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3P High Stakes Exam 2025/2026 – Complete Verified Questions and Answers | NP Physical Assessment & Diagnosis Review

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Prepare for your Nurse Practitioner 3P High Stakes Exam with this complete, verified study guide covering advanced physical assessment and diagnostic reasoning. Topics include neurological exam findings (Horner's syndrome, aphasia types, cranial nerve deficits), cardiac auscultation points and murmurs, musculoskeletal anatomy and special tests, dermatologic lesions and burns classification, pediatric developmental milestones and congenital conditions, GI/hepatic assessment findings, GU and reproductive exam findings, ophthalmic and otologic conditions, geriatric syndromes (frailty, sarcopenia), and psychiatric/behavioral health disorders. Ideal for NP students preparing for certification boards or high-stakes clinical exams requiring comprehensive head-to-toe assessment knowledge across pediatric, adult, and geriatric populations.

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3P High Stakes Exam | Actual Questions and Answers Latest Updated
2024/2025 (Graded A+)


Horner's syndrome - ✔✔When examining the eyes, the right pupil reacts briskly to light, near effort, and
is much smaller than the left pupil. This condition is most likely:



Paralysis of oculomotor cranial nerve (CN III) - ✔✔Dilated pupil is fixed to light and near accommodation



Argyll Robertson pupils - ✔✔Pupil appears small and irregular shaped and accommodate but do not
react to light.



Seizure - ✔✔uncontrolled electrical activity in brain, may produce minor physical signs, thought
disturbances or disturbed motor activity or combination of symptoms.



Dystonia - ✔✔neurological disorder, causes involuntary muscle spasms & twisting of limbs.



Bradykinesia - ✔✔impaired ability to adjust to one's body position.



Femoral vein - ✔✔The great saphenous vein enters the deep venous system via:



The Abduction (Valgus) stress test - ✔✔Maneuver the evaluates function of medial collateral ligament
(MCL)



Gray matter - ✔✔The thalamus and basal ganglion are located in the:



Facial tics - ✔✔brief, repetitive, stereotyped, coordinated movement occurring at irregular intervals
(repetitive winking, grimacing and shoulder shrugging)



Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at high risk for developing:
- ✔✔columnar epithelium that covers most or all of cervix vaginal adenosis, circular collar or ridge of
tissue between cervix & vagina.

,Flexor group - ✔✔Group of muscles that lie anteriorly and flex the thigh



Thymus, thyroid gland & anterior part of pericardium - ✔✔The anterior mediastinal lymph nodes drain
lymphatic fluid from the:



The breasts, upper part of the abdominal wall, upper part of back, pectoral region & upper limbs -
✔✔Axillary lymph node drainage are includes:



trauma, surgery & intranasal use of cocaine or amphetamines. - ✔✔Possible causes of nasal septum
perforation:



the peau d'orange (orange peel) sign - ✔✔thickened skin with enlarged pores. First seen in lower
portion of breast or areola. Visible sign of breast cancer.



Median Nerve - ✔✔provides sensation to palm, palmar surface of most of thumb, second & third fingers
& half of 4th digit.



Ulnar Nerve - ✔✔Innervates half of 4th digit & 5th digit



Radial Nerve - ✔✔innervates dorsal web space of thumb & index finger



Fibrous joints - ✔✔Have intervening layers of fibrous tissue or cartilage holding bones together (sutures
of skull)



Cartilaginous joints - ✔✔Joints have bones connected by cartilage. (hyaline or fibrocartilage).

slightly movable.



Symphysis pubis & vertebrae - ✔✔Examples of cartilaginous joints

, Mechanical neck pain - ✔✔Aching pain in the cervical paraspinal muscles and ligaments with associated
muscle spasm, with associated stiffness and tightness in the upper back and shoulder, lasting up to 6
weeks.

No associated radiation, paresthesias, or weakness.

Headache may be present.



Mechanical Neck pain-Whiplash - ✔✔Paracervical pain & stiffness begins day after injury. Accompanied
by occipital headaches, dizziness & malaise



Cervical radiculopathy - ✔✔nerve pain caused by pressure on the spinal nerve roots in the neck region

Symptoms: sharp burning or tingling pain in neck & one arm with assiciated paresthesias.



Cervical Myelopathy - ✔✔cervical cord compression, neck pain associated with bilateral weakness &
paresthesias in both upper & lower extremities.



Diastasis Recti - ✔✔Rectus abdominis muscles separate at midline as tension on abdominal wall
increases with pregnancy



10 days to 3 months - ✔✔How long after exposure to syphilis will symptoms begin to present?



Cervicitis - ✔✔Cervical erosion, erythema, discharge or irritation. Investigate for STI.



Located behind the ethmoid sinuses - ✔✔Sphenoidal sinuses are located:



Between the eyes & frontal sinuses, located above the eyes. - ✔✔Ethmoid sinuses are located



between 24 and 28 weeks of pregnancy - ✔✔When should an oral glucose tolerance test be performed?



Overflow incontinence - ✔✔small amounts of urine leak from a full bladder in absence of need to
urinate

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