NR 509 / NR509 Advanced Physical Assessment
Final Exam
Questions with Verified Answers - Chamberlain
Consist of 100 multiple choices Questions with Answers
1. A young man feels something in his scrotum and comes to you for clarifi-
cation. On your examination, you note what feels like a "bag of worms" in theleft
scrotum, superior to the testicles. Which of the following is most likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens
ANS Varicocle
Varicoceles are common in normal men. They are often found in the left scrotum or
bilaterally and should normally resolve in the supine position. This is because they
represent varicosities within the scrotum. These require further investigation ifthey
occur only on the right side or do not resolve in the supine position. They can
contribute to infertility because the testicles are unable to achieve a cool enough
,temperature for sperm production, due to increased blood flow from the varicocele.A
hydrocele would be a painless mass on the spermatic cord and the vas deferens is
palpated as part of the spermatic cord.You should lightly pinch the scrotum medially
and move laterally until you feel the spermatic cord pass between your fingers.
2. Which of the following changes are expected in vision as part of the normal
aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
ANS D
The lens loses its elasticity over time as part of the normal aging process, and the eye
is less able to accommodate and focus on near objects; therefore, the patient will be
expected to have blurring of near vision.
3. A 68-year-old mechanic presents to the emergency room for shortness of
breath. You are concerned about a cardiac cause and measure his jugular
venous pressure (JVP). It is elevated. Which one of the following conditions isa
potential cause of elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
,D) Aortic aneurysm
ANS Constrictive pericarditis
4. Which of the following lymph node groups is most commonly involved in
breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
ANS D.) Central
5. You are beginning the examination of the skin on a 25-year-old teacher. You
have previously elicited that she came to the office for evaluation of fatigue,
weight gain, and hair loss. You strongly suspect that she has hypothyroidism.
What is the expected moisture and texture of the skin of a patient with
hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
ANS D) Dry and rough
6. Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic
lupus erythematosus). She has noticed a raised, dark red rash on her legs.
When you press on the rash, it doesn't blanch. What would you tell her
regarding her rash?
, A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems.
ANS A. It is likely to be related to her lupus
7. You are palpating the abdomen and feel a small mass. Which of the following
would you do next?
A) Ultrasound
B) Examination with the abdominal muscles tensed
C) Surgery referral
D) Determine size by percussion
ANS b) examination with the abdominal musclestensed.
8. You are evaluating a 40-year-old banker for coronary heart disease risk
factors. He has a history of hypertension, which is well-controlled on his
current medications. He does not smoke; he does 45 minutes of aerobic
exercise five times weekly. You are calculating his 10-year coronary heart
disease risk. Which of the following conditions is considered to be a coronary
heart disease risk equivalent?
A) Hypertension
B) Peripheral arterial disease
C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD)
ANS B) Peripheral Artery Dis-ease
Final Exam
Questions with Verified Answers - Chamberlain
Consist of 100 multiple choices Questions with Answers
1. A young man feels something in his scrotum and comes to you for clarifi-
cation. On your examination, you note what feels like a "bag of worms" in theleft
scrotum, superior to the testicles. Which of the following is most likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens
ANS Varicocle
Varicoceles are common in normal men. They are often found in the left scrotum or
bilaterally and should normally resolve in the supine position. This is because they
represent varicosities within the scrotum. These require further investigation ifthey
occur only on the right side or do not resolve in the supine position. They can
contribute to infertility because the testicles are unable to achieve a cool enough
,temperature for sperm production, due to increased blood flow from the varicocele.A
hydrocele would be a painless mass on the spermatic cord and the vas deferens is
palpated as part of the spermatic cord.You should lightly pinch the scrotum medially
and move laterally until you feel the spermatic cord pass between your fingers.
2. Which of the following changes are expected in vision as part of the normal
aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
ANS D
The lens loses its elasticity over time as part of the normal aging process, and the eye
is less able to accommodate and focus on near objects; therefore, the patient will be
expected to have blurring of near vision.
3. A 68-year-old mechanic presents to the emergency room for shortness of
breath. You are concerned about a cardiac cause and measure his jugular
venous pressure (JVP). It is elevated. Which one of the following conditions isa
potential cause of elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
,D) Aortic aneurysm
ANS Constrictive pericarditis
4. Which of the following lymph node groups is most commonly involved in
breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
ANS D.) Central
5. You are beginning the examination of the skin on a 25-year-old teacher. You
have previously elicited that she came to the office for evaluation of fatigue,
weight gain, and hair loss. You strongly suspect that she has hypothyroidism.
What is the expected moisture and texture of the skin of a patient with
hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
ANS D) Dry and rough
6. Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic
lupus erythematosus). She has noticed a raised, dark red rash on her legs.
When you press on the rash, it doesn't blanch. What would you tell her
regarding her rash?
, A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems.
ANS A. It is likely to be related to her lupus
7. You are palpating the abdomen and feel a small mass. Which of the following
would you do next?
A) Ultrasound
B) Examination with the abdominal muscles tensed
C) Surgery referral
D) Determine size by percussion
ANS b) examination with the abdominal musclestensed.
8. You are evaluating a 40-year-old banker for coronary heart disease risk
factors. He has a history of hypertension, which is well-controlled on his
current medications. He does not smoke; he does 45 minutes of aerobic
exercise five times weekly. You are calculating his 10-year coronary heart
disease risk. Which of the following conditions is considered to be a coronary
heart disease risk equivalent?
A) Hypertension
B) Peripheral arterial disease
C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD)
ANS B) Peripheral Artery Dis-ease
