Finall Exam:l NRl 509/l NR509l (NEWl
2026/l 2027l Update)l Advancedl Physicall
Assessmentl Guide|l Questionsl &l Answersl
|l Gradel A|l 100%l Correctl (Verifiedl
Solutions)-Chamberlain
Q:l Murphyl Sign
Answer:
Associatedl withl acutel cholecystitis;l deepl palpationl ofl thel rightl upperl quadrantl resultingl
inl inspiratoryl haltl uponl deepl inspiration;l resultl ofl thel diaphragml pushingl thel
gallbladderl downl towardl thel pointl ofl deepl palpation,l causingl tenderness
Q:l Youl arel palpatingl thel abdomenl andl feell al smalll mass.l whichl ofl thel followingl dol
youl dol next?
Answer:
examinationl withl thel ABDl musclel tensed
Q:l Rightl lowerl quadrantl painl isl associatel with
Answer:
appendicitis
Q:l Techniquesl ofl Malel Genitalial examination
Answer:
Inspectl thel skin,l prepuce,l andl glansl (ulcers,l scars,l nodules,l inflammation).
,Inspectl thel urethrall meatusl (discharge),l and,l ifl indicated,l stripl orl "milk"l thel penilel shaft.
Palpatel thel shaftl ofl thel penisl (induration,l tenderness).
Inspectl thel scrotuml includingl skin,l hair,l andl contourl (lesion,l swelling,l veins,l bulgingl
masses,l asymmetry).
Palpatel eachl testisl includingl thel epididymisl andl spermaticl cordl (presence,l size,l shape,l
consistency,l symmetry,l tenderness,l masses,l nodules).
Performl speciall techniquesl asl indicated:
Evaluatel forl groinl hernias:
Inspectl forl al groinl bulge.
Palpatel forl anl inguinall hernial (directl orl indirect).
Palpatel forl al femorall hernia.
Evaluatel forl scrotall mass.
Q:l Anatomy
Answer:
,Q:l STIl Screening
Answer:
Thel CDCl recommendsl chlamydial andl gonorrheal screeningl annuallyl forl alll sexuallyl
activel womenl agedl <25l yearsl andl olderl andl womenl withl riskl factorsl suchl asl newl orl
multiplel sexl partnersl orl al sexl partnerl infectedl withl anl STD.68l Chlamydia,l gonorrhea,l
andl syphilisl screeningl arel recommendedl atl leastl oncel al yearl forl alll sexuallyl activel
gay,l bisexual,l andl otherl MSM
Q:l Testicularl Cancer
Answer:
itl isl thel mostl commonlyl diagnosedl cancerl inl whitel menl froml agel 20l yearsl tol agel 34l
years;
, al majorl riskl factorl forl testicularl cancerl isl cryptorchidisml (undescendedl testicle),l whichl
confersl al 3-l tol 17-foldl increasedl cancerl risk.22l Otherl riskl factorsl includel familyl
history,l Klinefelterl syndrome,l andl HIVl infection.
Q:l Cryptorchidism
Answer:
Thel testisl isl atrophiedl andl liesl outsidel thel scrotuml inl thel inguinall canal,l abdomen,l orl
nearl thel pubicl tubercle;l itl mayl alsol bel congenitallyl absent.l
Therel isl nol palpablel testisl orl epididymisl inl thel unfilledl scrotum.l
Cryptorchidism,l evenl withl surgicall correction,l markedlyl raisesl thel riskl ofl testicularl cance
Q:l Smalll Testis
Answer:
Inl adults,l testicularl lengthl isl usuallyl ≤3.5l cm.l Smalll firml testesl usuallyl
≤2l cml suggestl Klinefelterl syndrome.l Smalll softl testesl suggestingl atrophyl arel seenl inl
cirrhosis,l myotonicl dystrophy,l usel ofl estrogens,l andl hypopituitarism;l mayl alsol followl
severel orchitis.
Q:l Acutel Orchitis
Answer:
Thel testisl isl acutelyl inflamed,l painful,l tender,l andl swollen.l Itl mayl bel difficultl tol
distinguishl froml thel epididymis.l
Thel scrotuml mayl bel reddened.l Seenl inl mumpsl andl otherl virall infections;l usuallyl
unilateral.
