NR511 ADVANCED PHYSICAL
ASSESSMENT & DIFFERENTIAL
DIAGNOSIS MIDTERM EXAM
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED.
CHAMBERLAIN
1. A 24-year-old female presents with a ‘herald patch’ on her back, followed by a Christmas
tree distribution of smaller maculopapular lesions. What is the most likely diagnosis?
A. Tinea Corporis
B. Secondary Syphilis
C. Guttate Psoriasis
D. Pityriasis Rosea
Answer: D
Conceptual Explanation: Pityriasis Rosea typically begins with a single ‘herald patch’
followed by a generalized eruption in a ‘Christmas tree’ pattern along skin cleavage lines.
2. Which of the following findings on a KOH prep would confirm a diagnosis of Tinea
Corporis?
A. Clue cells
,B. Pseudohyphae and budding yeast
C. Septate hyphae
D. Multinucleated giant cells
Answer: C
Conceptual Explanation: Septate hyphae are characteristic of dermatophyte infections
like Tinea Corporis. Pseudohyphae are found in Candidiasis, and clue cells in bacterial
vaginosis.
3. When evaluating a patient with a sore throat, which component of the Centor criteria is
worth one point?
A. Tender anterior cervical adenopathy
B. Age 45 years or older
C. Cough present
D. History of asthma
Answer: A
Conceptual Explanation: Centor criteria include: absence of cough, swollen/tender
anterior cervical nodes, temperature >38C (100.4F), and tonsillar exudates. Age 45+
actually subtracts a point.
, 4. A patient presents with a ‘stuck-on’ waxy, verrucous lesion that is well-circumscribed. This
most likely describes:
A. Basal Cell Carcinoma
B. Actinic Keratosis
C. Seborrheic Keratosis
D. Malignant Melanoma
Answer: C
Conceptual Explanation: Seborrheic Keratosis is a benign skin tumor often described as
having a ‘stuck-on’ appearance with a waxy or crumbly texture.
5. In the SOAP note format, where should the provider document the physical exam findings?
A. Objective
B. Subjective
C. Assessment
D. Plan
Answer: A
Conceptual Explanation: The Objective section of the SOAP note contains measurable
data, including physical exam findings, vital signs, and laboratory/imaging results.
6. Which physical exam maneuver is specifically used to assess for Meniscal tears in the knee?
A. Lachman’s test
ASSESSMENT & DIFFERENTIAL
DIAGNOSIS MIDTERM EXAM
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED.
CHAMBERLAIN
1. A 24-year-old female presents with a ‘herald patch’ on her back, followed by a Christmas
tree distribution of smaller maculopapular lesions. What is the most likely diagnosis?
A. Tinea Corporis
B. Secondary Syphilis
C. Guttate Psoriasis
D. Pityriasis Rosea
Answer: D
Conceptual Explanation: Pityriasis Rosea typically begins with a single ‘herald patch’
followed by a generalized eruption in a ‘Christmas tree’ pattern along skin cleavage lines.
2. Which of the following findings on a KOH prep would confirm a diagnosis of Tinea
Corporis?
A. Clue cells
,B. Pseudohyphae and budding yeast
C. Septate hyphae
D. Multinucleated giant cells
Answer: C
Conceptual Explanation: Septate hyphae are characteristic of dermatophyte infections
like Tinea Corporis. Pseudohyphae are found in Candidiasis, and clue cells in bacterial
vaginosis.
3. When evaluating a patient with a sore throat, which component of the Centor criteria is
worth one point?
A. Tender anterior cervical adenopathy
B. Age 45 years or older
C. Cough present
D. History of asthma
Answer: A
Conceptual Explanation: Centor criteria include: absence of cough, swollen/tender
anterior cervical nodes, temperature >38C (100.4F), and tonsillar exudates. Age 45+
actually subtracts a point.
, 4. A patient presents with a ‘stuck-on’ waxy, verrucous lesion that is well-circumscribed. This
most likely describes:
A. Basal Cell Carcinoma
B. Actinic Keratosis
C. Seborrheic Keratosis
D. Malignant Melanoma
Answer: C
Conceptual Explanation: Seborrheic Keratosis is a benign skin tumor often described as
having a ‘stuck-on’ appearance with a waxy or crumbly texture.
5. In the SOAP note format, where should the provider document the physical exam findings?
A. Objective
B. Subjective
C. Assessment
D. Plan
Answer: A
Conceptual Explanation: The Objective section of the SOAP note contains measurable
data, including physical exam findings, vital signs, and laboratory/imaging results.
6. Which physical exam maneuver is specifically used to assess for Meniscal tears in the knee?
A. Lachman’s test
