NR509 2024-2025 UPDATE/NR509 / NR
509 MIDTERM EXAM (LATEST 2025 /
2026): ADVANCED PHYSICAL
ASSESSMENT - CHAMBERLAIN/GET IT
100% ACCURATE! /GRADED A+
QUESTIONS AND CORRECT ANSWERS
VERIFIED AND CONFIRMED ANSWERS
DONE USING APPROVED TEXTBOOKS
,clinic complaining of pain and swelling in her right groin and leg, which
she says is been there for about a week but is worsening. On physical
examination, 2+ edema of the right leg up to the thigh; 1+ femoral,
popliteal, dorsalis pedis, and posterior tibial pulses; and no significant
erythema are noted. What is the chief concern with this patient?
a. Acute arterial occlusion
b. Superficial thrombophlebitis
c. Acute lymphangitis
d. Pulmonary embolism (PE)
e. Ovarian metastasis - CORRECT ANSWER- d. Pulmonary
embolism (PE)
A 32-year-old cabdriver complains of pain in his left leg. He has a history
of type 2 diabetes, is a smoker, and recently was diagnosed with
hypertension. He does not remember injuring his leg; however, he notes
that there is a small wound on the lateral aspect of his mid-shin. Upon
examination, some mild erythema surrounding the wound and flat,
nonpalpable red streaks progressing up his leg are noted. What do these
streaks likely represent?
a. Thrombus formation in a superficial vein
b. Dilated veins secondary to incompetent valves
c. Occluded arterial vessels
d. Draining lymphatic channels
e. Dilated arterioles - CORRECT ANSWER- d. Draining lymphatic
channels
A clinician, evaluating a patient for valvular competency in the
communicating veins of the saphenous system, starts with the patient
supine, then elevates one leg to about 90° to empty it of venous blood.
Next, the great saphenous vein in the upper part of the thigh is occluded
with manual compression, and the patient stands. The clinician keeps
the vein occluded while watching for venous filling in the leg. Which test
is being performed?
a. Allen
b. Ankle-brachial index
,c. Straight-leg raise
d. Romberg
e. Trendelenburg - CORRECT ANSWER- e. Trendelenburg
A 44-year-old retail salesperson has noticed an increasing dilatation of
the veins in her legs. Upon inspection, it is noted that she has significant
varicosities on the posterior aspects of both legs which begin in the
lateral side of the foot and pass upward along the posterior calf. The
remainder of the veins in the legs appears normal at this time. Which
veins are currently affected?
a. Great saphenous
b. Small saphenous
c. Perforating
d. Femoral
e. Dorsal venous arch - CORRECT ANSWER- b. Small saphenous
A 34-year-old male with a history of complex social and medical needs
(including 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, - CORRECT ANSWER- c. Following
the patient's lead to understand their thoughts, ideas, concerns, and
requests
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 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
b. Recognizing the patient's emotions by asking or con - CORRECT
ANSWER- b. Recognizing the patient's emotions by asking or
confirming how she feels about the event
A 19-year-old student of art history presents to clinic after a syncopal
(fainting) 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 eating 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 - CORRECT ANSWER- c. Both of these eating disorders are
associated with a real or imagined fear of appearing fat.
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
509 MIDTERM EXAM (LATEST 2025 /
2026): ADVANCED PHYSICAL
ASSESSMENT - CHAMBERLAIN/GET IT
100% ACCURATE! /GRADED A+
QUESTIONS AND CORRECT ANSWERS
VERIFIED AND CONFIRMED ANSWERS
DONE USING APPROVED TEXTBOOKS
,clinic complaining of pain and swelling in her right groin and leg, which
she says is been there for about a week but is worsening. On physical
examination, 2+ edema of the right leg up to the thigh; 1+ femoral,
popliteal, dorsalis pedis, and posterior tibial pulses; and no significant
erythema are noted. What is the chief concern with this patient?
a. Acute arterial occlusion
b. Superficial thrombophlebitis
c. Acute lymphangitis
d. Pulmonary embolism (PE)
e. Ovarian metastasis - CORRECT ANSWER- d. Pulmonary
embolism (PE)
A 32-year-old cabdriver complains of pain in his left leg. He has a history
of type 2 diabetes, is a smoker, and recently was diagnosed with
hypertension. He does not remember injuring his leg; however, he notes
that there is a small wound on the lateral aspect of his mid-shin. Upon
examination, some mild erythema surrounding the wound and flat,
nonpalpable red streaks progressing up his leg are noted. What do these
streaks likely represent?
a. Thrombus formation in a superficial vein
b. Dilated veins secondary to incompetent valves
c. Occluded arterial vessels
d. Draining lymphatic channels
e. Dilated arterioles - CORRECT ANSWER- d. Draining lymphatic
channels
A clinician, evaluating a patient for valvular competency in the
communicating veins of the saphenous system, starts with the patient
supine, then elevates one leg to about 90° to empty it of venous blood.
Next, the great saphenous vein in the upper part of the thigh is occluded
with manual compression, and the patient stands. The clinician keeps
the vein occluded while watching for venous filling in the leg. Which test
is being performed?
a. Allen
b. Ankle-brachial index
,c. Straight-leg raise
d. Romberg
e. Trendelenburg - CORRECT ANSWER- e. Trendelenburg
A 44-year-old retail salesperson has noticed an increasing dilatation of
the veins in her legs. Upon inspection, it is noted that she has significant
varicosities on the posterior aspects of both legs which begin in the
lateral side of the foot and pass upward along the posterior calf. The
remainder of the veins in the legs appears normal at this time. Which
veins are currently affected?
a. Great saphenous
b. Small saphenous
c. Perforating
d. Femoral
e. Dorsal venous arch - CORRECT ANSWER- b. Small saphenous
A 34-year-old male with a history of complex social and medical needs
(including 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, - CORRECT ANSWER- c. Following
the patient's lead to understand their thoughts, ideas, concerns, and
requests
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 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
b. Recognizing the patient's emotions by asking or con - CORRECT
ANSWER- b. Recognizing the patient's emotions by asking or
confirming how she feels about the event
A 19-year-old student of art history presents to clinic after a syncopal
(fainting) 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 eating 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 - CORRECT ANSWER- c. Both of these eating disorders are
associated with a real or imagined fear of appearing fat.
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
