NURS 5334 ADVANCED HEALTH
ASSESSMENT TEST 2 –
COMPREHENSIVE REVIEW
1. A 68-year-old patient presents with exertional dyspnea and syncope. On auscultation, you
hear a harsh, midsystolic crescendo-decrescendo murmur at the 2nd right intercostal space
that radiates to the carotid arteries. Which condition is most likely?
A. Mitral Regurgitation
B. Aortic Stenosis
C. Aortic Regurgitation
D. Mitral Stenosis
Answer: B
Conceptual Explanation: Aortic stenosis is characterized by a harsh, midsystolic
crescendo-decrescendo murmur at the right 2nd intercostal space, often radiating to the
carotids, and associated with symptoms like dyspnea and syncope.
,2. During a physical exam, you note a low-pitched, rumbling diastolic murmur heard best at
the apex with the patient in the left lateral decubitus position. This likely indicates:
A. Pulmonary Stenosis
B. Aortic Stenosis
C. Tricuspid Regurgitation
D. Mitral Stenosis
Answer: D
Conceptual Explanation: Mitral stenosis typically presents as a low-pitched diastolic
rumble heard best at the apex using the bell of the stethoscope with the patient in the left
lateral decubitus position.
3. When assessing for Egophony, the patient says ‘ee’. You hear ‘ay’ through the stethoscope
over the right lower lobe. What does this suggest?
A. Normal lung tissue
B. Lobar Consolidation
C. Pneumothorax
D. Pleural Effusion
Answer: B
, Conceptual Explanation: Egophony (the ‘ee’ to ‘ay’ change) occurs over areas of lung
consolidation, such as pneumonia, where sound transmits more clearly through fluid-filled
or solid tissue.
4. A positive Murphy’s sign is highly suggestive of which condition?
A. Acute Appendicitis
B. Renal Calculi
C. Acute Pancreatitis
D. Acute Cholecystitis
Answer: D
Conceptual Explanation: Murphy’s sign, where a patient ceases inspiration due to pain
when the gallbladder is palpated, is a classic indicator of acute cholecystitis.
5. While assessing a patient for a suspected ACL injury, which test is considered the most
sensitive?
A. McMurray Test
B. Lachman Test
C. Anterior Drawer Test
D. Apley Compression Test
Answer: B
ASSESSMENT TEST 2 –
COMPREHENSIVE REVIEW
1. A 68-year-old patient presents with exertional dyspnea and syncope. On auscultation, you
hear a harsh, midsystolic crescendo-decrescendo murmur at the 2nd right intercostal space
that radiates to the carotid arteries. Which condition is most likely?
A. Mitral Regurgitation
B. Aortic Stenosis
C. Aortic Regurgitation
D. Mitral Stenosis
Answer: B
Conceptual Explanation: Aortic stenosis is characterized by a harsh, midsystolic
crescendo-decrescendo murmur at the right 2nd intercostal space, often radiating to the
carotids, and associated with symptoms like dyspnea and syncope.
,2. During a physical exam, you note a low-pitched, rumbling diastolic murmur heard best at
the apex with the patient in the left lateral decubitus position. This likely indicates:
A. Pulmonary Stenosis
B. Aortic Stenosis
C. Tricuspid Regurgitation
D. Mitral Stenosis
Answer: D
Conceptual Explanation: Mitral stenosis typically presents as a low-pitched diastolic
rumble heard best at the apex using the bell of the stethoscope with the patient in the left
lateral decubitus position.
3. When assessing for Egophony, the patient says ‘ee’. You hear ‘ay’ through the stethoscope
over the right lower lobe. What does this suggest?
A. Normal lung tissue
B. Lobar Consolidation
C. Pneumothorax
D. Pleural Effusion
Answer: B
, Conceptual Explanation: Egophony (the ‘ee’ to ‘ay’ change) occurs over areas of lung
consolidation, such as pneumonia, where sound transmits more clearly through fluid-filled
or solid tissue.
4. A positive Murphy’s sign is highly suggestive of which condition?
A. Acute Appendicitis
B. Renal Calculi
C. Acute Pancreatitis
D. Acute Cholecystitis
Answer: D
Conceptual Explanation: Murphy’s sign, where a patient ceases inspiration due to pain
when the gallbladder is palpated, is a classic indicator of acute cholecystitis.
5. While assessing a patient for a suspected ACL injury, which test is considered the most
sensitive?
A. McMurray Test
B. Lachman Test
C. Anterior Drawer Test
D. Apley Compression Test
Answer: B
