NR 509 ADVANCED PHYSICAL
ASSESSMENT FINAL EXAM PRACTICE
QUESTIONS WITH VERIFIED ANSWERS
(LATEST 2026/ 2027)- CHAMBERLAIN
1. When assessing a patient for a suspected meniscus tear, which physical examination
maneuver is most appropriate?
A. McMurray test
B. Lachman test
C. Drawer test
D. Phalen’s maneuver
Answer: A
Conceptual Explanation: The McMurray test involves rotating the knee with the patient
supine to detect a ‘click’ or pop, indicating a meniscus tear. Lachman and Drawer tests
assess the ACL/PCL.
2. During a cardiac auscultation, you hear a mid-systolic click. This finding is most commonly
associated with:
A. Mitral Stenosis
B. Aortic Regurgitation
,C. Mitral Valve Prolapse
D. Tricuspid Atresia
Answer: C
Conceptual Explanation: A mid-systolic click is the hallmark clinical finding of Mitral
Valve Prolapse (MVP), often followed by a late systolic murmur.
3. When performing the Rinne test, a patient reports that bone conduction is longer than air
conduction in the left ear. This indicates:
A. Sensorineural hearing loss in the left ear
B. Normal hearing in both ears
C. Conductive hearing loss in the left ear
D. Central auditory processing disorder
Answer: C
Conceptual Explanation: In conductive hearing loss, bone conduction (BC) is equal to or
greater than air conduction (AC). Normally, AC > BC.
4. Which of the following physical exam findings is most suggestive of acute cholecystitis?
A. Positive Psoas sign
B. Positive Rovsing’s sign
C. Positive Grey Turner’s sign
, D. Positive Murphy’s sign
Answer: D
Conceptual Explanation: Murphy’s sign is specific for gallbladder inflammation; it is
positive when the patient stops breathing in (inspiratory arrest) during deep palpation of
the RUQ.
5. A 65-year-old patient presents with a ‘curtain-like’ shadow descending over their vision.
This symptom is highly concerning for:
A. Retinal detachment
B. Acute angle-closure glaucoma
C. Macular degeneration
D. Cataracts
Answer: A
Conceptual Explanation: A sudden, painless loss of vision described as a shadow or
curtain is a classic symptom of retinal detachment.
6. Which cranial nerve is responsible for the motor function of the muscles of mastication?
A. CN VII (Facial)
B. CN XI (Spinal Accessory)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
ASSESSMENT FINAL EXAM PRACTICE
QUESTIONS WITH VERIFIED ANSWERS
(LATEST 2026/ 2027)- CHAMBERLAIN
1. When assessing a patient for a suspected meniscus tear, which physical examination
maneuver is most appropriate?
A. McMurray test
B. Lachman test
C. Drawer test
D. Phalen’s maneuver
Answer: A
Conceptual Explanation: The McMurray test involves rotating the knee with the patient
supine to detect a ‘click’ or pop, indicating a meniscus tear. Lachman and Drawer tests
assess the ACL/PCL.
2. During a cardiac auscultation, you hear a mid-systolic click. This finding is most commonly
associated with:
A. Mitral Stenosis
B. Aortic Regurgitation
,C. Mitral Valve Prolapse
D. Tricuspid Atresia
Answer: C
Conceptual Explanation: A mid-systolic click is the hallmark clinical finding of Mitral
Valve Prolapse (MVP), often followed by a late systolic murmur.
3. When performing the Rinne test, a patient reports that bone conduction is longer than air
conduction in the left ear. This indicates:
A. Sensorineural hearing loss in the left ear
B. Normal hearing in both ears
C. Conductive hearing loss in the left ear
D. Central auditory processing disorder
Answer: C
Conceptual Explanation: In conductive hearing loss, bone conduction (BC) is equal to or
greater than air conduction (AC). Normally, AC > BC.
4. Which of the following physical exam findings is most suggestive of acute cholecystitis?
A. Positive Psoas sign
B. Positive Rovsing’s sign
C. Positive Grey Turner’s sign
, D. Positive Murphy’s sign
Answer: D
Conceptual Explanation: Murphy’s sign is specific for gallbladder inflammation; it is
positive when the patient stops breathing in (inspiratory arrest) during deep palpation of
the RUQ.
5. A 65-year-old patient presents with a ‘curtain-like’ shadow descending over their vision.
This symptom is highly concerning for:
A. Retinal detachment
B. Acute angle-closure glaucoma
C. Macular degeneration
D. Cataracts
Answer: A
Conceptual Explanation: A sudden, painless loss of vision described as a shadow or
curtain is a classic symptom of retinal detachment.
6. Which cranial nerve is responsible for the motor function of the muscles of mastication?
A. CN VII (Facial)
B. CN XI (Spinal Accessory)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
