ADVANCED HEALTH ASSESSMENT
FINAL EXAM 2026/2027 QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. A 45-year-old patient presents with a ‘velvety’ hyperpigmented plaque on the back of the
neck. Which underlying condition is most strongly associated with this finding?
A. Hypothyroidism
B. Systemic Lupus Erythematosus
C. Insulin Resistance or Diabetes Mellitus
D. Adrenal Insufficiency
Answer: C
Conceptual Explanation: Acanthosis nigricans, characterized by dark, velvety skin in body
folds, is a common cutaneous marker for insulin resistance and metabolic syndrome.
2. During a funduscopic exam, you observe arteriovenous (AV) nicking. This finding is most
characteristic of which chronic condition?
A. Diabetes Mellitus
,B. Hypertension
C. Increased Intracranial Pressure
D. Macular Degeneration
Answer: B
Conceptual Explanation: AV nicking occurs when a thickened retinal artery crosses over a
vein, compressing it; this is a classic sign of chronic hypertensive retinopathy.
3. When performing the Weber test on a patient with suspected unilateral hearing loss, the
sound lateralizes to the ‘bad’ (impaired) ear. What does this suggest?
A. Conductive hearing loss in the impaired ear
B. Sensorineural hearing loss in the impaired ear
C. Normal hearing function
D. Sensorineural hearing loss in the good ear
Answer: A
Conceptual Explanation: In conductive hearing loss, the Weber test lateralizes to the
affected ear because the affected ear is not distracted by ambient room noise.
4. A 68-year-old male complains of sudden, painless loss of vision in one eye described as a
‘curtain being pulled down.’ What is the most likely diagnosis?
A. Acute Angle-Closure Glaucoma
B. Retinal Detachment
, C. Cataract
D. Optic Neuritis
Answer: B
Conceptual Explanation: Painless vision loss described as a curtain or shadow falling over
the visual field is a hallmark symptom of retinal detachment.
5. Which physical exam maneuver is specifically used to assess for a torn anterior cruciate
ligament (ACL)?
A. McMurray Test
B. Valgus Stress Test
C. Phalen Test
D. Lachman Test
Answer: D
Conceptual Explanation: The Lachman test is considered the most sensitive physical
examination maneuver for detecting ACL insufficiency.
6. On auscultation of the heart, you hear a low-pitched diastolic rumble at the apex with the
patient in the left lateral decubitus position. This is most likely:
A. Mitral Stenosis
B. Aortic Stenosis
C. Mitral Regurgitation
FINAL EXAM 2026/2027 QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. A 45-year-old patient presents with a ‘velvety’ hyperpigmented plaque on the back of the
neck. Which underlying condition is most strongly associated with this finding?
A. Hypothyroidism
B. Systemic Lupus Erythematosus
C. Insulin Resistance or Diabetes Mellitus
D. Adrenal Insufficiency
Answer: C
Conceptual Explanation: Acanthosis nigricans, characterized by dark, velvety skin in body
folds, is a common cutaneous marker for insulin resistance and metabolic syndrome.
2. During a funduscopic exam, you observe arteriovenous (AV) nicking. This finding is most
characteristic of which chronic condition?
A. Diabetes Mellitus
,B. Hypertension
C. Increased Intracranial Pressure
D. Macular Degeneration
Answer: B
Conceptual Explanation: AV nicking occurs when a thickened retinal artery crosses over a
vein, compressing it; this is a classic sign of chronic hypertensive retinopathy.
3. When performing the Weber test on a patient with suspected unilateral hearing loss, the
sound lateralizes to the ‘bad’ (impaired) ear. What does this suggest?
A. Conductive hearing loss in the impaired ear
B. Sensorineural hearing loss in the impaired ear
C. Normal hearing function
D. Sensorineural hearing loss in the good ear
Answer: A
Conceptual Explanation: In conductive hearing loss, the Weber test lateralizes to the
affected ear because the affected ear is not distracted by ambient room noise.
4. A 68-year-old male complains of sudden, painless loss of vision in one eye described as a
‘curtain being pulled down.’ What is the most likely diagnosis?
A. Acute Angle-Closure Glaucoma
B. Retinal Detachment
, C. Cataract
D. Optic Neuritis
Answer: B
Conceptual Explanation: Painless vision loss described as a curtain or shadow falling over
the visual field is a hallmark symptom of retinal detachment.
5. Which physical exam maneuver is specifically used to assess for a torn anterior cruciate
ligament (ACL)?
A. McMurray Test
B. Valgus Stress Test
C. Phalen Test
D. Lachman Test
Answer: D
Conceptual Explanation: The Lachman test is considered the most sensitive physical
examination maneuver for detecting ACL insufficiency.
6. On auscultation of the heart, you hear a low-pitched diastolic rumble at the apex with the
patient in the left lateral decubitus position. This is most likely:
A. Mitral Stenosis
B. Aortic Stenosis
C. Mitral Regurgitation
