NUA 5950 FINAL EXAM STUDY GUIDE
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
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<NEWEST VERSION>
1. What is the purpose of documentation in clinical practice? - ANSWER ✔
It provides necessary documentation for payer reimbursement, creates a
legal record, and is crucial for legal proceedings.
2. What is problem-centered history? - ANSWER ✔ focused assessment
based on the chief complaint, designed to elicit the required information to
narrow down the differential diagnoses to guide the assessment and
language for your patient
3. What must your differential diagnosis be supported by? - ANSWER ✔
subjective and objective assessment findings/documentation
4. Physical Exam: Pregnant Patient - ANSWER ✔ Same sequence as adult,
but requires more inclusive assessment of the abdomen and pelvis.
Remember is more difficult for a pregnant patient to assume the supine
position.
Preferred method: side-lying
Have pregnant patient empty her bladder prior to examination
5. Physical Exam: Neonatal Patient - ANSWER ✔ Important to look
carefully before touching
Inspecting without disturbing the baby is the key
,6. Visual assessment provides many clues in determining diagnosis and
includes these key characteristics:
- awareness, alertness, responsiveness, and playfulness
- posture
- flaccidity, tension, and spasticity
- gross deformities
- spontaneity in behavior
- obvious and subtle interaction between parents and child
- feeding, sucking, and swallowing
Sequence: head/fontanels, extremities, abdomen, and body
Otoscope (invasive) last.
7. Physical Exam: Pediatric Patient - ANSWER ✔ Always allow parent on
the examination table
Take in consideration of developmental stage
Establish comfort before examination
Allow children to touch equipment used during the examination
8. Physical Exam: Geriatric Patient - ANSWER ✔ The elderly may have
difficulty assuming positions
Reaction time is longer
Need to obtain functional assessment
- ability of the elderly to deal with the daily demands of life
- how to shape your management plan
- level of instruction you can provide
- ability of the patient to comply with the management plan
9. Prostate Cancer - ANSWER ✔ development of hard, asymmetrical nodules
or areas of induration within the prostate
no sx in early stages, but urinary symptoms can develop as the disease
progresses
, 10.Prostatic Abscess - ANSWER ✔ Localized collection of pus in the prostate
caused by bacterial infection
rare
11.Order of abdominal exam - ANSWER ✔ - inspection
- auscultation
- percussion
- palpation
12.Rebound tenderness - ANSWER ✔ pain that increases when pressure (as
from a hand) is removed
indicates: peritoneal irritation/inflammation, when in the RLQ its concerning
for appendicitis
13.McBurney's Point Tenderness - ANSWER ✔ tenderness to palpation in the
mid-point of the right lower quadrant (RLQ) which can indicate appendicitis
14.Psoas Sign - ANSWER ✔ sign is elicited by having the patient lie on their
left side while the examiner extends the patients right leg
pain in the RLQ during this is positive and suggests irritation in the psoas
muscle and can happen with appendicitis or ruptured appendix
15.Rovsing's Sign - ANSWER ✔ The examiner applies pressure to the LLQ
of the abdomen and if the patient experiences pain in RLQ this is a positive
result and there is concern for appendicitis
16.Murphy's Sign - ANSWER ✔ Examiner palpates the right subcostal area of
the abdomen as the patient takes a deep breath
if patient has a sudden stop in inhalation due to sharp pain this is positive for
cholecystitis
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. What is the purpose of documentation in clinical practice? - ANSWER ✔
It provides necessary documentation for payer reimbursement, creates a
legal record, and is crucial for legal proceedings.
2. What is problem-centered history? - ANSWER ✔ focused assessment
based on the chief complaint, designed to elicit the required information to
narrow down the differential diagnoses to guide the assessment and
language for your patient
3. What must your differential diagnosis be supported by? - ANSWER ✔
subjective and objective assessment findings/documentation
4. Physical Exam: Pregnant Patient - ANSWER ✔ Same sequence as adult,
but requires more inclusive assessment of the abdomen and pelvis.
Remember is more difficult for a pregnant patient to assume the supine
position.
Preferred method: side-lying
Have pregnant patient empty her bladder prior to examination
5. Physical Exam: Neonatal Patient - ANSWER ✔ Important to look
carefully before touching
Inspecting without disturbing the baby is the key
,6. Visual assessment provides many clues in determining diagnosis and
includes these key characteristics:
- awareness, alertness, responsiveness, and playfulness
- posture
- flaccidity, tension, and spasticity
- gross deformities
- spontaneity in behavior
- obvious and subtle interaction between parents and child
- feeding, sucking, and swallowing
Sequence: head/fontanels, extremities, abdomen, and body
Otoscope (invasive) last.
7. Physical Exam: Pediatric Patient - ANSWER ✔ Always allow parent on
the examination table
Take in consideration of developmental stage
Establish comfort before examination
Allow children to touch equipment used during the examination
8. Physical Exam: Geriatric Patient - ANSWER ✔ The elderly may have
difficulty assuming positions
Reaction time is longer
Need to obtain functional assessment
- ability of the elderly to deal with the daily demands of life
- how to shape your management plan
- level of instruction you can provide
- ability of the patient to comply with the management plan
9. Prostate Cancer - ANSWER ✔ development of hard, asymmetrical nodules
or areas of induration within the prostate
no sx in early stages, but urinary symptoms can develop as the disease
progresses
, 10.Prostatic Abscess - ANSWER ✔ Localized collection of pus in the prostate
caused by bacterial infection
rare
11.Order of abdominal exam - ANSWER ✔ - inspection
- auscultation
- percussion
- palpation
12.Rebound tenderness - ANSWER ✔ pain that increases when pressure (as
from a hand) is removed
indicates: peritoneal irritation/inflammation, when in the RLQ its concerning
for appendicitis
13.McBurney's Point Tenderness - ANSWER ✔ tenderness to palpation in the
mid-point of the right lower quadrant (RLQ) which can indicate appendicitis
14.Psoas Sign - ANSWER ✔ sign is elicited by having the patient lie on their
left side while the examiner extends the patients right leg
pain in the RLQ during this is positive and suggests irritation in the psoas
muscle and can happen with appendicitis or ruptured appendix
15.Rovsing's Sign - ANSWER ✔ The examiner applies pressure to the LLQ
of the abdomen and if the patient experiences pain in RLQ this is a positive
result and there is concern for appendicitis
16.Murphy's Sign - ANSWER ✔ Examiner palpates the right subcostal area of
the abdomen as the patient takes a deep breath
if patient has a sudden stop in inhalation due to sharp pain this is positive for
cholecystitis
