NR 509 ADVANCED PHYSICAL
ASSESSMENT FINAL EXAM PREP
QUESTIONS WITH VERIFIED ANSWERS
(LATEST 2026/ 2027)- CHAMBERLAIN
1. During a Weber test, a patient with conductive hearing loss in the right ear will experience
which of the following?
A. Sound lateralizes to the left ear
B. Air conduction is greater than bone conduction
C. Sound is heard equally in both ears
D. Sound lateralizes to the right ear
Answer: D
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear because the ‘room noise’ is not heard, making the vibrating bone-conducted sound
seem louder.
2. A 45-year-old male presents with sharp pain in the right lower quadrant. While palpating
the left lower quadrant, the patient feels pain in the right lower quadrant. This is known as:
A. Murphy’s sign
B. McBurney’s sign
,C. Rovsing’s sign
D. Psoas sign
Answer: C
Conceptual Explanation: Rovsing’s sign is positive when pressure applied to the left
lower quadrant causes pain in the right lower quadrant, suggestive of appendicitis.
3. Which cranial nerve is primarily responsible for the motor function of the muscles of
mastication?
A. CN VII (Facial)
B. CN IX (Glossopharyngeal)
C. CN V (Trigeminal)
D. CN XII (Hypoglossal)
Answer: C
Conceptual Explanation: Cranial Nerve V (Trigeminal) has three sensory branches and a
motor branch that controls the muscles of mastication (chewing).
4. A clinician hears a high-pitched, mid-systolic click followed by a late systolic murmur at the
apex. This finding is most consistent with:
A. Aortic Stenosis
B. Ventricular Septal Defect
C. Mitral Regurgitation
, D. Mitral Valve Prolapse
Answer: D
Conceptual Explanation: Mitral Valve Prolapse (MVP) is typically characterized by a mid-
systolic click and a late systolic murmur.
5. When assessing for Egophony, a patient says ‘ee’. If the sound heard through the
stethoscope sounds like ‘ay’, what does this indicate?
A. Normal lung tissue
B. Lobar Consolidation
C. Pneumothorax
D. Chronic Obstructive Pulmonary Disease
Answer: B
Conceptual Explanation: In areas of consolidation (like pneumonia), the ‘ee’ sound is
transmitted as a nasal ‘ay’ sound.
6. A patient presents with a ‘curtain closing’ over their vision in one eye. This is a classic
presentation for:
A. Glaucoma
B. Macular Degeneration
C. Retinal Detachment
D. Cataracts
ASSESSMENT FINAL EXAM PREP
QUESTIONS WITH VERIFIED ANSWERS
(LATEST 2026/ 2027)- CHAMBERLAIN
1. During a Weber test, a patient with conductive hearing loss in the right ear will experience
which of the following?
A. Sound lateralizes to the left ear
B. Air conduction is greater than bone conduction
C. Sound is heard equally in both ears
D. Sound lateralizes to the right ear
Answer: D
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear because the ‘room noise’ is not heard, making the vibrating bone-conducted sound
seem louder.
2. A 45-year-old male presents with sharp pain in the right lower quadrant. While palpating
the left lower quadrant, the patient feels pain in the right lower quadrant. This is known as:
A. Murphy’s sign
B. McBurney’s sign
,C. Rovsing’s sign
D. Psoas sign
Answer: C
Conceptual Explanation: Rovsing’s sign is positive when pressure applied to the left
lower quadrant causes pain in the right lower quadrant, suggestive of appendicitis.
3. Which cranial nerve is primarily responsible for the motor function of the muscles of
mastication?
A. CN VII (Facial)
B. CN IX (Glossopharyngeal)
C. CN V (Trigeminal)
D. CN XII (Hypoglossal)
Answer: C
Conceptual Explanation: Cranial Nerve V (Trigeminal) has three sensory branches and a
motor branch that controls the muscles of mastication (chewing).
4. A clinician hears a high-pitched, mid-systolic click followed by a late systolic murmur at the
apex. This finding is most consistent with:
A. Aortic Stenosis
B. Ventricular Septal Defect
C. Mitral Regurgitation
, D. Mitral Valve Prolapse
Answer: D
Conceptual Explanation: Mitral Valve Prolapse (MVP) is typically characterized by a mid-
systolic click and a late systolic murmur.
5. When assessing for Egophony, a patient says ‘ee’. If the sound heard through the
stethoscope sounds like ‘ay’, what does this indicate?
A. Normal lung tissue
B. Lobar Consolidation
C. Pneumothorax
D. Chronic Obstructive Pulmonary Disease
Answer: B
Conceptual Explanation: In areas of consolidation (like pneumonia), the ‘ee’ sound is
transmitted as a nasal ‘ay’ sound.
6. A patient presents with a ‘curtain closing’ over their vision in one eye. This is a classic
presentation for:
A. Glaucoma
B. Macular Degeneration
C. Retinal Detachment
D. Cataracts
