NR 607 ADVANCED PHYSICAL
ASSESSMENT MASTER EXAM
QUESTIONS AND ANSWERS
1. When conducting a Weber test on a patient with unilateral conductive hearing loss, how
will the sound lateralize?
A. To the unaffected ear
B. Sound is not heard at all
C. Equally in both ears
D. To the affected ear
Answer: D
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the affected
(impaired) ear because the ear with the conduction problem is not distracted by ambient
noise.
2. A 65-year-old male presents with a sudden onset of ‘the worst headache of my life.’ Which
of the following is the most likely diagnosis?
A. Cluster headache
,B. Tension headache
C. Migraine with aura
D. Subarachnoid hemorrhage
Answer: D
Conceptual Explanation: A ‘thunderclap’ headache or the ‘worst headache of one’s life’ is
a classic presentation of a subarachnoid hemorrhage, often due to a ruptured aneurysm.
3. Which heart sound is most commonly associated with heart failure and fluid volume
overload in an adult?
A. Opening snap
B. S4
C. S3
D. Midsystolic click
Answer: C
Conceptual Explanation: An S3 gallop (ventricular gallop) is a sign of ventricular filling
into a non-compliant or overdistended ventricle, frequently seen in heart failure.
4. When assessing for Carpal Tunnel Syndrome, the clinician asks the patient to press the
backs of their hands together for 60 seconds. What is this test called?
A. Phalen’s maneuver
B. Finkelstein’s test
, C. Tinel’s sign
D. Lachman test
Answer: A
Conceptual Explanation: Phalen’s maneuver involves flexing the wrists to 90 degrees for
60 seconds; numbness or tingling in the median nerve distribution indicates a positive
result.
5. A patient exhibits a positive Murphy’s sign. This finding is most suggestive of which
condition?
A. Acute appendicitis
B. Acute cholecystitis
C. Acute pancreatitis
D. Splenic rupture
Answer: B
Conceptual Explanation: Murphy’s sign is positive when a patient stops breathing
(inspiratory arrest) during deep palpation of the right upper quadrant, indicating
gallbladder inflammation.
6. Which cranial nerve is primarily responsible for the motor function of the tongue?
A. CN IX (Glossopharyngeal)
B. CN X (Vagus)
ASSESSMENT MASTER EXAM
QUESTIONS AND ANSWERS
1. When conducting a Weber test on a patient with unilateral conductive hearing loss, how
will the sound lateralize?
A. To the unaffected ear
B. Sound is not heard at all
C. Equally in both ears
D. To the affected ear
Answer: D
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the affected
(impaired) ear because the ear with the conduction problem is not distracted by ambient
noise.
2. A 65-year-old male presents with a sudden onset of ‘the worst headache of my life.’ Which
of the following is the most likely diagnosis?
A. Cluster headache
,B. Tension headache
C. Migraine with aura
D. Subarachnoid hemorrhage
Answer: D
Conceptual Explanation: A ‘thunderclap’ headache or the ‘worst headache of one’s life’ is
a classic presentation of a subarachnoid hemorrhage, often due to a ruptured aneurysm.
3. Which heart sound is most commonly associated with heart failure and fluid volume
overload in an adult?
A. Opening snap
B. S4
C. S3
D. Midsystolic click
Answer: C
Conceptual Explanation: An S3 gallop (ventricular gallop) is a sign of ventricular filling
into a non-compliant or overdistended ventricle, frequently seen in heart failure.
4. When assessing for Carpal Tunnel Syndrome, the clinician asks the patient to press the
backs of their hands together for 60 seconds. What is this test called?
A. Phalen’s maneuver
B. Finkelstein’s test
, C. Tinel’s sign
D. Lachman test
Answer: A
Conceptual Explanation: Phalen’s maneuver involves flexing the wrists to 90 degrees for
60 seconds; numbness or tingling in the median nerve distribution indicates a positive
result.
5. A patient exhibits a positive Murphy’s sign. This finding is most suggestive of which
condition?
A. Acute appendicitis
B. Acute cholecystitis
C. Acute pancreatitis
D. Splenic rupture
Answer: B
Conceptual Explanation: Murphy’s sign is positive when a patient stops breathing
(inspiratory arrest) during deep palpation of the right upper quadrant, indicating
gallbladder inflammation.
6. Which cranial nerve is primarily responsible for the motor function of the tongue?
A. CN IX (Glossopharyngeal)
B. CN X (Vagus)
