating disorders are associated with a real or imagined fear of appearing fat.
4. A 23-year-old physician assistant (PA) student found that she felt nervous
when called upon to examine men in her age group. On one occasion, she
encountered a young male patient who appeared embarrassed to see her
walk into the room. What should the PA do to minimize their mutual
discomfort?
