NR509 ADVANCED PHYSICAL
ASSESSMENT EXAM 4 QUESTIONS AND
ANSWERS 2026/2027 UPDATE || 100%
GUARANTEED PASS
1. A 45-year-old patient presents with symptoms of carpal tunnel syndrome. The clinician
performs a test by asking the patient to hold their wrists in acute flexion for 60 seconds. This
test is known as:
A. Tinel’s sign
B. Phalen’s test
C. Finkelstein’s test
D. Allen’s test
Answer: B
Conceptual Explanation: Phalen’s test involves acute flexion of the wrists for 60 seconds
to compress the median nerve; numbness or tingling indicates a positive result for carpal
tunnel syndrome.
2. During a neurological exam, the clinician asks the patient to identify a common object,
such as a key, placed in their hand while their eyes are closed. This assesses:
A. Graphesthesia
,B. Two-point discrimination
C. Stereognosis
D. Extinction
Answer: C
Conceptual Explanation: Stereognosis is the ability to recognize objects by feeling them.
Graphesthesia is the ability to ‘read’ a number traced on the skin.
3. Which physical exam maneuver is most sensitive for detecting an Anterior Cruciate
Ligament (ACL) tear?
A. McMurray test
B. Valgus stress test
C. Apley grind test
D. Lachman test
Answer: D
Conceptual Explanation: The Lachman test is considered the most sensitive clinical test
for ACL integrity, more so than the Anterior Drawer test.
4. In a pediatric patient, the ‘Moro reflex’ typically disappears by what age?
A. 4 months
B. 2 months
, C. 8 months
D. 12 months
Answer: A
Conceptual Explanation: The Moro (startle) reflex is present at birth and usually
disappears by 3 to 4 months of age.
5. A 72-year-old patient reports difficulty hearing in crowded rooms. Examination shows
normal hearing of low-frequency sounds but loss of high-frequency sounds. This is
characteristic of:
A. Otosclerosis
B. Presbycusis
C. Meniere’s disease
D. Cerumen impaction
Answer: B
Conceptual Explanation: Presbycusis is age-related sensorineural hearing loss, typically
affecting high-frequency sounds first.
6. During a pregnancy exam, the fundus is palpated at the level of the umbilicus. This suggests
a gestational age of approximately:
A. 12 weeks
B. 20 weeks
ASSESSMENT EXAM 4 QUESTIONS AND
ANSWERS 2026/2027 UPDATE || 100%
GUARANTEED PASS
1. A 45-year-old patient presents with symptoms of carpal tunnel syndrome. The clinician
performs a test by asking the patient to hold their wrists in acute flexion for 60 seconds. This
test is known as:
A. Tinel’s sign
B. Phalen’s test
C. Finkelstein’s test
D. Allen’s test
Answer: B
Conceptual Explanation: Phalen’s test involves acute flexion of the wrists for 60 seconds
to compress the median nerve; numbness or tingling indicates a positive result for carpal
tunnel syndrome.
2. During a neurological exam, the clinician asks the patient to identify a common object,
such as a key, placed in their hand while their eyes are closed. This assesses:
A. Graphesthesia
,B. Two-point discrimination
C. Stereognosis
D. Extinction
Answer: C
Conceptual Explanation: Stereognosis is the ability to recognize objects by feeling them.
Graphesthesia is the ability to ‘read’ a number traced on the skin.
3. Which physical exam maneuver is most sensitive for detecting an Anterior Cruciate
Ligament (ACL) tear?
A. McMurray test
B. Valgus stress test
C. Apley grind test
D. Lachman test
Answer: D
Conceptual Explanation: The Lachman test is considered the most sensitive clinical test
for ACL integrity, more so than the Anterior Drawer test.
4. In a pediatric patient, the ‘Moro reflex’ typically disappears by what age?
A. 4 months
B. 2 months
, C. 8 months
D. 12 months
Answer: A
Conceptual Explanation: The Moro (startle) reflex is present at birth and usually
disappears by 3 to 4 months of age.
5. A 72-year-old patient reports difficulty hearing in crowded rooms. Examination shows
normal hearing of low-frequency sounds but loss of high-frequency sounds. This is
characteristic of:
A. Otosclerosis
B. Presbycusis
C. Meniere’s disease
D. Cerumen impaction
Answer: B
Conceptual Explanation: Presbycusis is age-related sensorineural hearing loss, typically
affecting high-frequency sounds first.
6. During a pregnancy exam, the fundus is palpated at the level of the umbilicus. This suggests
a gestational age of approximately:
A. 12 weeks
B. 20 weeks
