NU 650 EVALUATIONS EXAM 2026/2027 QUESTIONS
AND SOLUTIONS RATED A+
✔✔When you look at the tympanic membrane with the otoscope, what normal landmark
is present?
(A) Umbo
(B) Otoliths
(C) Stapes
(D) Tragus - ✔✔A
✔✔A 3-year-old boy is brought to your office by his mother for evaluation of fever, loss
of appetite, and emesis. The symptoms have been present for 2 days; the fever is only
temporarily relieved with antipyretics. You perform a physical examination and diagnose
otitis media. What is your most likely physical finding on otoscopic examination?
(A) Erythematous, bulging tympanic membrane
(B) Erythematous, retracted tympanic membrane
(C) Erythematous, scaly external ear canal
(D) Erythematous helix - ✔✔A
✔✔A 15-year-old high school student presents to your clinic complaining of pain in his
left ear. He noticed that it occurred shortly after starting swimming lessons at the local
YMCA. Upon physical examination, you notice that the external canal is swollen and
tender during insertion of the speculum. What is your most likely diagnosis?
(A) Otitis media
(B) Serous otitis
(C) Eustachian tube dysfunction
(D) Otitis externa - ✔✔D
✔✔A 15-year-old member of the high school marching band comes to your office for
evaluation of hearing loss. He had multiple ear infections as an infant and toddler, and
had to have myringotomy tubes inserted in his ears. Additionally, he suffers from many
allergies. His hearing is diminished in the right ear. When you place a vibrating tuning
fork on the top of his head, the sound lateralizes to the right ear. The name of this test
is:
(A) Weber's test
(B) Rinne's test
(C) Whisper test
(D) Romberg test - ✔✔A
✔✔You place a vibrating tuning fork on a teenager's right mastoid process, asking him
to let you know when the sound is gone, then immediately place that same tuning fork
near his right ear. He hears the sound equally in air as against his bone. The name of
this test is:
(A) Weber's test
(B) Rinne's test
,(C) Whisper test
(D) Romberg test - ✔✔B
✔✔A 22-year-old agricultural worker presents to your office for evaluation of coughing.
She has had this cough for 6 weeks; it is nonproductive and worst first thing in the
morning. She denies fever, chills, weight loss, or night sweats; she does have clear
rhinorrhea and itchy, watery eyes. You diagnose her with allergic rhinoconjunctivitis. On
physical examination of the nasal mucosa, what would you expect to find?
(A) Erythematous, ulcerated mucosa
(B) Pale to bluish, boggy mucosa
(C) Pink mucosa
(D) Ulcerated mucosa - ✔✔B
✔✔A 2-week-old infant is brought into your clinic by his parents because they have
noticed that their child is having some difficulty with feeding and that there is something
strange in his mouth. You diagnose thrush. What is the most likely physical finding you
will see upon examination of his mouth?
(A) Koplik's spots
(B) White plaques
(C) Erythematous plaques
(D) Epstein's pearls - ✔✔B
✔✔A 7-year-old elementary school child is brought into the clinic by her mother for
evaluation of fever and nausea. Upon further physical examination you diagnose
tonsillitis. What are you typically expecting to see on physical examination of the
oropharynx?
(A) Exudates on the tonsils
(B) Small tonsils
(C) Hemorrhage of the tonsils
(D) Pseudomembranes - ✔✔A
✔✔A 28-year-old housewife presents to your office for a 6-week postpartum checkup.
She complains of fatigue greater than expected and palpitations. Her hair is falling out
as well. She denies sadness or depression symptoms. Before this, she had not had any
medical problems. She is breastfeeding her child and is not on any birth control. She
had her first period since giving birth last week. A pregnancy test done in the office is
negative. What is your most likely diagnosis?
(A) Thyroiditis
(B) Iron-deficiency anemia
(C) Addison's disease
(D) Sheehan's syndrome - ✔✔A
✔✔When performing posterior palpation of the thyroid gland, you should do all of the
following EXCEPT:
(A) Have the patient tip his or her head forward and slightly to the side.
, (B) Place your index fingers above the cricoid cartilage.
(C) Palpate between the sternocleidomastoid muscle and the trachea for the thyroid
isthmus.
(D) Move your fingers laterally to palpate for the thyroid lobes. - ✔✔B
✔✔EYES
_____ 1. Pupillary reaction to light
_____ 2. Anisocoria
_____ 3. Extraocular movements
_____ 4. Blind spot
_____ 5. Normal visual acuity
(A) CN III (oculomotor), CN IV (trochlear), and CN VI (abducens)
(B) 15 degrees temporal to the line of gaze
(C) CN II (optic) and CN III (oculomotor)
(D) 20/20
(E) Pupillary inequality of less than 0.5 mm - ✔✔1. C
2. E
3. A
4. B
5. D
✔✔EARS
_____ 6. Weber's test
_____ 7. Rinne's test
_____ 8. Enables optimal examination of adult's tympanic membrane
_____ 9. Enables optimal examination of child's tympanic membrane
(A) Normally air conduction is two times longer than bone conduction
(B) Lateralization of sound with tuning fork
(C) External ear pulled up and backward
(D) External ear pulled down and forward - ✔✔6. B
7. A
8. D
9. C
✔✔NOSE
_____ 10. Turbinates that are visible on inspection
_____ 11. Sinuses that are palpable
(A) Middle turbinate
(B) Superior turbinate
(C) Inferior turbinate
(D) Maxillary sinus
(E) Frontal sinus
AND SOLUTIONS RATED A+
✔✔When you look at the tympanic membrane with the otoscope, what normal landmark
is present?