Q:l Tumorl ofl thel testis
Answer:
2026/l 2027l Update)l Advancedl Physicall
Assessmentl Guide|l Questionsl &l Answersl
|l Gradel A|l 100%l Correctl (Verifiedl
Solutions)-Chamberlain
Q:l Murphyl Sign
Answer:
Associatedl withl acutel cholecystitis;l deepl palpationl ofl thel rightl upperl quadrantl resultingl
inl inspiratoryl haltl uponl deepl inspiration;l resultl ofl thel diaphragml pushingl thel
gallbladderl downl towardl thel pointl ofl deepl palpation,l causingl tenderness
Q:l Youl arel palpatingl thel abdomenl andl feell al smalll mass.l whichl ofl thel followingl dol
youl dol next?
Answer:
examinationl withl thel ABDl musclel tensed
Q:l Rightl lowerl quadrantl painl isl associatel with
Answer:
appendicitis
Q:l Techniquesl ofl Malel Genitalial examination
Answer:
Inspectl thel skin,l prepuce,l andl glansl (ulcers,l scars,l nodules,l inflammation).
,Inspectl thel urethrall meatusl (discharge),l and,l ifl indicated,l stripl orl "milk"l thel penilel shaft.
Palpatel thel shaftl ofl thel penisl (induration,l tenderness).
Inspectl thel scrotuml includingl skin,l hair,l andl contourl (lesion,l swelling,l veins,l bulgingl
masses,l asymmetry).
Palpatel eachl testisl includingl thel epididymisl andl spermaticl cordl (presence,l size,l shape,l
consistency,l symmetry,l tenderness,l masses,l nodules).
Performl speciall techniquesl asl indicated:
Evaluatel forl groinl hernias:
Inspectl forl al groinl bulge.
Palpatel forl anl inguinall hernial (directl orl indirect).
Palpatel forl al femorall hernia.
Evaluatel forl scrotall mass.
Q:l Anatomy
Answer:
,Q:l STIl Screening
Answer:
Thel CDCl recommendsl chlamydial andl gonorrheal screeningl annuallyl forl alll sexuallyl
activel womenl agedl <25l yearsl andl olderl andl womenl withl riskl factorsl suchl asl newl orl
multiplel sexl partnersl orl al sexl partnerl infectedl withl anl STD.68l Chlamydia,l gonorrhea,l
andl syphilisl screeningl arel recommendedl atl leastl oncel al yearl forl alll sexuallyl activel
gay,l bisexual,l andl otherl MSM
Q:l Testicularl Cancer
Answer:
itl isl thel mostl commonlyl diagnosedl cancerl inl whitel menl froml agel 20l yearsl tol agel 34l
years;
, al majorl riskl factorl forl testicularl cancerl isl cryptorchidisml (undescendedl testicle),l whichl
confersl al 3-l tol 17-foldl increasedl cancerl risk.22l Otherl riskl factorsl includel familyl
history,l Klinefelterl syndrome,l andl HIVl infection.
Q:l Cryptorchidism
Answer:
Thel testisl isl atrophiedl andl liesl outsidel thel scrotuml inl thel inguinall canal,l abdomen,l orl
nearl thel pubicl tubercle;l itl mayl alsol bel congenitallyl absent.l
Therel isl nol palpablel testisl orl epididymisl inl thel unfilledl scrotum.l
Cryptorchidism,l evenl withl surgicall correction,l markedlyl raisesl thel riskl ofl testicularl cance
Q:l Smalll Testis
Answer:
Inl adults,l testicularl lengthl isl usuallyl ≤3.5l cm.l Smalll firml testesl usuallyl
≤2l cml suggestl Klinefelterl syndrome.l Smalll softl testesl suggestingl atrophyl arel seenl inl
cirrhosis,l myotonicl dystrophy,l usel ofl estrogens,l andl hypopituitarism;l mayl alsol followl
severel orchitis.
Q:l Acutel Orchitis
Answer:
Thel testisl isl acutelyl inflamed,l painful,l tender,l andl swollen.l Itl mayl bel difficultl tol
distinguishl froml thel epididymis.l
Thel scrotuml mayl bel reddened.l Seenl inl mumpsl andl otherl virall infections;l usuallyl
unilateral.
Q:l Tumorl ofl thel testis
Answer:
