NR511 ADVANCED PHYSICAL
ASSESSMENT AND CLINICAL
MANAGEMENT EXAM 3 QUESTIONS
AND VERIFIED ANSWERS |GRADE A+|
JUST RELEASED. CHAMBERLAIN
1. A 24-year-old male presents with a sudden onset of high fever, chills, and productive cough
with rust-colored sputum. Physical exam reveals crackles and increased tactile fremitus in the
right lower lobe. What is the most likely pathogen?
A. Streptococcus pneumoniae
B. Mycoplasma pneumoniae
C. Haemophilus influenzae
D. Legionella pneumophila
Answer: A
Conceptual Explanation: Streptococcus pneumoniae is the most common cause of
community-acquired pneumonia and is classically associated with rust-colored sputum and
lobar consolidation.
,2. When performing a physical exam on a patient suspected of having acute cholecystitis,
which maneuver involves deep palpation of the right upper quadrant while the patient takes
a deep breath?
A. McBurney’s sign
B. Murphy’s sign
C. Rovsing’s sign
D. Psoas sign
Answer: B
Conceptual Explanation: Murphy’s sign is positive when the patient halts inspiration due
to pain when the gallbladder descends against the examiner’s fingers during deep
inspiration.
3. A 35-year-old female presents with a pruritic, ‘honey-colored’ crusted lesion on her upper
lip. What is the most appropriate first-line topical treatment?
A. Mupirocin (Bactroban)
B. Hydrocortisone 1%
C. Ketoconazole cream
D. Permethrin 5%
Answer: A
, Conceptual Explanation: The description is classic for Impetigo, for which topical
Mupirocin is the first-line treatment for localized infections.
4. Which of the following physical exam findings is most indicative of a complete ACL tear?
A. Positive McMurray test
B. Positive Varus stress test at 30 degrees
C. Positive Valgus stress test at 30 degrees
D. Positive Lachman test
Answer: D
Conceptual Explanation: The Lachman test is considered the most sensitive physical
exam maneuver for detecting an ACL tear, showing greater anterior translation of the tibia.
5. A patient presents with ear pain and itching. On examination, the tragus is painful to touch
and the ear canal is swollen and erythematous with debris. The tympanic membrane is
partially visible and appears normal. What is the diagnosis?
A. Otitis Media with Effusion
B. Acute Otitis Media
C. Cholesteatoma
D. Otitis Externa
Answer: D
ASSESSMENT AND CLINICAL
MANAGEMENT EXAM 3 QUESTIONS
AND VERIFIED ANSWERS |GRADE A+|
JUST RELEASED. CHAMBERLAIN
1. A 24-year-old male presents with a sudden onset of high fever, chills, and productive cough
with rust-colored sputum. Physical exam reveals crackles and increased tactile fremitus in the
right lower lobe. What is the most likely pathogen?
A. Streptococcus pneumoniae
B. Mycoplasma pneumoniae
C. Haemophilus influenzae
D. Legionella pneumophila
Answer: A
Conceptual Explanation: Streptococcus pneumoniae is the most common cause of
community-acquired pneumonia and is classically associated with rust-colored sputum and
lobar consolidation.
,2. When performing a physical exam on a patient suspected of having acute cholecystitis,
which maneuver involves deep palpation of the right upper quadrant while the patient takes
a deep breath?
A. McBurney’s sign
B. Murphy’s sign
C. Rovsing’s sign
D. Psoas sign
Answer: B
Conceptual Explanation: Murphy’s sign is positive when the patient halts inspiration due
to pain when the gallbladder descends against the examiner’s fingers during deep
inspiration.
3. A 35-year-old female presents with a pruritic, ‘honey-colored’ crusted lesion on her upper
lip. What is the most appropriate first-line topical treatment?
A. Mupirocin (Bactroban)
B. Hydrocortisone 1%
C. Ketoconazole cream
D. Permethrin 5%
Answer: A
, Conceptual Explanation: The description is classic for Impetigo, for which topical
Mupirocin is the first-line treatment for localized infections.
4. Which of the following physical exam findings is most indicative of a complete ACL tear?
A. Positive McMurray test
B. Positive Varus stress test at 30 degrees
C. Positive Valgus stress test at 30 degrees
D. Positive Lachman test
Answer: D
Conceptual Explanation: The Lachman test is considered the most sensitive physical
exam maneuver for detecting an ACL tear, showing greater anterior translation of the tibia.
5. A patient presents with ear pain and itching. On examination, the tragus is painful to touch
and the ear canal is swollen and erythematous with debris. The tympanic membrane is
partially visible and appears normal. What is the diagnosis?
A. Otitis Media with Effusion
B. Acute Otitis Media
C. Cholesteatoma
D. Otitis Externa
Answer: D