(A) Umbo
(B) Otoliths
(C) Stapes
(D) Tragus - ✔✔A
✔✔A 3-year-old boy is brought to your office by his mother for evaluation of fever, loss
of appetite, and emesis. The symptoms have been present for 2 days; the fever is only
temporarily relieved with antipyretics. You perform a physical examination and diagnose
otitis media. What is your most likely physical finding on otoscopic examination?
(A) Erythematous, bulging tympanic membrane
(B) Erythematous, retracted tympanic membrane
(C) Erythematous, scaly external ear canal
(D) Erythematous helix - ✔✔A
✔✔A 15-year-old high school student presents to your clinic complaining of pain in his
left ear. He noticed that it occurred shortly after starting swimming lessons at the local
YMCA. Upon physical examination, you notice that the external canal is swollen and
tender during insertion of the speculum. What is your most likely diagnosis?
(A) Otitis media
(B) Serous otitis
(C) Eustachian tube dysfunction
(D) Otitis externa - ✔✔D
✔✔A 15-year-old member of the high school marching band comes to your office for
evaluation of hearing loss. He had multiple ear infections as an infant and toddler, and
had to have myringotomy tubes inserted in his ears. Additionally, he suffers from many
allergies. His hearing is diminished in the right ear. When you place a vibrating tuning
fork on the top of his head, the sound lateralizes to the right ear. The name of this test
is:
(A) Weber's test
(B) Rinne's test
(C) Whisper test
(D) Romberg test - ✔✔A
✔✔You place a vibrating tuning fork on a teenager's right mastoid process, asking him
to let you know when the sound is gone, then immediately place that same tuning fork
near his right ear. He hears the sound equally in air as against his bone. The name of
this test is:
(A) Weber's test
(B) Rinne's test
,(C) Whisper test
(D) Romberg test - ✔✔B
✔✔A 22-year-old agricultural worker presents to your office for evaluation of coughing.
She has had this cough for 6 weeks; it is nonproductive and worst first thing in the
morning. She denies fever, chills, weight loss, or night sweats; she does have clear
rhinorrhea and itchy, watery eyes. You diagnose her with allergic rhinoconjunctivitis. On
physical examination of the nasal mucosa, what would you expect to find?
(A) Erythematous, ulcerated mucosa
(B) Pale to bluish, boggy mucosa
(C) Pink mucosa
(D) Ulcerated mucosa - ✔✔B
✔✔A 2-week-old infant is brought into your clinic by his parents because they have
noticed that their child is having some difficulty with feeding and that there is something
strange in his mouth. You diagnose thrush. What is the most likely physical finding you
will see upon examination of his mouth?
(A) Koplik's spots
(B) White plaques
(C) Erythematous plaques
(D) Epstein's pearls - ✔✔B
✔✔A 7-year-old elementary school child is brought into the clinic by her mother for
evaluation of fever and nausea. Upon further physical examination you diagnose
tonsillitis. What are you typically expecting to see on physical examination of the
oropharynx?
(A) Exudates on the tonsils
(B) Small tonsils
(C) Hemorrhage of the tonsils
(D) Pseudomembranes - ✔✔A
✔✔A 28-year-old housewife presents to your office for a 6-week postpartum checkup.
She complains of fatigue greater than expected and palpitations. Her hair is falling out
as well. She denies sadness or depression symptoms. Before this, she had not had any
medical problems. She is breastfeeding her child and is not on any birth control. She
had her first period since giving birth last week. A pregnancy test done in the office is
negative. What is your most likely diagnosis?
(A) Thyroiditis
(B) Iron-deficiency anemia
(C) Addison's disease
(D) Sheehan's syndrome - ✔✔A
✔✔When performing posterior palpation of the thyroid gland, you should do all of the
following EXCEPT:
(A) Have the patient tip his or her head forward and slightly to the side.
, (B) Place your index fingers above the cricoid cartilage.
(C) Palpate between the sternocleidomastoid muscle and the trachea for the thyroid
isthmus.
(D) Move your fingers laterally to palpate for the thyroid lobes. - ✔✔B
✔✔EYES
_____ 1. Pupillary reaction to light
_____ 2. Anisocoria
_____ 3. Extraocular movements
_____ 4. Blind spot
_____ 5. Normal visual acuity
(A) CN III (oculomotor), CN IV (trochlear), and CN VI (abducens)
(B) 15 degrees temporal to the line of gaze
(C) CN II (optic) and CN III (oculomotor)
(D) 20/20
(E) Pupillary inequality of less than 0.5 mm - ✔✔1. C
2. E
3. A
4. B
5. D
✔✔EARS
_____ 6. Weber's test
_____ 7. Rinne's test
_____ 8. Enables optimal examination of adult's tympanic membrane
_____ 9. Enables optimal examination of child's tympanic membrane
(A) Normally air conduction is two times longer than bone conduction
(B) Lateralization of sound with tuning fork
(C) External ear pulled up and backward
(D) External ear pulled down and forward - ✔✔6. B
7. A
8. D
9. C
✔✔NOSE
_____ 10. Turbinates that are visible on inspection
_____ 11. Sinuses that are palpable
(A) Middle turbinate
(B) Superior turbinate
(C) Inferior turbinate
(D) Maxillary sinus
(E) Frontal sinus
