age 1 of 123
NR509 ADVANCED PHYSICAL ASSESSMENT MIDTERM
EXAM STUDY GUIDE 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS <RECENT VERSION>
What is the clinical relevance of distinguishing between LMN
and UMN lesions? ......ANSWER........It helps determine the
underlying cause of facial paralysis and guides treatment.
What condition is characterized by impaired pupillary
constriction and sensitivity to light? ......ANSWER........Injury to the
oculomotor nerve (CN III).
What is the role of the diencephalon in the brain?
......ANSWER........It connects the midbrain with the cerebral
hemispheres and encloses the third ventricle.
,age 2 of 123
What is the main function of the reticular activating system?
......ANSWER........It monitors the state and function of the body in
processes such as arousal, sleep, attention, and muscle tone.
What is the consequence of a peripheral LMN lesion involving
CN V? ......ANSWER........It does not affect motor function for
facial expressions, as CN V primarily provides sensory
innervation.
What is the typical presentation of a patient with a CN III injury?
......ANSWER........Impaired pupillary constriction, possible ptosis,
and eye movement abnormalities.
What is the difference between gray matter and white matter
structures in the brain? ......ANSWER........Gray matter consists of
neuronal cell bodies, while white matter consists of myelinated
axons.
,age 3 of 123
What is the significance of ruling out an acute ischemic event in a
patient with neurological symptoms? ......ANSWER........It is critical
for determining the appropriate emergency treatment and
management.
What is the best next maneuver to visualize the cervix if it is not
easily seen? ......ANSWER........Withdraw the speculum slightly
and reposition it on a different slope.
Why is replacing the speculum with a larger one incorrect in this
case? ......ANSWER........In this patient, a larger speculum would
not be helpful as she is thin.
Why is withdrawing the speculum for a bimanual exam not the
next maneuver? ......ANSWER........It is not the immediate next
maneuver after failing to visualize the cervix.
, age 4 of 123
What is incorrect about replacing the speculum with a plastic
one with a better light source? ......ANSWER........It is not the next
maneuver to visualize the cervix.
What lab findings were noted for the 63-year-old janitor during
his well visit? ......ANSWER........Moderate elevations of liver
enzymes and mildly elevated total bilirubin.
What finding would be most consistent with hepatomegaly in the
63-year-old janitor? ......ANSWER........Liver palpable 3 cm
below the right costal margin, midclavicular line on expiration.
What is considered a normal liver span measurement at the
midclavicular line? ......ANSWER........6-12 cm.
What is the significance of dullness to percussion over the liver
span? ......ANSWER........It indicates the size and condition of the
liver.
NR509 ADVANCED PHYSICAL ASSESSMENT MIDTERM
EXAM STUDY GUIDE 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS <RECENT VERSION>
What is the clinical relevance of distinguishing between LMN
and UMN lesions? ......ANSWER........It helps determine the
underlying cause of facial paralysis and guides treatment.
What condition is characterized by impaired pupillary
constriction and sensitivity to light? ......ANSWER........Injury to the
oculomotor nerve (CN III).
What is the role of the diencephalon in the brain?
......ANSWER........It connects the midbrain with the cerebral
hemispheres and encloses the third ventricle.
,age 2 of 123
What is the main function of the reticular activating system?
......ANSWER........It monitors the state and function of the body in
processes such as arousal, sleep, attention, and muscle tone.
What is the consequence of a peripheral LMN lesion involving
CN V? ......ANSWER........It does not affect motor function for
facial expressions, as CN V primarily provides sensory
innervation.
What is the typical presentation of a patient with a CN III injury?
......ANSWER........Impaired pupillary constriction, possible ptosis,
and eye movement abnormalities.
What is the difference between gray matter and white matter
structures in the brain? ......ANSWER........Gray matter consists of
neuronal cell bodies, while white matter consists of myelinated
axons.
,age 3 of 123
What is the significance of ruling out an acute ischemic event in a
patient with neurological symptoms? ......ANSWER........It is critical
for determining the appropriate emergency treatment and
management.
What is the best next maneuver to visualize the cervix if it is not
easily seen? ......ANSWER........Withdraw the speculum slightly
and reposition it on a different slope.
Why is replacing the speculum with a larger one incorrect in this
case? ......ANSWER........In this patient, a larger speculum would
not be helpful as she is thin.
Why is withdrawing the speculum for a bimanual exam not the
next maneuver? ......ANSWER........It is not the immediate next
maneuver after failing to visualize the cervix.
, age 4 of 123
What is incorrect about replacing the speculum with a plastic
one with a better light source? ......ANSWER........It is not the next
maneuver to visualize the cervix.
What lab findings were noted for the 63-year-old janitor during
his well visit? ......ANSWER........Moderate elevations of liver
enzymes and mildly elevated total bilirubin.
What finding would be most consistent with hepatomegaly in the
63-year-old janitor? ......ANSWER........Liver palpable 3 cm
below the right costal margin, midclavicular line on expiration.
What is considered a normal liver span measurement at the
midclavicular line? ......ANSWER........6-12 cm.
What is the significance of dullness to percussion over the liver
span? ......ANSWER........It indicates the size and condition of the
liver.
